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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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Discontinuities, Gaps, and Hand-Off Problems (22)
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Setting of Care
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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
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
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.
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 error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
REVIEW
Epidemiology of medication-related adverse events in nursing homes.
Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.
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
Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
Elder NC, Regan SL, Pallerla H, Levin L, Post D, Cegela DJ. Patient Educ Couns. 2007;69:100-107.
STUDY
Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Scott-Cawiezell J, Madsen RW, Pepper GA, Vogelsmeier A, Petroski G, Zellmer D. Jt Comm J Qual Patient Saf. 2009;35:29-35.
STUDY
Relationship between quality of care and negligence litigation in nursing homes.
Studdert DM, Spittal MJ, Mello MM, O’Malley AJ, Stevenson DG. N Engl J Med. 2011;364:1243-1250.
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
Automatic detection of omissions in medication lists.
Hasan S, Duncan GT, Neill DB, Padman R. J Am Med Inform Assoc. 2011;18:449-458.
STUDY
Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?
Scott J, Dawson P, Jones D. BMJ Qual Saf. 2012;22:112-117.
COMMENTARY
A living will misinterpreted as a DNR order: confusion compromises patient care.
Katsetos AD, Mirarchi FL. J Emerg Med. 2011;40:629-632.
STUDY
Repeat medication errors in nursing homes: contributing factors and their association with patient harm.
Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.
STUDY
Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.
Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.
STUDY
Identifying modifiable barriers to medication error reporting in the nursing home setting.
Handler SM, Perera S, Olshansky EF, et al. J Am Med Dir Assoc. 2007;8:568-574.
SPECIAL OR THEME ISSUE
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
STUDY
Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals.
Gandara E, Moniz T, Ungar J, et al. J Hosp Med. 2009;4:E28-E33.
STUDY
Measuring safety climate in elderly homes.
Yeung KC, Chan CC. J Safety Res. 2012;43:9-20.
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