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Residential Facilities
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (1)
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Diagnostic Errors (2)
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Identification Errors (2)
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Discontinuities, Gaps, and Hand-Off Problems (22)
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Medication Safety (63)
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Epidemiology of Errors and Adverse Events (41)
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Approach to Improving Safety
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Setting of Care
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Residential Facilities
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STUDY
The health care cost of drug-related morbidity and mortality in nursing facilities.
Bootman JL, Harrison DL, Cox E. Arch Intern Med. 1997;157:2089-2096.
BOOK/REPORT
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.
STUDY
Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.
Wagner LM, Castle NG, Handler SM. Geriatr Nurs. 2013;34:112-115.
STUDY
Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities.
Castle NG, Wagner LM, Sonon K, Ferguson-Rome JC. Jt Comm J Qual Patient Saf. 2012;38:375-385.
STUDY
Patient safety culture and the association with safe resident care in nursing homes.
Thomas KS, Hyer K, Castle NG, Branch LG, Andel R, Weech-Maldonado R. Gerontologist. 2012;52:802-811.
STUDY
Relationship between nursing home safety culture and Joint Commission accreditation.
Wagner LM, McDonald SM, Castle NG. Jt Comm J Qual Patient Saf. 2012;38:207-215.
STUDY
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.
BOOK/REPORT
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
BOOK/REPORT
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071.
STUDY
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.
Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.
STUDY
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.
STUDY
Nurses' perceptions of safety culture in long-term care settings.
Wagner LM, Capezuti E, Rice JC. J Nurs Scholarsh. 2009;41:184-192.
STUDY
Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.
STUDY
Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.
Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.
STUDY
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.
STUDY
Medication discrepancies upon hospital to skilled nursing facility transitions.
Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.
STUDY
Improving medication error reporting in hospice care.
Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.
STUDY
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.
STUDY
Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.
Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.
STUDY
Does error and adverse event reporting by physicians and nurses differ?
Rowin EJ, Lucier D, Pauker SG, et al. Jt Comm J Qual Patient Saf. 2008;34:537-545.
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