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Approach to Improving Safety
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Search results for "United States of America"

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Journal Article > Review

Evidence summary and recommendations for improved communication during care transitions.

Jackson PD, Biggins MS, Cowan L, French B, Hopkins SL, Uphold CR. Rehabil Nurs. 2016;41:135-148.

Transitions are a complicated and vulnerable time for patients, particularly for those with complex care needs. This review examines the literature around care transitions and insights from patient and family advisory councils. The authors recommend standardizing the process for veterans with complex conditions and suggest focus on the use of real-time information exchange, documented care plans, and engaging patients and their families in transitions.

Journal Article > Study

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals.

Gandara E, Moniz T, Ungar J, et al. J Hosp Med. 2009;4:E28-E33.

Documentation of important care transition information, such as medication changes and pending test results, was often lacking when patients were transferred from a hospital to a rehabilitation facility.

Journal Article > Study

Development and psychometric testing of a tool to measure missed nursing care.

Kalisch BJ, Williams RA. J Nurs Adm. 2009;39:211-219.

A nursing survey was developed to evaluate the reasons for omission of standard nursing care practices.

Tools/Toolkit > Toolkit

A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook.

Waltham, MA: Masspro, Massachusetts Coalition for the Prevention of Medical Errors, Massachusetts Extended Care Foundation; 2007.

This manual provides nursing home staff with a step-by-step guide for medication management to reduce medication errors in long-term care.

Journal Article > Commentary

Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.

Scheirton LS, Mu K, Lohman H, Cochran TM. Med Health Care Philos. 2007;10;301-311.

The authors present six case studies of failures in occupational and physical therapy and analyze the ethical issues involved in each case.

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