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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - answers by those best able to answer—their loved one’s physicians— is vital to the process of coming to terms … if an offer of compensation will be discussed and whether she will be required to agree to specified terms
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - So, even though the nurses have fewer patients, they are doing much more for those patients in terms … RW: In terms of empowering nurses, what have you been hearing from your members about the concept of
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - A human factors engineer examines a particular activity in terms of its component tasks, and then assesses
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psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
January 09, 2024 - Toolkit
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021.
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - John Riggi: As we review our data from 2023, it seems that 2023 has shaped up to be our worst year in terms … Planning can save a huge amount in terms of safety, operations, financial losses—the list goes on. … down or a message may appear from the attacking group to notify users of the encryption and ransom terms
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - down or a message may appear from the attacking group to notify users of the encryption and ransom terms … John Riggi: As we review our data from 2023, it seems that 2023 has shaped up to be our worst year in terms … Planning can save a huge amount in terms of safety, operations, financial losses—the list goes on.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Sometimes those actions are needed, but in terms of the root cause analysis and action, we wanted something … At the end of the process, it is critical to have sustainable actions and think about them in terms of … Having policies will encourage organizations to share those findings in a way that protects our staff in terms
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Sometimes those actions are needed, but in terms of the root cause analysis and action, we wanted something … At the end of the process, it is critical to have sustainable actions and think about them in terms of … Having policies will encourage organizations to share those findings in a way that protects our staff in terms
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psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambulatory-care-settings-and
April 01, 2024 - Government Resource
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01).
Citation Text:
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities …
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - Study
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.
Citation Text:
Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1.
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psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care
March 17, 2021 - Study
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.
Citation Text:
Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Study
Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
Citation Text:
Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555.
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - We need to be able to document with good measures that improvement is producing real results in terms … Whether it is good, bad, or indifferent in terms of measurement is in the eye of the beholder. … The people are some of the best I have ever worked with in terms of how enthusiastic and mission driven
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psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths
October 28, 2020 - Study
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.
Citation Text:
Stall NM, Jones A, Brown KA, et al. For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. CMAJ. 2020;192(33):e946-e955 . doi:10.1503/cmaj.201197.…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - compared safety measurement to the fable in
which five blind men describe an elephant in widely varying terms
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - In terms of timing, we heard loud and clear from patients that the money should come as quickly as possible … It can be helpful for the hospitals to think very carefully about this in terms of speedy reconciliation
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - TG : We've made progress in patient and family engagement over the last decade in terms of starting to … We're very early in that piece right now, so that's an area in terms of our longer term vision where
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psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Study
Long-term sustainability and adaptation of I-PASS handovers.
Citation Text:
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Study
Adverse events in long-term care residents transitioning from hospital back to nursing home.
Citation Text:
Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…