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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - the way one organization uses the RCA term
seldom describes the process that another organization terms … RW: My own bias is I think the culture is pretty good in terms of the blame and nonblame in the system
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psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
March 24, 2021 - Study
Long-term care nurses' experiences with patient safety incident management: a qualitative study.
Citation Text:
Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. d…
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psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
December 14, 2022 - Review
How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review.
Citation Text:
Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…
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psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care
March 02, 2022 - Study
Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn C, van Wijngaarden JDH. Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. J …
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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/drive-deprescribe
August 19, 2020 - Multi-use Website
Drive to Deprescribe.
Citation Text:
Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine.
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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…
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psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support
February 26, 2009 - Study
Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.
Citation Text:
Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry with…
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psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review
September 01, 2021 - Review
Interventions to increase patient safety in long-term care facilities-umbrella review.
Citation Text:
Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - Study
Long-term risk of overdose or mental health crisis after opioid dose tapering.
Citation Text:
Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2…
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psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
July 20, 2022 - Review
Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review.
Citation Text:
Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and eva…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Study
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Citation Text:
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
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psnet.ahrq.gov/issue/computerised-clinical-decision-support-systems-improve-medication-safety-long-term-care-homes
May 17, 2023 - Review
Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review.
Citation Text:
Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Ope…
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - In the cockpit, for the most part, you've got a relatively similar group of people in terms of gender … And nurses are trained to communicate in terms of the story or the narrative of the patients that they're … with a venue to work through these important interventions but to do it with methodological rigor in terms … In academic teaching centers, the teaching mission creates a lot of turnover in terms of direct providers
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - What have you seen in terms of innovations as to how to improve that? … Obviously not all patients and families are in the same place to be engaged in their care, not only in terms … of their own preferences but also in terms of differences in health literacy and mental status and language … But we definitely use it in terms of helping her have supportive conversations with her clinical team
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - How important is pointing out culture to people who are creating and living a culture in terms of then … We can use theoretical terms to describe what we've seen to turn it into an account that is sociologically … I completely agree—systems and culture both end up being dustbin terms that don't take us very far. … It's clear we've moved a long way over the last 10 years in terms of understanding patient safety.
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - SS : I trained at the University of Michigan, and it was wonderful in terms of a strong background in … Most students have a core of maybe 18 months that they have to complete, and then a lot of freedom in terms … What have you been seeing in terms of innovation? … developed a web interface for a number of publicly available datasets that you can query and examine in terms
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - In the cockpit, for the most part, you've got a relatively similar group of people in terms of gender … And nurses are trained to communicate in terms of the story or the narrative of the patients that they're … with a venue to work through these important interventions but to do it with methodological rigor in terms … In academic teaching centers, the teaching mission creates a lot of turnover in terms of direct providers
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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/perception-patient-safety-culture-pediatric-long-term-care-settings
May 10, 2023 - Study
Perception of patient safety culture in pediatric long-term care settings.
Citation Text:
Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134.
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