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- Communication Improvement 3
- Culture of Safety 2
- Error Reporting and Analysis 8
- Human Factors Engineering 2
- Legal and Policy Approaches 10
- Logistical Approaches 1
- Quality Improvement Strategies 3
- Technologic Approaches 3
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medical Complications 5
- Medication Safety 7
- Nonsurgical Procedural Complications 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators 11
- Health Care Providers 11
- Non-Health Care Professionals 6
- Patients 8
Search results for "Long-Term Care"
- Newspaper/Magazine Article
- Long-Term Care
Ornstein C. Washington Post. July 12, 2015.
Anticoagulants are considered high-alert medications that if used ineffectively can result in patient harm. Reporting on an anticoagulant commonly used in nursing homes and patient harm linked to this medication, this newspaper article relates reasons doctors are reluctant to prescribe new drugs to older patients and challenges to monitoring and preventing such adverse drug events.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
Dembner A. Boston Globe. July 3, 2006;Health Science section:A1.
This article reports on the movement to improve care in nursing homes in order to decrease unnecessary hospitalizations for elderly patients.
Rau J. Kaiser Health News. December 3, 2018.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
Sepsis is a serious condition that can be fatal if it is not promptly diagnosed and treated. This news article reports on systemic factors in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure ulcers and sepsis that result in hospital admissions and death. A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term care.
Rau J. Kaiser Health News. June 13, 2018.
Safety problems are common in nursing homes due to challenges such as poor safety culture, staff burnout, and inappropriate polypharmacy. Describing how medication missteps and communication errors can diminish safety of residential care, this news article discusses system-level incentives that can either contribute to avoidable hospital readmissions of long-term care patients or be employed to improve practice.
Rau J. Kaiser Health News. July 6, 2017.
System failures contribute to recurring problems in health care environments. This news article spotlights how lack of follow-up or action related to inspection reports that have uncovered factors in long-term care facilities that contribute to inadequate care can enable poorly performing nursing homes to remain in operation.
Horowitz AC. Long-Term Living. December 6, 2013.
Jones R. WXYZ. November 13, 2013.
This news piece reports on risks associated with medication delivery in nursing homes and reveals several incidents that resulted in significant patient harm.
Ackerman T. Houston Chronicle. November 23, 2012.
This newspaper article describes challenges that may precipitate underdiagnosis or misdiagnosis of Alzheimer disease and conditions with similar presenting symptoms.
Jt Comm Perspect. August 2010;30:6-7.
This newsletter article discusses the National Patient Safety Goals (NPSG) for 2011 and describes revisions of current NPSGs.
Hamill SD. Pittsburgh Post-Gazette. April 18, 2010:A1.
This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated infections in Pennsylvania.
Jt Comm Perspect. October 2009;29:1, 20-31.
This newsletter article provides an overview of the 2010 National Patient Safety Goals (NPSGs) and explains revisions made to the NPSGs to address concerns about the resources needed to meet the NPSG requirements and to allow organizations to focus on the most urgent issues. The revisions include clarifying or deleting some of the requirements.
Wolfe W. Minneapolis Star Tribune. February 28, 2007.
This article reports on three patient deaths due to errors at a state-owned nursing home for veterans.
Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.
The author discusses the role that human error plays in the failure of technological solutions employed to minimize medical mistakes.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
This article reports on several errors that occurred at hospitals in California and discusses the state's regulatory system.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
This article reports on recommendations developed by United States Pharmacopeia (USP) to improve the safety of using medical gas, including revisions to USP monographs.