Skip to main content

All Content

Search Tips
Save
Selection
Format
Download
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Narrow Results By
PSNet Original Content
Additional Filters
1 - 20 of 33

Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022.

Nursing home residents, staff, and care processes were particularly vulnerable to COVID-19. This collection of resources examines data and documentation involving one nursing home chain to reveal systemic problems that contributed to failure. It shares family stories that illustrate how COVID affected care in long-term care environments.

Gebeloff R, Thomas K, Silver-Greenberg J. New York TimesDecember 9, 2021.

Nursing homes harbor numerous challenges to patient safety and they should be transparently reported and acted upon to ensure improvement. This news investigation discusses a gap in the reporting and inspection of nursing home incidents that undermines the ability of the US nursing home rating system to inform consumer long term care facility choice.

Thomas K, Gebeloff R, Silver-Greenberg J. New York Times. September 11, 2021.

Nursing home medication misuse is a contributor to resident harm. This story highlights system influences such as staffing shortages, reporting failures and normalization of prescribing behaviors that coincide with the misuse of antipsychotic medications and overdiagnosis of schizophrenia.

Medscape Medical News. May 12, 2021.

Delays and mistakes in health care for distinct patient populations hold improvement lessons for the broader system. This news story highlights problems in correctional system cancer diagnoses and treatment that may indicate other types of prison care delivery problems.

Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021.

The value of rating systems can be challenged by bias and misinterpretation due to a variety of factors. This article outlines how nursing home patients fell victim to both systemic and care failings in the US nursing homes, yet their facilities still ranked high in a national rating system. The authors discuss failures including the lack of data auditing and a focus on ratings rather than quality.

Wamsley L. National Public Radio and WBUR. December 7, 2020.

Testing for COVID-19 is a core public safety strategy for pandemic management. This news story discusses how a lack of health care workers’ virus status knowledge could contribute to spread. Barriers inherent to a universal testing strategy include operational challenges, patient testing volume, and availability of health care workers to provide care during the pandemic should clinicians test positive.

Jaffe S. Medpage Today. November 25, 2020.

Infection control is a primary safety mechanism that presents challenges for nursing homes. This news story highlights a Centers for Medicare and Medicaid Services program to fine nursing homes for infection control lapses during the COVID pandemic and discusses the potential residual impacts of the strategy.

McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50.

Health care workforce satisfaction is the responsibility of leadership and it is reliant on the organizational safety culture. This article highlights the importance of worker conditions as a component of safety and summarizes recommendations for keeping workers safe and thriving.
Huetteman E. Kaiser Health News. 2020;August 12.
Health care workers are known to work while unwell due to stigma, commitment, and personal finances. This article discusses presenteeism in the context of the COVID-19 pandemic. It discusses challenges for individuals who feel organizational pressure to return to work despite health concerns for themselves, their families, and their patients.   
Yong E. The Atlantic. 2020;September.
This article takes a holistic view of the multiple preventable failures of the U.S. in managing the COVID-19 pandemic, raising several patient safety issues from the metasystems perspective. The piece highlights systemic problems such as lack of transparency, investment in public health and learning from experience.
Stevis-Gridneff M, Apuzzo M, Pronczuk M. New York Times. 2020;August 8.
Residential care facilities have been challenged by COVID-19. This story examines the weakness of care processes in nursing homes in Europe that have been revealed due to the pandemic. Data gaps, resource allocation choices, and hospital space considerations are noted situations that have resulted in unintended consequences, reducing the safety of care for this at-risk population. 
Dolan J, Mejia B. Los Angeles Times. 2020;July 24.
Worker safety has ramifications for patient care in both routine and crisis situations. This story highlights a testing gap that has the potential to degrade efforts to minimize the spread of COVID-19 in nursing homes: the lack of coronavirus testing of inspectors visiting the facilities to assess infection prevention readiness.  
Khazan O. The Atlantic. 2020;July 6.
Residential care facilities have been particularly challenged by COVID-19. This article outlines how lack of access to protective equipment, staff training, accurate statistics and effective employee testing have hindered the ability of nursing homes to protect patients and staff from the virus.    

Ellis B, Hicken M. CNN. May 14, 2020.

Long-term care and skilled nursing facilities care for a patient population particularly vulnerable to COVID-19 infection. This article discusses an analysis of a large nursing home system and gaps in its workforce safety program. Problems highlighted included communication practices that fall short of what is needed to assure staff safety as they care for nursing home residents.

Shaprio J. National Public Radio. April 15, 2020.

Access to care has been strained by the COVID-19 pandemic. This radio segment discusses how implicit biases can affect care of patients with disabilities. It highlights how preconceptions about this patient population could limit their access to treatments should they become ill.
The Associated Press. Flu shot mix-up at Oklahoma facility leaves 10 hospitalized. NBC News. November 8, 2019.
Patients at residential care facilities are particularly vulnerable to harm from medication errors. This story highlights a failure that resulted in the misadministration of insulin during a flu vaccination program.