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  1. psnet.ahrq.gov/issue/transformational-effort-patient-safety
    October 05, 2022 - Book/Report A Transformational Effort on Patient Safety. Citation Text: A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023. Copy Citation Save Save to …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867985/psn-pdf
    January 01, 2025 - healthcare settings, the specific tools employed often differ based on the setting—particularly in terms
  3. psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
    January 31, 2024 - they were treated by health care providers. 3 While this case has some obvious systems failures in terms
  4. psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
    July 24, 2024 - Study Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Citation Text: Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvan…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867689/psn-pdf
    March 05, 2025 - Medication administration in aged care facilities: a mixed- methods systematic review. March 5, 2025 Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed?methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. https://psnet.ahrq.gov/issue/medication-a…
  6. psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
    October 23, 2019 - Government Resource Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Citation Text: Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
  7. psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
    February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …
  8. psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
    June 12, 2019 - Organizational Policy/Guidelines American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
  9. psnet.ahrq.gov/issue/partnership-patients
    October 30, 2019 - Government Resource Partnership for Patients. Citation Text: Partnership for Patients. Washington, DC: US Department of Health and Human Services. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
  10. psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
    October 09, 2022 - Grant Announcement Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Citation Text: Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. Copy…
  11. psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
    March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…
  12. psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…
  13. psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
    December 24, 2008 - Multi-use Website AHRQ Safety Program for MRSA Prevention. Citation Text: AHRQ Safety Program for MRSA Prevention. Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023. Copy Citation Save Save to your library Print Downloa…
  14. psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
    December 15, 2021 - Commentary A blueprint for leadership during COVID-19. Citation Text: Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  15. psnet.ahrq.gov/issue/burnout-nursing-home-health-care-aide-systematic-review
    May 18, 2022 - Review Burnout in the nursing home health care aide: a systematic review. Citation Text: Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003. Copy Citation Format…
  16. psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
    August 07, 2013 - Study Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. Citation Text: Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method…
  17. psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
    November 26, 2019 - but I feel that it is incredibly meaningful work to help this system be the best that it can be in terms
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844547/psn-pdf
    February 15, 2023 - An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. February 15, 2023 Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second victim: a strategic topic in healt…
  19. psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
    July 06, 2022 - Study Emerging Classic Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. Citation Text: McGarry BE, Grabowski DC, Barnett ML. Severe staffing and personal protective equipment shortages faced by nurs…
  20. psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
    October 28, 2020 - Commentary Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic. Citation Text: Gaur S, Kumar R, Gillespie SM, et al. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. J Am Med Dir A…

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