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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/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/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/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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www.ahrq.gov/antibiotic-use/long-term-care/safety/teamwork.html
June 01, 2021 - effectively communicate the potential harms of antibiotics to other health care practitioners and to residents … Improving Teamwork and Communication – Facilitator Guide (DOCX, 2.2 MB)
Poster – Talking With Residents … and Family Members About Antibiotics (PDF, 216.3 KB KB)
Poster – Talking With Residents and Family … Members About Urinary Tract Infections (PDF, 115 KB)
Poster – Talking With Residents and Family Members
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
September 01, 2024 - Residents’ needs are met during shift changes
A17. … Staff follow standard procedures to care for residents.
A6. … Residents are well cared for in this nursing home.
D6. … This nursing home does a good job keeping residents safe.
D8. … This nursing home is a safe place for residents.
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www.ahrq.gov/es/nursing-home/resources/search.html?page=1
January 01, 2022 - the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … ways nursing home staff can identify residents at high risk for deconditioning and work with them to … It also provides a sample decision tree for monitoring residents during daily encounters for signs and … This document highlights ways nursing home staff can help residents and families balance the need for … Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings This LeadingAge
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2005
January 01, 2005 - Workflow-Related Findings
"Residents classified as 'light' (41.46%) initially used the system for … "Residents complained that the reminder system lacks guidance in the application of workflow. … In contrast to the history and physical examination forms that residents typically use, the interface … For instance, residents repeatedly turned back and forth between the computer and their patient." … Structured interviews were completed with 16 residents.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Falls often have serious consequences, especially in frail older residents. … Adverse consequences of falls for residents
Reduced quality of life. … The first is through an immediate response to residents who fall. … Discussion about individual residents who fell during the past week. … Therapist will do a seating assessment for two residents.
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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/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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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/issue/effect-80-hour-work-week-resident-case-coverage
July 21, 2010 - Implementation of duty hours regulations has raised concern that residents in procedural specialties … However, this institution found that residents participated in similar numbers of cases before and after … November 12, 2014
Readiness of US general surgery residents for independent practice. … October 13, 2018
Surgical residents' work hours and well-being in year 2 of the FIRST … December 21, 2014
The impact of the 80-hour resident workweek on surgical residents and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - This training will highlight team members roles’ in protecting residents, families and staff members … [CLICK]
Staff also interrupt the chain by helping prevent residents from being a portal of exit. … Frontline staff help residents with good personal hygiene, dress open wounds or sores and use proper … Also think about where the dispenser is stored – can residents access the wipes?
Env. … [PAUSE]
15
Wrapup
Clean environment and clean equipment keep residents safe.
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www.ahrq.gov/nhguide/index.html
Engage Residents and Family
This toolkit helps residents and family members participate in residents … Antibiotics
Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents
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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/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - Study
Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … of residents and supervisors. … A randomized controlled trial of an educational intervention with internal medicine residents.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - Moving, Transferring, or Lifting Residents 70% 81% 92%
2. … Moving, Transferring, or Lifting Residents 90% 85% 71% 81%
2. … Moving, Transferring, or Lifting Residents 81% 87% 85% 86%
2. … Moving, Transferring, or Lifting Residents 85% 93%
2. … Moving, Transferring, or Lifting Residents 88% 88% 86%
2.
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psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
October 18, 2017 - The report concluded that residents did not actively report problems and rarely participated in event … A survey of North American surgical residents and fellows. … October 13, 2018
Readiness of US general surgery residents for independent practice. … August 20, 2018
Performance of vascular exposure and fasciotomy among surgical residents … April 16, 2018
Surgical residents' work hours and well-being in year 2 of the FIRST trial