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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Long-term care facilities can struggle with establishing a safety culture. … Related Resources
Patient Safety Primers
Long-term … and Safety of Older Adults Residing in Nursing Homes
February 24, 2022
Long-term … June 29, 2011
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Long-Term Care
Facility
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psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
August 25, 2021 - claims database to explore the unintended negative consequences of tapering patients on stable, long-term … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term … August 25, 2021
Long-term risk of overdose or mental health crisis after opioid dose … July 20, 2022
Long-term risk of overdose or mental health crisis after opioid dose tapering
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psnet.ahrq.gov/node/866345/psn-pdf
July 24, 2024 - Long-term care healthcare-associated infections in 2023:
an analysis of 23,970 reports. … Long-term care healthcare-associated infections in 2023: an analysis of
23,970 reports. … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports … Preventing healthcare-associated infections continue to be a challenge in long-term care settings. … Based
on reports submitted by long-term care facilities to the Pennsylvania Patient Safety Reporting
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Compare five interventions relevant for fall prevention in long-term care settings. … Describe optimal fall prevention care processes in long-term care settings. … the ways in which the interdisciplinary team can and should work together to prevent falls in long-term … Factors associated with falls in Canadian long term care homes: a retrospective cohort study. … The relationship between culture of safety and rate of adverse events in long-term care facilities.
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psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
March 24, 2019 - Long-term care residents are at increased risk for experiencing medication administration errors . … January 17, 2024
Evaluation of medication incidents in a long-term care facility using … Error
February 1, 2006
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Long-Term
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psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing
March 31, 2021 - In this qualitative study, nursing staff in long-term care facilities described barriers to reporting … January 20, 2021
Disclosing and reporting practice errors by nurses in residential long-term … April 14, 2010
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Long-Term Care
Nurses
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psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
February 18, 2017 - Resilience strategies tended to be real-time, short-term workarounds to deal with system inefficiencies … Additional research is needed on how to translate short-term workarounds into long-term resilience … December 4, 2024
Care quality and safety in long-term aged care settings: a systematic
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, … Medication errors are a common cause of preventable harm in long-term care facilities. … Older adults in long-term care settings can be vulnerable to patient safety incidents. … Older adults in long-term care settings can be vulnerable to patient safety incidents. … Medication errors are a common cause of preventable harm in long-term care facilities.
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - A past WebM&M commentary discusses challenges to safety in long-term care. … May 13, 2020
Adverse events in long-term care residents transitioning from hospital back … February 20, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among … October 29, 2008
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Long-Term Care
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psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
August 11, 2021 - Medication errors are a common cause of preventable harm in long-term care facilities . … 15, 2012
Computerized physician order entry with clinical decision support in long-term … May 26, 2011
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Long-Term Care
Facility
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 2022 - Study
Clinical characteristics and short-term outcomes of acute kidney injury missed … 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 … April 20, 2022
Short- and long-term effects of an electronic medication management system
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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities. … Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities. September 2021. … https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
Catheter-associated … infections (CAUTIs) and other healthcare-associated infections continue
to challenge safety in long-term … -2023-analysis-23970-reports
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety
https://
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psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
March 04, 2020 - However, when doses are reduced too quickly , patients may experience short- and long-term adverse … January 17, 2024
Medication use evaluation of high-dose long-term opioid de-prescribing … December 21, 2022
Long-term risk of overdose or mental health crisis after opioid dose
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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/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Promoting a culture of safety has been identified as an intervention to improve patient safety in long term … and support staff were conducted to determine how the safety culture could be improved in four long term … Nutrients
July 1, 2008
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Long-Term
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - prevention initiatives in intensive care units, non-intensive care units, surgical services, and long-term … focused on high-risk surgical services is planned for spring 2025, and a third toolkit focused on long-term … October 18, 2011
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Hospitals
Long-Term
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration … Evaluation of medication incidents in a long-term care facility
using electronic medication administration … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic … This study of medication administration errors was
conducted in a Canadian long-term care facility following … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication
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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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Long-Term Care
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
March 05, 2025 - This systematic review identified 128 studies focused on medication administration in long-term geriatric … Error
February 1, 2006
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Long-Term
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psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
August 15, 2018 - Study
Opioid-prescribing patterns of emergency physicians and risk of long-term use … Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. … Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. … emergency departments and other settings: characteristics of prescriptions and association with long-term