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psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
November 06, 2019 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare-systematic-review
November 30, 2022 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - July 13, 2022
Evaluation of the association between Nursing Home Survey on Patient Safety
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psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - October 2, 2024
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … home residents.
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - August 21, 2024
View More
Related Resources
Predictors of nursing … home nurses' willingness to report medication near-misses.
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - September 8, 2021
Medication discrepancy rates and sources upon nursing home intake:
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psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care
January 14, 2011 - April 22, 2015
Nursing home safety: does financial performance matter?
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psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
February 23, 2019 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - October 25, 2010
Nurses' communication of safety events to nursing home residents and
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psnet.ahrq.gov/issue/relationship-between-leapfrog-safe-practices-survey-and-outcomes-trauma
August 02, 2015 - June 28, 2017
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
May 19, 2021 - 2021
Adverse events in long-term care residents transitioning from hospital back to nursing … home.
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
February 03, 2011 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Chemotherapy Extravasation
January 1, 2008
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and
her oncologist decided to begin sys…
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
October 28, 2020 - Commentary
Optimizing patient safety during hemodialysis.
Citation Text:
Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507.
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