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psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
April 19, 2011 - Study
Understanding safety culture in long-term care: a case study.
Citation Text:
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
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psnet.ahrq.gov/node/46313/psn-pdf
December 21, 2017 - Patient outcomes in dose reduction or discontinuation of
long-term opioid therapy: a systematic review.
December 21, 2017
Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long-
Term Opioid Therapy: A Systematic Review. Ann Intern Med. 2017;167(3):181-191. doi:10.7326/…
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psnet.ahrq.gov/node/34893/psn-pdf
February 26, 2009 - The incidence of adverse drug events in two large
academic long-term care facilities.
February 26, 2009
Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term
care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/44338/psn-pdf
November 23, 2015 - Medicare and Medicaid programs; reform of requirements
for long-term care facilities; proposed rule.
November 23, 2015
Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare &
Medicaid Services. Fed Register. July 16, 2015;80:42167-42269.
https://psnet.ahrq.gov/issue/medica…
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
Falls are a common …
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psnet.ahrq.gov/node/44399/psn-pdf
May 20, 2016 - Safety culture in long-term care: a cross-sectional
analysis of the Safety Attitudes Questionnaire in nursing
and residential homes in the Netherlands.
May 20, 2016
Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-
sectional analysis of the Safety Attitudes Question…
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psnet.ahrq.gov/node/36537/psn-pdf
July 08, 2008 - Potentially unintended discontinuation of long-term
medication use after elective surgical procedures.
July 8, 2008
Bell CM, Bajcar J, Bierman AS, et al. Potentially unintended discontinuation of long-term medication use
after elective surgical procedures. Arch Intern Med. 2006;166(22):2525-31.
https://psnet.ahrq.…
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psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
June 15, 2011 - Study
Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system.
Citation Text:
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error…
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - Study
Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Citation Text:
Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…
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psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
July 31, 2024 - Study
Predictors of nursing home nurses' willingness to report medication near-misses.
Citation Text:
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…
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psnet.ahrq.gov/node/38498/psn-pdf
September 27, 2016 - Nursing time devoted to medication administration in
long-term care: clinical, safety, and resource implications.
September 27, 2016
Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care:
clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266…
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes.
March 3, 2020
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term
patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136.
https://psnet.ahrq…
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psnet.ahrq.gov/node/38941/psn-pdf
November 25, 2009 - Nurse-physician communication in the long-term care
setting: perceived barriers and impact on patient safety.
November 25, 2009
Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived
barriers and impact on patient safety. J Patient Saf. 2009;5(3):145-152.
doi:10.10…
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psnet.ahrq.gov/node/37315/psn-pdf
May 26, 2011 - Computerized physician order entry with clinical decision
support in long-term care facilities: costs and benefits to
stakeholders.
May 26, 2011
Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision
support in long-term care facilities: costs and benefits to stakehold…
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
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/building-systems-citizenship-health-professions-education-continued-call-health-systems
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/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
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.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…
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psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
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psnet.ahrq.gov/node/46033/psn-pdf
July 05, 2017 - Effect of day of the week on short- and long-term
mortality after emergency general surgery.
July 5, 2017
Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after
emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.1002/bjs.10507.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44811/psn-pdf
March 15, 2016 - Prevalence and patterns of potentially avoidable
hospitalizations in the US long-term care setting.
March 15, 2016
Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable
hospitalizations in the US long-term care setting. Int J Qual Health Care. 2016;28(1):104-9.
doi:10.1093/int…