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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - In this study, internal medicine residents examined a high-fidelity cardiac simulator and then were given … The checklist significantly improved residents' diagnostic accuracy. … However, this benefit was seen only among residents who were allowed to reexamine the simulator after … April 2, 2014
Role of clinical context in residents' physical examination diagnostic … October 4, 2011
Role of clinical context in residents' physical examination diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
June 01, 2021 - Apply to 5–10 residents each month
Week
16
Appropriate
Collection of
Microbiological
Specimens … each month
Week
44
Discussing Infectious
Concerns About
Residents With
Antibiotic Prescribers … Discussing Infectious
Concerns About
Residents With
Antibiotic Prescribers
Four Questions To … With
Family Members and
Caregivers
Discussing Infectious
Concerns About
Residents With Family … Members and
Caregivers
Talking With Residents and Family
Members About Antibiotics Poster
DESC
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - This often tricks us into thinking that residents require antibiotics. … Educate residents and families regarding antibiotic use! … the residents. … Residents may want antibiotics because they think there is no harm in them. … Be sure to include residents and family members in your discussions.
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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/46603/psn-pdf
April 12, 2019 - Comparison of internal medicine and general surgery
residents' assessments of risk of postsurgical … Comparison of Internal Medicine and General Surgery Residents'
Assessments of Risk of Postsurgical Complications … https://psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments- … This cross-sectional
survey compared internal medicine and surgery residents' gestalt assessment of … While surgical residents
were more confident in their estimates than internists, both overestimated
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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
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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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - Diagnosis
• Influenza should be suspected during influenza season (October–March) in nursing home
residents … fever, headache, sore throat, cough,
myalgias, rhinorrhea.1-3
• Influenza testing should occur for residents … appropriate isolation and testing for SARS CoV-2.5,6
Treatment
• All long-term care facility residents … = creatinine clearance
Prevention
• Influenza vaccination should be provided annually to all residents … Testing and Management Consideration
for Nursing Home Residents with Acute
Respiratory Illness Symptoms
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.html
December 01, 2017 - (This will be used to identify which residents appear on subsequent reports.) … Bowels
CNA documentation of bowel habits
Includes: All residents on a unit during each week. … (This will be used to identify which residents appear on subsequent reports.) … (This will be used to identify which residents appear on subsequent reports.) … (This will be used to identify which residents appear on subsequent reports.)
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Long-Stay Nursing Home Residents With Urinary Tract Infections
Long-stay nursing home residents experiencing … Denominator: Long-stay residents, who are defined as having a cumulative stay greater than 100 days. … Overall Rate: In 2013, the percentage of long-stay nursing home residents with a UTI was 6.4%. … had lower rates of UTIs compared with White residents. … Long-Stay Nursing Home Residents With Restraints
Long-stay nursing home residents experiencing use
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - In trying to explain the course of events, it is tempting to place the blame solely on the residents … The culprit here may be the way residents are scheduled for their continuity clinics. … It is important that residents approach their patients in the role of the primary provider. … Residents must generate a differential diagnosis regardless of the situation. … Residency directors should consider block clinic rotations and pairing of residents.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - Newspaper/Magazine Article
Beth Israel cited for residents' long hours—facing review … Citation Text:
Beth Israel cited for residents' long hours—facing review for accreditation. … February 8, 2023
Evaluation of reasons why surgical residents exceeded 2011 duty hour … October 13, 2018
Surgical residents' work hours and well-being in year 2 of the FIRST … July 20, 2011
Doctors fear work caps for residents may be bad medicine.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
October 01, 2014 - Sometimes residents may simply be sleep-deprived. … with others who provide care for your residents. … Check in with residents often.
Talk with others who provide care for your residents. … might affect the residents' well-being. … We all care about the residents in our nursing center.
-
psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - The fact that attending physicians supervise residents, as
occurred in this case, puts this argument … The culprit here may be the way
residents are scheduled for their continuity clinics. … It is
important that residents approach their patients in the role of the primary provider. … Residents must generate a differential diagnosis regardless of the situation. … Residency directors should consider block clinic rotations and pairing of residents.
-
psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - What could the residents in the case possibly have done to better demonstrate professional excellence … Lapses in professionalism were not secondary to negligent acts on the part of the residents, but the … result of a system that places both residents and patients in suboptimal positions. … In addition, for residents planning a cardiology career, the chance that their patients received pap … Residents should have a central role in analyzing and improving these processes.
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www.ahrq.gov/nursing-home/resources/search.html?page=2
January 01, 2022 - the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … Closely Monitor Residents for COVID-19 This presentation discusses the importance of recognizing new … Cohorting Residents to Prevent the Spread of COVID-19 This document provides guidance on cohorting … in order to reduce the exposure of residents without COVID-19. … and healthcare professionals, testing of asymptomatic residents and healthcare professionals in facilities
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - Identify indications for antibiotics and supportive care measures for residents with a cough. … testing, empiric treatment options, and reasonable durations of antibiotic therapy for pneumonia in residents … Facilitator Guide (DOCX, 3 MB)
The poster below is intended for health care practitioners, residents … Poster – Talking With Residents and Family Members About RTIs (PDF, 117.3 KB)
The materials
-
www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
January 01, 2024 - from senior residents. … to
assessments of competency for more senior residents, a wider array of tools will be needed. … Residents could immediately upload and view their videos. … Seven
surgeries were performed by seven
different orthopedic residents. … Three residents were women,
11
10 were men, and the staff surgeon was a man.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-es.pptx
January 01, 2019 - of large central metropolitan areas received worse care than residents of large fringe metropolitan … For one-third of quality measures, residents of micropolitan and noncore areas received worse care than … residents of large fringe metropolitan areas. … For a little less than 20% of quality measures, medium and small metropolitan residents received worse … care than residents of large fringe metropolitan areas.
5
Report Background
Mandated by Congress
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
March 01, 2017 - I pledge to keep the residents’
environment and equipment
clean to help stop the spread of
germs from … I will explain to residents and their families that cleaning surfaces
and equipment helps prevent the … who are sick with germs that can easily spread
to other people in private rooms or with residents with … • It’s okay to discuss alternatives to antibiotics with prescribers
and residents. … • It’s okay for residents to ask if an antibiotic is truly needed.