U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Higashi T, Shekelle PG, Solomon DH, et al. Ann Intern Med. 2004;140:714-720.
Higashi T ; Shekelle PG ; Solomon DH; et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004; 140: 714-720
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
Janice L. Kwan, MD
TeamSTEPPS 2.0 for Long-Term Care.
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
Four Medication Safety Tips for Older Adults.
FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; September 20, 2016.
Preventing medication errors.
Stefanacci RG, Riddle A. Geriatr Nurs. 2016;37:307-310.
The feasibility of determining the effectiveness and cost-effectiveness of medication organisation devices compared with usual care for older people in a community setting: systematic review, stakeholder focus groups and feasibility randomised controlled trial.
Bhattacharya D, Aldus CF, Barton G, et al. Health Technol Assess. 2016;20:1-250.
Partial codes—when "less" may not be "more."
Rousseau P. JAMA Intern Med. 2016;176:1057-1058.
Resident Safety Practices in Nursing Home Settings.
Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF.
Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.
Qato DM, Wilder J, Schumm LP, Gillet V, Alexander GC. JAMA Intern Med. 2016;176:473-482.
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Ghaferi AA, Dimick JB. Br J Surg. 2016;103:e47-e51.
Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands.
Buljac-Samardzic M, van Wijngaarden JDH, Dekker–van Doorn CM. BMJ Qual Saf. 2016;25:424-431.
Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.
Callinan SM, Brandt NJ. J Gerontol Nurs. 2015;41:8-13.
Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study.
Stall NM, Fischer HD, Wu CF, et al. Medicine (Baltimore). 2015;94:e899.
Among the elderly, many mental illnesses go undiagnosed.
Bor JS. Health Aff (Millwood). 2015;34:727-731.
Old and overmedicated: the real drug problem in nursing homes.
Jaffe I, Renincasa R. Morning Edition. National Public Radio. December 8–9, 2014.
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
Investigating the long-term consequences of adverse medical events among older adults.
Carter MW, Zhu M, Xiang J, Porell FW. Inj Prev. 2014;20:408-415.
Root cause analysis of serious adverse events among older patients in the Veterans Health Administration.
Lee A, Mills PD, Neily J, Hemphill RR. Jt Comm J Qual Patient Saf. 2014;40:253-262.
Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool.
Suarez C, Menendez MD, Alonso J, Castaño N, Alonso M, Vazquez F. J Am Geriatr Soc. 2014;62:896-900.
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370.
Understanding safety culture in long-term care: a case study.
Halligan MH, Zecevic A, Kothari AR, Salmoni AW, Orchard T. J Patient Saf. 2014;10:192-201.
Personal health records: a randomized trial of effects on elder medication safety.
Chrischilles EA, Hourcade JP, Doucette W, et al. J Am Med Inform Assoc. 2014;21:679-686.
What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.
Long SJ, Brown KF, Ames D, Vincent C. Int J Qual Health Care. 2013;25:542-554.
Project BOOST Mentored Implementation Program.
Society of Hospital Medicine.
The no-fall zone.
Butcher L. Hosp Health Netw. June 2013.
Failure to engage hospitalized elderly patients and their families in advance care planning.
Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013;173:778-787.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364