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201. Repeat medication errors in nursing homes: contributing factors and their association with patient harm. | PSNet
     psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
     August 07, 2013 - Study Repeat medication errors in nursing homes: contributing factors and their association … Repeat medication errors in nursing homes: Contributing factors and their association with patient harm … This study found that 37% of medication errors were repeated one or more times in nursing home settings … August 7, 2013 Patterns in nursing home medication errors: disproportionality analysis … July 13, 2022 The association of nursing home characteristics and quality with adverse

202. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA The Importance … (Cooper, 2003) - Nursing Home SOPS provides staff perceptions of patient safety culture 20 What … • Patient safety MAY be another problem with the image of nursing homes 24 SOPS Nursing Homes … • SOPS Nursing Homes. 25 The Importance of Safety Culture in Nursing Homes The Importance of … The Swiss Cheese Model Patient Safety Culture in Nursing Homes SOPS Nursing Homes

203. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. | PSNet
     psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial
     March 04, 2015 - Study Effects of an intervention to reduce hospitalizations from nursing homes: a … Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation … Reducing acute care hospitalizations from nursing homes is a patient safety priority. … home care. … home survey.

204. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet
     psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
     December 15, 2011 - Study Anticoagulant medication errors in nursing homes: characteristics, causes, … Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association … Patients in nursing homes are generally elderly, chronically ill, and take multiple medications, which … July 28, 2010 Patterns in nursing home medication errors: disproportionality analysis … home: a before-after study.

205. Medicare takes aim at boomerang hospitalizations of nursing home patients. | PSNet
     psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
     December 12, 2018 - Citation Text: Medicare takes aim at boomerang hospitalizations of nursing home patients. Rau J. … Safety problems are common in nursing homes due to challenges such as poor safety culture , staff burnout … July 2, 2014 Half the time, nursing homes scrutinized on safety by Medicare are still … January 20, 2021 Perceived patient safety culture in nursing homes associated with "Nursing … November 28, 2018 Do safety culture scores in nursing homes depend on job role and ownership

206. Nursing Home Infection Preventionist Training Course—Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/infection-preventionist-course.html
     May 01, 2022 - Nursing Home Infection Preventionist Training Course—Overview Resource: Nursing Home Infection … prevention and control training for individuals responsible for infection prevention and control programs in nursing … homes so they can effectively implement their programs and ensure adherence to recommended practices … prevent pathogen transmission and reduce healthcare-associated infections and antibiotic resistance in nursing … homes.

207. Major Nursing Home Quality Measurement Sets | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/measurement-sets.html
     November 01, 2018 - Measures Based on the Minimum Data Set All nursing homes that participate in either the Medicare or … Medicaid program, which includes nearly all nursing homes in the United States, must submit periodic … The NQF-endorsed measures for nursing homes are all derived from the MDS. … CAHPS ® Measures The CAHPS Nursing Home Surveys assess the experiences of nursing home residents … Also in "Measures of Quality in Nursing Homes, Home Health Agencies, and Hospice" Nursing Home Care

208. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet
     psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review
     September 27, 2016 - Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review … Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review … January 26, 2022 The association of nursing home characteristics and quality with adverse … Home Survey: User Database Report. … home residents: a randomized controlled trial.

209. Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
     October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. … Depending on the size of the nursing home, the team may be very small (two or three members) or large … of the importance of improving antibiotic use in nursing homes Assign initial roles and responsibilities … Improving the management of urinary tract infections in nursing homes: it’s time to stop the tail from … Antibiotic use in nursing homes. 2014 Oct. Publication P-00886.

210. SOPS Nursing Home Survey: What You Need To Know (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/webcasts/nursing-home-survey.html
     June 01, 2022 - SOPS Nursing Home Survey: What You Need To Know (Webcast) May 3, 2022 Summary Speakers … Home Survey to assess and improve resident safety culture. … Home Survey Database. … Homes (PDF, 303 KB)   Theresa Famolaro, M.P.S., M.S., M.B.A. … homes, community pharmacies, and ambulatory surgery centers.

211. Medicare cuts payments to nursing homes whose patients keep ending up in hospital. | PSNet
     psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital
     June 27, 2018 - Newspaper/Magazine Article Medicare cuts payments to nursing homes whose patients … Citation Text: Medicare cuts payments to nursing homes whose patients keep ending up in hospital. … home patients. … March 3, 2021 Nursing homes fined for COVID infection control lapses. … November 28, 2018 Does Nursing Home Compare reflect patient safety in nursing homes?

212. SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
     September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA The SOPS Nursing Home … Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture I. … Nursing Home Database Submission September 1 – September 21, 2022 49 Eligible Nursing Homes • … Home Database Goals of the SOPS Nursing Home Database 2019 SOPS Nursing Home DatabaseComposite Measure … Nursing Home Survey Data Eligible Nursing Homes Requirements for Participation Technical Assistance

213. Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
     July 06, 2022 - Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 … Based on data from the CMS COVID-19 Nursing Home Database, this study found that more than 20% of nursing … Nursing homes with COVID-19 cases among residents and staff, and those with lower quality scores , were … Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 … December 23, 2020 Expanding frontiers of risk management: care safety in nursing home

214. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
     January 01, 2024 - Data Collection in Nursing Homes: The PPERT was used to judge the skills of nursing home aides when … Diff AHRQ Final Report 7 Nursing Home Study: An analysis of the PPERT data from the nursing homes … from the nursing home to the ED/ hospital. … home residents, which may discourage nursing homes from using proper infection prevention. … home residents in Medicare- or Medicaid-certified nursing homes across the entire United States.

215. Predictors of nursing home nurses' willingness to report medication near-misses. | PSNet
     psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
     July 31, 2024 - Study Predictors of nursing home nurses' willingness to report medication near-misses … Predictors of nursing home nurses' willingness to report medication near-misses. … Predictors of nursing home nurses' willingness to report medication near-misses. … March 29, 2017 Detecting medication order discrepancies in nursing homes: how RNs and … June 10, 2020 Nursing home error and level of staff credentials.

216. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
     January 01, 2024 - home policies on safety culture in nursing homes. … home policies on the development of safety culture in nursing homes. … Characteristics of study nursing homes compared to freestanding nursing homes nationally Study nursing … Perceived patient safety culture in nursing homes associated with the “Nursing Home Compare” performance … Social media ratings of nursing homes associated with experience of care and “Nursing Home Compare”

217. A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. | PSNet
     psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-questionnaire-nursing-homes
     September 14, 2011 - This AHRQ-funded study found that nursing home employees were more likely to have a positive opinion … February 15, 2023 Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants … July 6, 2022 Nursing home staff turnover and perceived patient safety culture: results … November 4, 2020 Perceived patient safety culture in nursing homes associated with "Nursing … July 17, 2019 AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative

218. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
     psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
     August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research … Omissions of care in nursing homes: a uniform definition for research and quality improvement. … May 25, 2022 Omissions of care in nursing home settings: a narrative review. … February 24, 2021 The association of nursing home characteristics and quality with adverse … June 24, 2020 Omissions of care in nursing home settings: a narrative review.

219. Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/falls.html
     AHRQ’s tools, training, and research on preventing falls in hospitals and nursing homes. … Tools AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention These tools help nursing homes

220. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - Citation Text: 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. … Bedrails and falls in nursing homes: asystematic review. … Nurse staffing and quality of care of nursing home residents in Korea.