Potentially avoidable hospitalizations among historically marginalized nursing home residents. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Potentially avoidable hospitalizations among historically marginalized nursing home residents.

May 22, 2024

Estrada LV, Barcelona V, Dhingra L, et al. JAMA Netw Open. 2024;7(5):e249312.

View more articles from the same authors.

Systemic racism and discrimination negatively impact the health of historically marginalized people. In this cross-sectional study of nursing home (NH) residents with severe cognitive impairment, historically marginalized residents had greater incidence of potentially avoidable hospitalizations compared to their white counterparts. Not only did the study identify racial and ethnic disparities at the national level, but also at the individual NH level.

PubMed citation

Related Resources From the Same Author(s)

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.

October 26, 2011

Nurse working conditions and patient safety outcomes.

June 6, 2007

Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.

April 13, 2011

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays.

July 20, 2016

Hospital readmission after noncardiac surgery: the role of major complications.

March 19, 2014

Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.

October 8, 2008

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Redesigning surgical decision making for high-risk patients.

April 23, 2014

Impact of Medicare's nonpayment program on hospital-acquired conditions.

January 11, 2017

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Hospital staffing and health care–associated infections: a systematic review of the literature.

October 3, 2018

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review.

January 25, 2023

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.

July 15, 2020

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program.

May 2, 2012

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.

September 30, 2015

CMS changes in reimbursement for HAIs: setting a research agenda.

May 5, 2010

Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.

March 6, 2019

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.

August 30, 2017

Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review.

February 28, 2024

Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019.

December 23, 2020

Association of registered nurse and nursing support staffing with inpatient hospital mortality.

September 25, 2019

Relationship between systems-level factors and hand hygiene adherence.

June 9, 2010

Patient safety issues in advanced practice nursing students' care settings.

November 9, 2011

Patient safety climate: variation in perceptions by infection preventionists and quality directors.

September 28, 2011

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

April 10, 2013

Twenty-four/seven: a mixed-method systematic review of the off-shift literature.

August 29, 2012

Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.

February 11, 2009

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

December 2, 2009

Predictors of medication errors among elderly hospital patients.

March 19, 2008

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes.

May 22, 2019

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures.

February 13, 2019

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.

May 31, 2017

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.

September 2, 2015

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study.

November 14, 2018

Risk managers' descriptions of programs to support second victims after adverse events.

May 13, 2015

The experiences of risk managers in providing emotional support for health care workers after adverse events.

May 11, 2016

The effect of automated alerts on provider ordering behavior in an outpatient setting.

September 21, 2005

Reliability of the assessment of preventable adverse drug events in daily clinical practice.

April 2, 2008

Comparison of potential risk factors for medication errors with and without patient harm.

August 18, 2010

Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.

November 9, 2011

The safety of inpatient health care.

January 25, 2023

The safety of outpatient health care: review of electronic health records.

May 15, 2024

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.

November 29, 2023

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections.

July 23, 2008

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023.

October 4, 2023

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

Advancing the science of patient safety.

May 25, 2011

Effect of reducing interns' weekly work hours on sleep and attentional failures.

March 27, 2005

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

April 29, 2009

Clinical reasoning assessment methods: a scoping review and practical guidance.

June 26, 2019

Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.

July 17, 2013

Understanding patient-centred readmission factors: a multi-site, mixed-methods study.

January 25, 2017

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

Classifying and predicting errors of inpatient medication reconciliation.

July 9, 2008

Influence of language barriers on outcomes of hospital care for general medicine inpatients.

July 7, 2010

Language barriers and understanding of hospital discharge instructions.

May 16, 2012

How safe is primary care? A systematic review.

January 13, 2016

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

May 4, 2011

A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.

May 25, 2016

Patient safety: where is nursing education?

March 14, 2007

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.

April 9, 2014

Paramedic self-reported medication errors.

January 17, 2007

Paramedic self-reported medication errors.

October 18, 2006

Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study.

September 10, 2008

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.

April 19, 2023

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

January 4, 2006

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.

November 27, 2013

Design and implementation of an automated email notification system for results of tests pending at discharge.

February 29, 2012

Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.

May 17, 2017

Do faculty and resident physicians discuss their medical errors?

October 15, 2008

Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries.

March 9, 2016

The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.

April 6, 2016

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.

June 27, 2018

Evaluation of medication-related clinical decision support alert overrides in the intensive care unit.

May 10, 2017

Medication-related clinical decision support alert overrides in inpatients.

November 15, 2017

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study.

April 1, 2020

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.

April 11, 2012

Implementing an error disclosure coaching model: a multicenter case study.

February 22, 2017

Impact of duty-hour restriction on resident inpatient teaching.

October 28, 2009

View More

Related Resources

Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review.

May 1, 2024

Potentially inappropriate prescribing in long-term care and its relationship with probable delirium.

January 24, 2024

Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey.

December 20, 2023

Unsafe care in residential settings for older adults. A content analysis of accreditation reports.

December 13, 2023

The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.

December 6, 2023

Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis.

November 8, 2023

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.

October 4, 2023

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.

September 20, 2023

Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study.

September 13, 2023

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

Exploring medication safety structures and processes in nursing homes: a cross-sectional study.

August 30, 2023

Accuracy of infection reporting in US nursing home ratings.

August 9, 2023

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.

June 7, 2023

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.

April 19, 2023

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Nursing home patient safety culture perceptions among licensed practical nurses.

February 1, 2023

Exploring the intersection of structural racism and ageism in healthcare.

December 7, 2022

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Accuracy of pressure ulcer events in US nursing home ratings.

August 24, 2022

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Communication disparities between nursing home team members.

July 20, 2022

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants.

July 6, 2022

Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach.

June 8, 2022

View More

See More About The Topic

Medical Complications

Psychological and Social Complications

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364