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  1. Psn-Pdf (pdf file)

    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…
  2. 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. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…
  3. 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. Copy Citation Save …
  4. Psn-Pdf (pdf file)

    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/…
  5. Psn-Pdf (pdf file)

    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. htt…
  6. Psn-Pdf (pdf file)

    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…
  7. 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…
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. 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.
  14. Psn-Pdf (pdf file)

    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.
  15. Psn-Pdf (pdf file)

    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.
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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 https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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):…

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