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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - In the preoperative treatment area, the Anesthesiology resident flushed the IV cannula to ensure that … other inpatient settings. 3
Systems Change Needed/Quality Improvement Approach
At a minimum, the resident
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - When should a surgical resident call an attending surgeon? J Surg Educ. 2008;65:206-212. … Effects of increased overnight supervision on resident education, decision-making, and autonomy.
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Resident satisfaction on an academic
hospitalist service: time to teach. … Duty hours for resident physicians—tough choices for teaching hospitals.
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - on this bias, CVC insertion has long been included in lists of
procedural competencies required of resident … Surgical Council on Resident Education. [Available at]
14. Central Line Insertion Checklist.
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - The orthopedic resident notified the cross-covering medicine resident that the patient
would be taken
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - The average general surgery resident
performs 20 laparoscopic appendectomies during his or her general … year residency, and it may therefore be several years between when an appendectomy
is performed as a resident
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - 2019
A standardized handoff simulation promotes recovery from auditory distractions in resident … Attending physician remote access of the electronic health record and implications for resident
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Resident satisfaction on an academic hospitalist service: time to teach. … Duty hours for resident physicians—tough choices for teaching hospitals.
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psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - recent rotation due to handover-related problems.(5)
In teaching hospitals, the implementation of resident … trial
evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Once in the operating room, the resident placed an arterial line in the patient's left arm under local … The logbook on the anesthesia machine showed that the machine had been checked that morning, but the resident
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - First, the resident on the consulting ID team, unfamiliar with the different formulations of amphotericin … May 1, 2018
WebM&M Cases
Continuity Errors in Resident
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psnet.ahrq.gov/node/852456/psn-pdf
August 16, 2023 - Residents, responsibility, and error: how residents learn
to navigate the intersection.
August 16, 2023
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate
the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/40511/psn-pdf
June 08, 2011 - A patient safety curriculum for medical residents based
on the perspectives of residents and supervisors.
June 8, 2011
Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the
perspectives of residents and supervisors. J Patient Saf. 2011;7(2):99-105.
doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/node/42605/psn-pdf
December 16, 2013 - The "hidden curriculum" and residents' attitudes about
medical error disclosure: comparison of surgical and
nonsurgical residents.
December 16, 2013
Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure:
comparison of surgical and nonsurgical residents. J Am Coll S…
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psnet.ahrq.gov/node/42545/psn-pdf
September 04, 2013 - Residency schedule, burnout and patient care among
first-year residents.
September 4, 2013
Block L, Wu AW, Feldman LS, et al. Residency schedule, burnout and patient care among first-year
residents. Postgrad Med J. 2013;89(1055):495-500. doi:10.1136/postgradmedj-2012-131743.
https://psnet.ahrq.gov/issue/residency-…
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - Following the ED’s standard protocol for procedural sedation, the ED resident physician then
called … The resident administered the medication and called out “10 of propofol”. … Subsequent case review
confirmed that the resident administered 10 mL of a 10 mg/mL solution of propofol … The resident physician’s assumed use of milliliter units did not align with the
nurse’s assumption that … Michael Leonardo Amashta, MD
PGY3 Resident Physician
Department of Emergency Medicine
UC Davis Health
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/37026/psn-pdf
September 15, 2011 - Residents feel unprepared and unsupervised as leaders
of cardiac arrest teams in teaching hospitals: a survey of
internal medicine residents.
September 15, 2011
Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac
arrest teams in teaching hospitals: a survey of inter…
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psnet.ahrq.gov/node/39642/psn-pdf
December 21, 2014 - Effect of the 50-hour workweek limitation on training of
surgical residents in Switzerland.
December 21, 2014
Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in
Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg.2010.88.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/37098/psn-pdf
October 04, 2011 - How residents think and make medical decisions:
implications for education and patient safety.
October 4, 2011
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for
education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4.
https://psnet.ahrq.gov/…