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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 2 of 2 Results
WebM&M Case February 1, 2018
Following a hospital stay for a broken arm and dislocated shoulder, an older man was discharged to a skilled nursing facility (SNF) for rehabilitation. Providers were concerned about his ability to live independently given results of cognitive and living skills assessments performed during the hospital stay. Although the hospital social worker had begun the process of applying for home care and meals for the patient, the SNF discharged him home with no access to care, food, or his medications.
Colón-Emeric CS, Corazzini K, McConnell ES, et al. JAMA Intern Med. 2017;177:1634-1641.
Falls represent a significant cause of patient injury in the hospital setting, and evidence suggests that multifaceted interventions may be effective in reducing fall risk. In this cluster-randomized trial across 24 nursing homes, researchers examined the impact of a staff training intervention designed to promote improved staff communication and connectivity on a fall prevention program. They found that the training intervention had no effect on the success of the program.