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www.ahrq.gov/news/newsroom/case-studies/cdom1202.html
October 01, 2014 - These strategies allow staff to intervene in a timely manner with at-risk residents to reduce the incidence … Staff use the meetings and reports to identify residents at high risk of developing pressure ulcers and … Having the On-Time reports in the CareTracker system makes developing and updating the residents' care … The reports help catch 'medium-risk' residents before they become 'high risk' for pressure ulcers. … It has promoted a better team approach to the care of our residents."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 28, 2017 - When we can manage our residents here at the facility and avoid hospitalizations, the
residents remain … Brown last evening about one of our residents. … Facilitator: Do you discuss residents at risk for transfer? … agree that the residents on the list are at high risk for transfer? … I highlighted their residents on the reports. Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - Purpose
Transfer Risk Reports (high- and medium-risk residents) provide a weekly snapshot of residents … • What are the most common risk factors among high-risk residents? … • How often is polypharmacy seen in residents at risk for transfer? … This threshold represents about 20 percent of
nursing home residents. … of residents transferred to the ED, number of residents with more than one ED
visit in the last 30 days
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psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative … The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative … https://psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse … -
perioperative
Medical residents are frequently involved in difficult patient conversations, including … Immediately, and 3-months after training, residents indicated an
improvement in their communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
November 15, 2017 - Falls are a serious problem for our residents. … While we want to prevent falls in all residents, identifying those residents who are at greatest risk … Your documentation of all your
residents goes into creating this report and finding the high-risk residents … The first meeting took us forever because we were now reviewing residents who fell and residents at … Reports identify
residents with fall risk.
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psnet.ahrq.gov/node/73138/psn-pdf
April 14, 2021 - An act of performance: exploring residents' decision-
making processes to seek help. … An act of performance: exploring residents’ decision?
making processes to seek help. … https://psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help … Supervisors should have regular conversations with residents about factors that negatively
impact their … https://psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
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psnet.ahrq.gov/node/866953/psn-pdf
October 16, 2024 - why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-
call-their
Medical students and residents … must consider several factors when deciding to contact more senior
residents for guidance or assistance … General surgery senior residents (SR; 3rd to 5th year residents) and
junior learners (JL; medical students … , 1st and 2nd year residents) were presented with several clinical
scenarios and asked if the JL should … https://psnet.ahrq.gov/issue/barriers-accessing-nighttime-supervisors-national-survey-internal-medicine-residents
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psnet.ahrq.gov/node/50802/psn-pdf
January 15, 2020 - Use of error management theory to quantify and
characterize residents' error recovery strategies. … Use of error management theory to quantify and characterize
residents’ error recovery strategies. … https://psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error- … recovery-strategies
Using a human factors engineering framework, this study reviewed video of residents … Nearly half of all errors went undetected by
the residents during the procedure, but when errors were
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psnet.ahrq.gov/node/836961/psn-pdf
April 20, 2022 - Coping and recovery in surgical residents after adverse
events: the second victim phenomenon. … Coping and recovery in surgical residents after adverse events: the second victim
phenomenon. … https://psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim … This study of surgical residents in the US found that most residents who reported
being part of a medical … Importantly, while three quarters of residents reported they did not get emotional support following
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psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - Impact of a pharmacist-administered deprescribing
intervention on nursing home residents: a randomized … Impact of a pharmacist-administered deprescribing intervention on
nursing home residents: a randomized … https://psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-
residents-randomized … Over a one-year period, residents were randomized to receive either a deprescribing-focused medication … The intervention resulted in fewer medications taken by residents the
intervention group after 6 months
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psnet.ahrq.gov/node/73423/psn-pdf
June 23, 2021 - Medication use and cognitive impairment among
residents of aged care facilities. … Medication use and cognitive impairment among
residents of aged care facilities. … https://psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities … Based on telehealth visits with 720 RACF
residents, 66% were receiving polypharmacy, with cognitively … intact residents receiving significantly more
medications than cognitively impaired residents.
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psnet.ahrq.gov/node/45876/psn-pdf
January 01, 2021 - Making residents part of the safety culture: improving
error reporting and reducing harms. … Making Residents Part of the Safety Culture: Improving Error
Reporting and Reducing Harms. … https://psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing … -
harms
Medical residents are increasingly exposed to patient safety concepts during their training … The project team found the program to be effective in improving the
rates of reporting by both residents
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psnet.ahrq.gov/node/74692/psn-pdf
January 26, 2022 - Changes made to orders placed by overnight admitting
residents on teaching rounds the next day. … Changes made to orders placed by overnight admitting residents on
teaching rounds the next day. … https://psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds … -
next-day
Medical residents write patient care orders overnight that are often not reviewed by attending … https://psnet.ahrq.gov/issue/frequency-prescribing-errors-medical-residents-various-training-programs
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/campbell-jr-et-al-1989
January 01, 2023 - As part of an evaluation of the effects of such a system on clinic function, we divided the residents … The residents never became facile users of [the EMR]--a problem that we attribute to the infrequency … in clinics attended by these residents. … "Patients seen by residents in the study group, with access to the [electronic] record, spent more time … Concern about the increased waiting time of patients was expressed by "frustrated residents who found
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meps.ahrq.gov/data_files/publications/rf13/rf13.shtml
December 01, 2000 - Research Findings #13: Expenses and Sources of Payment for Nursing Home Residents, 1996 … averaged
$137 per day, compared to $114 for unmarried residents. … contrast to $23,420 for unmarried residents) because married
residents tended to … In addition, residents in hospital-based facilities
were more likely than residents … Fifteen
percent of residents were admitted and died in 1996.
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Little attention was paid to the potential patient safety effects of fatigue among residents until March … Though work hours and shift duration decreased somewhat for residents and fellows over the next decade … Residents' educational experience appears to have been adversely affected by the
regulations. … Surveys of key clinical faculty and residents themselves have found that, although residents'
quality … Practicing Clinicians
Clinical and educational work hour regulations for residents and fellows have
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psnet.ahrq.gov/node/50558/psn-pdf
October 16, 2019 - Multidisciplinary simulation activity effectively prepares
residents for participation in patient safety … Multidisciplinary simulation activity effectively prepares residents for
participation in patient safety … https://psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation … -
patient
As part of their ACGME requirements, medical residents are expected to participate in patient … This paper
describes the implementation of a brief RCA-focused simulation activity for residents at
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psnet.ahrq.gov/node/837026/psn-pdf
May 04, 2022 - Drug-related problems and polypharmacy in nursing
home residents: a cross-sectional study. … Drug-related problems and polypharmacy in nursing home
residents: a cross-sectional study. … https://psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-
sectional-study … The medication records of 222 older adult residents of one
Spanish nursing home were screened for potential … Nearly all included residents
were taking at least one potentially inappropriate medication, and drug-drug
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psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents. … A quality improvement initiative to improve patient safety event
reporting by residents. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents … This hospital
implemented a quality improvement (QI) project to increase reporting by pediatric residents … The number of reports
submitted increased, as did the number of unique residents submitting reports.
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psnet.ahrq.gov/node/60601/psn-pdf
June 17, 2020 - Prevalence, types, and sources of bullying reported by US
general surgery residents in 2019. … Prevalence, types, and sources of bullying reported by US general surgery
residents in 2019. … https://psnet.ahrq.gov/issue/prevalence-types-and-sources-bullying-reported-us-general-surgery-residents … -
2019
In this survey of 6,264 US general surgery residents, 70% reported experiencing at least one … Residents reporting frequent bullying had higher rates of burnout, suicidal thoughts, and thoughts of