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Residential Facilities
PATIENT SAFETY PRIMERS
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Device-related Complications (1)
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Setting of Care
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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.
NEWSPAPER/MAGAZINE ARTICLE
Multiple latent failures align to allow a serious drug interaction to harm a patient.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
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
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
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
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.
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.
COMMENTARY
Advancing nursing home quality through quality improvement itself.
Werner RM, Konetzka RT. Health Aff (Millwood). 2010;29:81-86.
STUDY
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Rochon PA, Field TS, Bates DW, et al. J Am Geriatr Soc. 2005;53:1780-1789.
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 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.
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.
STUDY
Medication administration errors in nursing homes using an automated medication dispensing system.
van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N. J Am Med Inform Assoc. 2009;16:486-492.
STUDY
Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.
Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.
COMMENTARY
The Wrongful Resuscitation
Teno JM. AHRQ WebM&M [serial online]. April 2008.
STUDY
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
REVIEW
Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.
Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.
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
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.
REVIEW
Care transitions and home health care.
Boling PA. Clin Geriatr Med. 2009;25:135-148.
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