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4341. A machine learning approach to reclassifying miscellaneous patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
      July 22, 2020 - December 9, 2020 Rates of adverse events in hospitalized patients after summer-time resident

4342. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
      December 01, 2017 - We talk to the resident and staff to figure out what happened when that resident fell or how that pressure … These snapshots may be displayed at the resident, unit, or facility level. … Profile risks for each resident in the report. … may already occur at the nursing home but may need to be restructured to incorporate the reports into resident

4343. Puh-Factraining-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
      June 02, 2025 - We talk to the resident and staff to figure out what happened when that resident fell or how that pressure … These snapshots may be displayed at the resident, unit, or facility level. … Profile risks for each resident in the report. … may already occur at the nursing home but may need to be restructured to incorporate the reports into resident

4344. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
      July 01, 2019 - The MTM pharmacist, pharmacy resident, and student are located in a separate space closer to the pharmacy … The MTM pharmacist has a resident and student, depending on the time of year. … At Edina, staff who support both primary care teams include the MTM pharmacist with resident and student … Medication Management : Typically, patients are referred to the MTM RPh (or pharmacy resident) but providers … For more complex cases, patients are referred to an RPh (or RPh resident).

4345. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - residency, there are typically three caregivers identified for each patient: an attending physician; a resident … Interviews were conducted with nurses (39% of interviews), resident physicians (32%), attending physicians … Through the 1180 interviews, 263 reports of nonideal care events were generated (53% by nurses, 28% by resident … allergic reaction); and a case in which definitive treatment was delayed because of a reported lack of resident … Consultant evaluation – delay or failure 18 Consultant communication – delay or failure 2 Inadequate resident

4346. Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/empowerment-slides-spanish.pptx
      January 01, 2014 - Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes.  … Does Empowering Resident Families or Nursing Home Employees in Decision Making Improve Service Quality

4347. Hlthstat (pdf file)
      meps.ahrq.gov/data_stats/nhc/hlthstat.pdf
      September 30, 1997 - Was {SP} a resident in [READ ELIGIBLE UNITS BELOW] on {KAD+90}? … If F2 sampled in this facility in this round, If F2 was a resident in an eligible unit of the facility … off all items of street clothing, including donning/removing prosthesis D EATING - how resident eats … and drinks (regardless of skill) E TOILET USE - how resident uses the toilet room (or commode, bedpan … has fixed (false) ideas not shared by others HA36 HALLUCINATIONS - the resident behaves as if he/she

4348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865454/psn-pdf
      March 27, 2024 - The most recent AHRQ SOPS Nursing Home Survey found that 54% of nursing home employees rated resident … The main themes that emerged were communication about resident safety, particularly the important role … of physician and manager accessibility, and leadership support for and responsiveness to resident safety … efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study https://psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study

4349. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
      psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
      April 01, 2005 - systems, implementing teamwork or simulator training, maintaining certain nurse-to-patient ratios or resident … Landrigan: I became interested in patient safety after noticing, when I was a resident, that sleep deprivation … Essentially what you are balancing is the cost of one additional resident, or other medical personnel … either more nurses to keep nursing shifts down or more residents or substitutes for residents to keep resident

4350. In Conversation With… Karl Bilimoria, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
      December 01, 2017 - First, I made a fundamental error this early in the training year in allowing the chief resident to operate … We should have learned from experience never to do this.… The [other] guilty party is the chief resident … By not calling for help when he ran into trouble, the resident took undue risk with the patient's life … while his focus is on the acts of individuals (particularly his own and those of the surgical chief resident

4351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33791/psn-pdf
      September 01, 2015 - screens, and you can sort by consult notes or https://psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm … We're doing an evaluation of faculty and resident perceptions and patient perceptions of the iPad. … Is your resident buried in their iPad? Are they listening to you? … EHR training, our residents nationwide think of the sitting through 4 hours of grueling training on resident

4352. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Emergency medicine resident perceptions about the need for increased training in communicating diagnostic … Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out … Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: … Adverse events and near-misses relating to intensive care unit–ward transfer: a qualitative analysis of resident

4353. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
      November 30, 2021 - compromise patient safety. 7 Dysfunctional communication accounts for 91% of medical errors reported by resident … Dysfunctional communication accounts for 91% of medical errors reported by resident physicians. 8 A … Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early … reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident

4354. sb276-COVD19-Hospital-Race.pdf (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb276-COVID19-Hospital-Race.pdf
      December 01, 2020 - These States account for 24.7 percent of the resident U.S. population in 2019.1,2 All information … likely to die in the hospital after adjusting for age. 7 References 1 Annual Estimates of the Resident … Accessed March 1, 2021. 2 Annual Estimates of the Resident Population by Sex, Race, and Hispanic Origin … These States account for the following percentages of the resident U.S. population: 24.7 percent of the

4355. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - July 20, 2010 Enhancing pediatric safety: using simulation to assess radiology resident … December 14, 2016 Enhancing pediatric safety: assessing and improving resident competency

4356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49563/psn-pdf
      May 01, 2008 - hospitalist service) requires multiple steps and handoffs: (i) the PCP notifies the senior triage resident … about an admission from clinic, (ii) the resident requests a bed from the admitting office, (iii) the

4357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49542/psn-pdf
      August 21, 2007 - The same note was then copied and pasted on 4 consecutive hospital days and cosigned by the resident … Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident

4358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49404/psn-pdf
      June 01, 2003 - The gynecologist had received an incomplete report on the first ultrasound’s findings from a resident … The resident and the patient did not mention her history of a bicornuate uterus.

4359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49617/psn-pdf
      January 01, 2011 - patient's lower than normal initial Scr value of 0.4 mg/dL from the outside hospital, the admitting resident … Had it been recognized, the admitting resident would have been prompted to reevaluate vancomycin dose

4360. Catheter Care and Maintenance | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
      March 01, 2017 - not in use, and stored upside down to prevent airborne contamination Replace basins if damaged A resident … Exerting assertive and advocacy behaviors when resident safety is threatened. 11.