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4301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40744/psn-pdf
      October 16, 2012 - seminal achievements in the patient safety field, the Keystone ICU project accomplished impressive short-term … and long-term reductions in health care–associated infections in Michigan ICUs by implementing checklists

4302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45055/psn-pdf
      December 04, 2016 - analysis-clinical-decision-support-system-malfunctions-case-series-and-survey https://psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order … https://psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order

4303. Adverse drug events resulting from patient errors in older adults. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
      March 11, 2011 - December 22, 2018 Nurse-physician communication in the long-term care setting: perceived … November 25, 2009 The incidence of adverse drug events in two large academic long-term … computerized provider order entry with clinical decision support on adverse drug events in the long-term

4304. Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. | PSNet
      psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006
      December 15, 2010 - December 15, 2010 The effectiveness and risks of long-term opioid therapy for chronic … August 7, 2013 Preventing medication errors in long-term care: results and evaluation … June 22, 2009 Potentially unintended discontinuation of long-term medication use after

4305. Association of household opioid availability and prescription opioid initiation among household members. | PSNet
      psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
      April 24, 2018 - January 12, 2022 Preventing medication errors in long-term care: results and evaluation … June 16, 2019 Improving adherence to long-term opioid therapy guidelines to reduce opioid … August 15, 2018 Patient outcomes in dose reduction or discontinuation of long-term opioid

4306. Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet
      psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
      January 25, 2017 - Download Citation Related Resources From the Same Author(s) Incident and long-term … January 25, 2017 Patient outcomes in dose reduction or discontinuation of long-term opioid … 18, 2022 Cumulative effect of flexible duty-hour policies on resident outcomes: long-term

4307. Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? | PSNet
      psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
      December 15, 2011 - Related Resources Patient Safety Primers Long-term … , 2024 Assessing quality of older persons' emergency transitions between long-term … June 11, 2010 View More See More About The Topic Long-Term Care Health

4308. Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet
      psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
      March 04, 2011 - February 12, 2020 A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication … November 19, 2014 ISMP Long-Term Care Advise-ERR. … Error February 1, 2006 View More See More About The Topic Long-Term

4309. Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet
      psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
      August 08, 2018 - February 17, 2011 Prevention of fall-related injuries in long-term care: a randomized … March 19, 2019 I-PSI: short- and long-term efficacy of a comprehensive initiative to … October 10, 2018 Improving adherence to long-term opioid therapy guidelines to reduce

4310. Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
      July 18, 2018 - emergency departments and other settings: characteristics of prescriptions and association with long-term … emergency departments and other settings: characteristics of prescriptions and association with long-term … November 1, 2017 Opioid-prescribing patterns of emergency physicians and risk of long-term

4311. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. | PSNet
      psnet.ahrq.gov/issue/association-work-environment-missed-and-rushed-care-tasks-among-care-aides-nursing-homes
      August 31, 2016 - August 31, 2016 Assessing quality of older persons' emergency transitions between long-term … August 3, 2022 Assessing quality of older persons' emergency transitions between long-term … June 3, 2020 View More See More About The Topic Researchers Long-Term

4312. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. | PSNet
      psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
      June 29, 2011 - Healthcare-associated adverse events in alternate level of care patients awaiting long-term … 2, 2011 WebM&M Cases The Safety and Quality of Long Term … June 13, 2011 View More See More About The Topic Long-Term Care Health

4313. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet
      psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
      May 27, 2011 - August 24, 2022 Long-term care healthcare-associated infections in 2021: an analysis … 12, 2022 Differences between professionals' views on patient safety culture in long-term … February 5, 2020 View More See More About The Topic Long-Term Care

4314. Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
      January 23, 2019 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP Long-Term … computerized provider order entry with clinical decision support on adverse drug events in the long-term … Nutrients July 1, 2008 View More See More About The Topic Long-Term

4315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42136/psn-pdf
      March 27, 2013 - Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries. March 27, 2013 Burnett S, Renz A, Wiig S, et al. Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries. Int J Qual H…

4316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle May 29, 2024 https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Summary Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common catego…

4317. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
      January 01, 2024 - Spotlight Spotlight Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Andrew P.J. …

4318. The Role of the Patient in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
      March 01, 2007 - The Role of the Patient in Improving Patient Safety Rosemary Gibson, MSc | March 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…

4319. Advancing Patient Safety Through State Reporting Systems | PSNet
      psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
      June 01, 2007 - Advancing Patient Safety Through State Reporting Systems Jill Rosenthal, MPH | June 1, 2007  View more articles from the same authors. Citation Text: Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. Rockville (MD): Agency for…

4320. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
      psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
      July 10, 2024 - In Conversation With… Thomas J. Nasca, MD, MACP April 1, 2016  Citation Text: In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citat…