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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - Looking for Meds in All the Wrong Places
Citation Text:
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/issue/preventing-falls-injury
May 06, 2015 - Improving Diagnostic Safety and Quality
April 26, 2023
The Nursing … Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.
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psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
October 23, 2019 - Network of Patient Safety Databases Chartbook, 2019
February 5, 2020
AHRQ Nursing … Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.
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psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
March 22, 2017 - November 30, 2016
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative
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psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
December 24, 2008 - January 16, 2019
Nursing Home Antimicrobial Stewardship Guide.
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psnet.ahrq.gov/issue/peggy-lillis-foundation
February 05, 2020 - June 14, 2024
- December 14, 2025
National Nursing Home COVID Action Network.
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - February 15, 2023
The association of nursing home characteristics and quality with adverse
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psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
May 01, 2017 - November 21, 2016
Nursing Home Antimicrobial Stewardship Guide.
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psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
December 24, 2008 - August 10, 2022
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants
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psnet.ahrq.gov/issue/world-sepsis-day
May 12, 2021 - November 16, 2022
View More
Related Resources
National Nursing … Home COVID Action Network.
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psnet.ahrq.gov/issue/health-care-associated-infections
December 24, 2008 - June 5, 2019
Nursing Home Antimicrobial Stewardship Guide.
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - Spotlight
Spotlight
A Case of Mistaken Capacity: Why a
Thorough Psychosocial History Can
Improve Care
Source and Credits
• This presentation is based on the March 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Katrina Pasao, MD…
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psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
June 06, 2018 - While insulin-related adverse events are well described in hospital and nursing home settings, the
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psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer
October 19, 2022 - Study
Medication errors in the home: a multisite study of children with cancer.
Citation Text:
Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434.
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Study
Support from hospital to home for elders: a randomized trial.
Citation Text:
Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094.
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Technology implementation and workarounds in the nursing home.
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - Elements of Outpatient Antibiotic
Stewardship, as well as similar documents for acute care and for nursing … homes.
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Triage Time Bomb
Citation Text:
Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …