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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/inadvertent-castration
October 27, 2010 - In this anachronistic model, the non-surgeon physician, resident, nurse, and technician team members … Forrest Calland, MD Resident in Surgery Research Fellow and Co-Founder, Surgical Technology and Safety
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hcup-us.ahrq.gov/reports/RevisedMHSAHospitalFlowsAnalysis20100413.pdf
April 13, 2010 - treatment for residents of those 34 states was incomplete, as we could not
capture inpatient costs for a resident … We could use these data to
estimate resident flows to these non-SID states, after appropriate adjustments
-
www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - will compare results from the annual Accreditation Council for Graduate Medical
Education (ACGME) resident … hospitals across the country, many common quality process
measures are entirely dependent upon intern/resident … Attending Physician Performance
Measure Scores and Resident Physicians' Ordering Practices.
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - prolonged SNF stay and/or hospitalization 0 0%
Category G: Contributed to or resulted in permanent resident … Required intervention to sustain the resident’s life 4 0.30%
Category I: Contributed to or resulted in resident … Assessing resident safety culture in nursing homes: Using the nursing
home survey on resident safety … Nursing home administrators' opinions of the resident safety culture in nursing
homes.
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - An assistant can be a RN, LPN,
Clinical Technician with specialized training (per unit standard), resident … For adult patients, the supervisor is a second year resident or above, or a nurse
practitioner or physician … The supervisor must be a second year resident or above or affiliate staff with documented competency … The supervisor for PICC insertions must be a PICC certified RN or second year resident or above or
affiliate … the assistant can be a RN, LPN,
Clinical Technician with specialized training (per unit standard), resident
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hcup-us.ahrq.gov/reports/statbriefs/sb294-COVID-19-UrbanHosptl.pdf
December 01, 2020 - These States accounted for 67.7 percent of the resident U.S. urban population in
2019.4,5 Information … * Percentage of the resident U.S. urban population in the specified region in 2019. … Annual Estimates of the Resident Population by Sex, Race,
and Hispanic Origin for the United States: … Annual Estimates of the Resident Population by Sex, Race,
and Hispanic Origin for Arizona, California … These States account for the following percentages of the
resident U.S. urban population: 67.7 percent
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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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digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
January 01, 2010 - There was no evidence of association with resident or attending physician.
-
www.ahrq.gov/research/findings/final-reports/index.html?page=18
January 01, 2024 - Medication Safety Publication Date: September 2005
Pharmacist Technology for Nursing Home Resident
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - Use in all situations when a
resident has a new problem and infection may be suspected, and is being
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
October 01, 2016 - diagnostic isolates, not surveillance isolates
• Includes only the first isolate of each species for each resident
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shah-nr-et-al-2006
January 01, 2006 - prescribing medical staff [which] included 701 clinicians, composed of 224 attending physicians, 249 resident
-
www.ahrq.gov/cahps/about-cahps/patient-experience/index.html
March 01, 2025 - Resident teams needed more senior supervision.”
-
meps.ahrq.gov/data_stats/nhc/services.pdf
September 30, 1997 - Does {FACILITY/[READ
FACILITY/UNITS ABOVE]} ever bill the resident through the basic or ancillary rate … physicians who see residents at {FACILITY/[READ FACILITY/UNITS ABOVE]} and for whom the facility bills the
resident … US1
Between {REFERENCE START DATE} and {REFERENCE END DATE} while a resident in the nursing home, did
-
www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - order entry, alerts to prevent adverse drug
events and to highlight special medication precautions, resident … observer walked with the medication
administrator and watched the medication administration for each resident … Many types of errors were monitored from
the viewpoint of the resident, including unauthorized drug, … wrong
preparation technique, wrong time, wrong monitoring technique, and omitted drugs (excluding
resident … clarify medication orders, the presence of the full EMR also provided
readily available updates on resident
-
www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - 44.9 / 40.0 / 9.4 4.3 / 43.2 / 41.7 / 10.8 NS
% Performed by CRNA 41.9% (111) 35.3% (49) NS
% By resident … * 1 Esophageal intubation by junior resident. Distracted by research study. Reintubated. … Resident sprayed with patient’s blood upon successful intubation. … anesthesia care and during teaching (when the primary
provider is teaching a medical student or new resident … also undertaking
a within-subjects analysis (three similar cases conducted by the same anesthesia resident
-
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…