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psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
November 12, 2014 - Homes
February 24, 2022
Assisting beginners in root cause analysis operations … September 30, 2020
Is there a link between nursing home reported quality and COVID-19 … home residents. … home admission. … homes.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - many similar unintended consequences after introduction of electronic health records into Australian nursing … homes. … Medication safety teams' guided implementation of electronic medication administration records in five nursing … homes.
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psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
September 04, 2010 - homes. … September 24, 2010
Nursing home error and level of staff credentials. … February 17, 2010
Achieving quality improvement in the nursing home: influence of nursing … homes. … June 29, 2011
Achieving quality improvement in the nursing home: influence of nursing
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psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - intervention
focusing on the medication monitoring phase to prevent
potential adverse drug events in nursing … homes. … intervention focusing on
the medication monitoring phase to prevent potential adverse drug events in nursing … homes. … home patients at high risk for
adverse drug events and recommended customized management strategies
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing … homes. … Medication safety teams' guided implementation of
electronic medication administration records in five nursing … homes. … home facilities.
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psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - A past PSNet perspective
discussed medication safety in nursing homes. … effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
https://psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association … https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - home. … May 25, 2022
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional … home ratings. … home survey. … July 7, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - Reducing unnecessary hospitalizations of nursing home residents. N Engl J Med. 2011;365:1165-1167. … Medicare.gov: Nursing Home Compare. Baltimore, MD: Centers for Medicare & Medicaid Services. … Potentially avoidable hospitalizations of nursing home residents: frequency, causes, and costs. … Homes—CMS has produced tools and resources to assist nursing homes with developing QAPI plans http:/ … October 13, 2018
Reporting near-miss events in nursing homes.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Diagnostic Safety and Quality
April 26, 2023
The National Imperative to Improve Nursing … Home Quality: Honoring Our Commitment to Residents, Families, and Staff. … warning symbols in combination with education on the frequency of erroneously crushing medication in nursing … homes: an uncontrolled before and after study. … March 23, 2011
Medication administration errors in nursing homes using an automated medication
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psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - December 23, 2012
Repeat medication errors in nursing homes: contributing factors and … September 23, 2020
Anticoagulant medication errors in nursing homes: characteristics, … August 7, 2013
Patterns in nursing home medication errors: disproportionality analysis … March 24, 2011
Medication error reporting in nursing homes: identifying targets for patient … homes.
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psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid-19-qualitative-analysis-concerns-during-public
February 15, 2023 - August 15, 2018
View More
Related Resources
COVID-19 in Nursing … Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. … July 14, 2021
Coronavirus Commission for Safety and Quality in Nursing Homes. … October 28, 2020
National Nursing Home COVID Action Network. … Homes Prior to COVID-19 Pandemic.
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psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
September 30, 2020 - Primers
Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing … Homes
February 24, 2022
Flow accuracy of IV smart pumps outside of patient … February 24, 2021
Expanding frontiers of risk management: care safety in nursing home … homes during the COVID-19 pandemic. … June 17, 2020
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes
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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - implementation-antibiotic-stewardship-program-long-term-care-facilities-
across-us
Overuse of antibiotics has been common in nursing … homes; therefore, antibiotic stewardship programs
(ASPs) have been emphasized by experts. … This quality improvement program found that a focused educational
initiative to establish ASPs in nursing … homes was associated with reduction in antibiotic use in those
facilities with high levels of engagement … implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
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psnet.ahrq.gov/node/45408/psn-pdf
September 07, 2016 - warning symbols in combination with education
on the frequency of erroneously crushing medication in
nursing … homes: an uncontrolled before and after study. … warning symbols in combination with education on the
frequency of erroneously crushing medication in nursing … homes: an uncontrolled before and after study. … In this before and after intervention study in a nursing home, adding warning symbols and educating staff
-
psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study
October 20, 2021 - December 11, 2024
Managing patient safety and staff safety in nursing homes: exploring … how leaders of nursing homes negotiate their dual responsibilities- a case study. … Leading quality and safety on the frontline - a case study of department leaders in nursing … homes. … homes - a case study.
-
psnet.ahrq.gov/issue/factors-associated-missed-nursing-care-and-nurse-assessed-quality-care-during-covid-19
June 09, 2021 - August 18, 2021
Severe staffing and personal protective equipment shortages faced by nursing … homes during the COVID-19 pandemic. … Primers
Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing … Homes
February 24, 2022
Safety implications of different forms of understaffing … June 17, 2020
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes
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psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
April 26, 2017 - Homes
February 24, 2022
Adverse events in Italian nursing homes during the … homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. … October 28, 2020
Expanding frontiers of risk management: care safety in nursing home … June 3, 2020
Infection Control Deficiencies Were Widespread and Persistent in Nursing … Homes Prior to COVID-19 Pandemic.
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
September 15, 2025 - Study
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national … This survey of nursing homes in Italy found that one third of facilities reported at least one adverse … Adverse events were more likely to occur in nursing homes with higher bed capacities, increased use of … These findings can inform nursing homes creating mitigation plans.
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psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
February 28, 2024 - Related Resources From the Same Author(s)
Managing patient safety and staff safety in nursing … homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. … Leading quality and safety on the frontline - a case study of department leaders in nursing … homes. … homes - a case study.
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes. … April 26, 2023
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … Z-drugs and falls in nursing home patients: data
from the INCUR study. … Fall prevention in hospitals and nursing homes:
clinical practice guideline. … Nurse staffing and quality of care of nursing home residents in Korea.