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psnet.ahrq.gov/node/73289/psn-pdf
May 19, 2021 - Clinical characteristics and short-term outcomes of acute
kidney injury missed diagnosis in older patients … Clinical characteristics and short-term outcomes of acute kidney injury missed
diagnosis in older patients … https://psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed … https://psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older … https://psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
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psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - Medication use evaluation of high-dose long-term opioid
de-prescribing in multiple Veterans Affairs … Medication use evaluation of high-dose long-term opioid de-
prescribing in multiple Veterans Affairs … https://psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple … https://psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs … https://psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
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psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
April 05, 2017 - This pre–post implementation project conducted in long-term care facilities employed a multimodal intervention … A related editorial declares this project "a triumph" for AHRQ's Safety Program for Long-term Care. … January 9, 2024
Long-term care healthcare-associated infections in 2021: an analysis … July 13, 2022
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. … August 25, 2010
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See More About The Topic
Long-Term Care
Health
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psnet.ahrq.gov/node/60687/psn-pdf
July 15, 2020 - Cumulative effect of flexible duty-hour policies on
resident outcomes: long-term follow-up results from … Cumulative effect of flexible duty-hour policies on resident
outcomes: long-term follow-up results from … https://psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term … https://psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term-follow-results … https://psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term-follow-results
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psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital
June 27, 2018 - Long-term care environments harbor various challenges to patient safety. … March 13, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare … 28, 2018
Computerized physician order entry with clinical decision support in long-term … October 3, 2007
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See More About The Topic
Long-Term Care
Facility
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psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
July 31, 2024 - 7, 2019
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term … February 1, 2023
Long-term care nurses' experiences with patient safety incident management … September 27, 2016
A Systems Approach to Quality Improvement in Long-Term Care: Safe … November 19, 2014
Barriers and facilitators to communicating nursing errors in long-term … January 18, 2012
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See More About The Topic
Long-Term Care
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psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
February 12, 2020 - Medication errors are common among older adults discharged to long-term care facilities. … Researchers reviewed medication discrepancy data from four long-term care facilities over a 9-month … Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term … February 25, 2009
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See More About The Topic
Long-Term Care
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - The term iatrogenesis—still used today to
indicate harm experienced by patients at the hands of the … Error: a broader term referring to any act of commission (doing something wrong) or omission (failing … -73754
https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73752
https://psnet.ahrq.gov/glossary- … 0#glossary-heading-term-73835
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https … Only recently have researchers begun to
analyze safety issues in ambulatory care and long-term care,
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - PSC) measured by the Nursing Home Survey on Patient Safety Culture and community discharge of long-term … July 20, 2022
Long-term care nurses' experiences with patient safety incident management … November 4, 2020
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication … April 6, 2011
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See More About The Topic
Long-Term Care
Facility
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psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
July 20, 2011 - While The Joint Commission has mandated medication reconciliation for long-term care facilities as … June 22, 2009
Nurse-physician communication in the long-term care setting: perceived … March 13, 2013
View More
Related Resources
Long-Term Trends of … Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term … February 25, 2009
View More
See More About The Topic
Hospitals
Long-Term
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psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
November 09, 2022 - Study
Association of overlapping cardiac surgery with short-term patient outcomes … Association of overlapping cardiac surgery with short-term patient outcomes. … Association of overlapping cardiac surgery with short-term patient outcomes.
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psnet.ahrq.gov/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers. … Long-term sustainability and adaptation of I-PASS handovers. … https://psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
I-PASS is a structured … https://psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes. … Association of overlapping cardiac surgery with short-term
patient outcomes. … https://psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
Surgical … https://psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
https
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - 2023
View More
Related Resources
Care quality and safety in long-term … warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term … occurrence reporting and learning system: a double-loop learning incident reporting system in long-term … March 24, 2021
Disclosing and reporting practice errors by nurses in residential long-term … May 13, 2020
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See More About The Topic
Long-Term Care
Geriatrics
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psnet.ahrq.gov/node/47634/psn-pdf
January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National
Incidence Among Medicare Beneficiaries. … Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare
Beneficiaries. … -
beneficiaries
Frail populations cared for in long-term care facilities are at high risk for adverse … OIG) analyzed Medicare data from 2008 to 2016 to determine the
prevalence of adverse events in long-term … A past WebM&M commentary
discussed safety and quality of long-term care.
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psnet.ahrq.gov/node/45188/psn-pdf
June 01, 2016 - Reporting and second-order problem solving can turn
short-term fixes into long-term remedies. … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long … -
term-remedies
Workarounds are prevalent in health care and create opportunities for unintended consequences … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Background
Falls are a common and devastating complication of hospital and long-term care, particularly … Patients in long-term care facilities are also at very high risk of falls. … functional status
rapidly during hospitalizations, and that this loss of functional status has long-term … Current Context
Fall prevention is a National Patient Safety Goal for both hospitals and long-term care … /resources/injuries/fallspx/fallspxman1.html
https://www.ahrq.gov/professionals/systems/long-term-care
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psnet.ahrq.gov/issue/preventing-medication-errors
May 30, 2018 - This commentary describes an incident involving a medication error and reviews conditions in long-term … Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term … October 22, 2014
ISMP Long-Term Care Advise-ERR. … June 11, 2010
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See More About The Topic
Long-Term Care
Health
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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - Implementation of an antibiotic stewardship program in
long-term care facilities across the US. … https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities- … https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us … https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
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psnet.ahrq.gov/node/60605/psn-pdf
June 17, 2020 - Medication Management During the Covid-19
Pandemic: Implementation Guide for Post-acute and Long
Term … Term Care. J American Geriatrics Society.
2020;68(7):1362-1365. doi:10.1111/jgs.16573. … This
guide highlights strategies to ensure safe medication delivery in long term care. … https://psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid