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psnet.ahrq.gov/node/46282/psn-pdf
October 13, 2018 - Effects of an intervention to reduce hospitalizations from
nursing homes: a randomized implementation trial of the
INTERACT program.
October 13, 2018
Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing
Homes: A Randomized Implementation Trial of the INTERACT Pr…
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psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes
January 24, 2018 - Commentary
Reporting near-miss events in nursing homes.
Citation Text:
Wagner LM, Capezuti E, Ouslander JG. Reporting near-miss events in nursing homes. Nurs Outlook. 2006;54(2). doi:10.1016/j.outlook.2006.01.003.
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psnet.ahrq.gov/issue/older-adults-and-covid-19-implications-aging-policy-and-practice
July 18, 2018 - Special or Theme Issue
Older Adults and COVID-19: Implications for Aging Policy and Practice.
Citation Text:
Older Adults and COVID-19: Implications for Aging Policy and Practice. Miller EA, ed. J Aging Soc Policy. 2020;32(4-5):297-535.
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psnet.ahrq.gov/node/42250/psn-pdf
June 03, 2013 - A long-term follow-up evaluation of electronic health
record prescribing safety.
June 3, 2013
Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record
prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46819/psn-pdf
January 27, 2019 - Implementing electronic health record default settings to
reduce opioid overprescribing: a pilot study.
January 27, 2019
Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid
Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-112. doi:10.1093/pm/pnx304.
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psnet.ahrq.gov/node/45937/psn-pdf
September 29, 2017 - Opioid-prescribing patterns of emergency physicians and
risk of long-term use.
September 29, 2017
Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-
Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524.
https://psnet.ahrq.gov/issue/opioid-prescr…
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psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - Study
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment.
Citation Text:
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - In terms of
role clarity, one characteristic of safe systems is that there is a clear understanding
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psnet.ahrq.gov/node/41555/psn-pdf
January 03, 2017 - Measuring administrators' and direct care workers'
perceptions of the safety culture in assisted living
facilities.
January 3, 2017
Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of
the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/45719/psn-pdf
June 29, 2017 - Systematic review of the prevalence of medication errors
resulting in hospitalization and death of nursing home
residents.
June 29, 2017
Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in
Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
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psnet.ahrq.gov/node/41578/psn-pdf
October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities:
Training Modules.
October 9, 2013
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ
Publication No. 12-0001.
https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
This se…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Be explicit Team members should use clear terms and phrases that cannot be misconstrued. … They should avoid terms that have multiple meanings or indefinite modifiers.
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - hospitalized patient, a
family's online access to the hospital course could make a significant difference in terms … Defining Key Health Information Technology Terms.
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - time in patient care that they often don't have the time to sit back and decide
what to focus on in terms … As a result, they were very supportive, both financially and in terms of
leadership.
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Some classifications consider the terms “missed diagnosis” or “delayed diagnosis” as merely adverse … Applying these terms requires the use of judgment, and we believe that these
judgments are often flawed
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - On the other hand, one would expect this indicator to do well in terms of having a low
false-positive … "(8) In absolute terms, however, the
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psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - Case Objectives Define and distinguish the terms gender identity, gender expression, and gender variance … female.( 1 ) In the medical community, Gender Identity Disorder (GID) or Gender Dysphoria are the formal terms
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - to perform better.( 7 ) These studies all suggest that having the right infrastructure in place, in terms … In terms of other types of interventions, one study found that informing medical staff that their performance
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…