OBJECTIVE: To investigate the effect of providing personal clinical effectiveness performance feedback to general surgery residents regarding prescription of appropriate @entity1211 ( @entity1211 ) prophylaxis. BACKGROUND: Residents are frequently charged with prescribing medications for @entity1 , including @entity1211 prophylaxis, but rarely receive individual performance feedback regarding these practice habits. METHODS: This prospective cohort study at the Johns Hopkins Hospital compared outcomes across 3 study periods: (1) baseline, (2) scorecard alone, and (3) scorecard plus @entity15285 . All general surgery residents (n=49) and surgical @entity1 (n=2420) for whom residents wrote admission orders during the first 9 months of the 2013-2014 academic year were included. Outcomes included the proportions of @entity1 prescribed appropriate @entity1211 prophylaxis, @entity1 with preventable @entity1211 , and residents prescribing appropriate @entity1211 prophylaxis for every @entity1 , and results from the Accreditation Council for Graduate Medical Education resident survey. RESULTS: At baseline, 89.4% of @entity1 were prescribed appropriate @entity1211 prophylaxis and only 45% of residents prescribed appropriate prophylaxis for every @entity1 . During the scorecard period, appropriate @entity1211 prophylaxis prescription significantly increased to 95.4% (P<0.001). For the scorecard plus @entity15285 period, significantly more residents prescribed appropriate prophylaxis for every @entity1 (78% vs 45%, P=0.0017). Preventable @entity1211 was eliminated in both intervention periods (0% vs 0.35%, P=0.046). After providing feedback, significantly more residents reported receiving data about practice habits on the Accreditation Council for Graduate Medical Education resident survey (87% vs 38%, P<0.001). CONCLUSIONS: Providing personal clinical effectiveness feedback including data and peer-to-peer @entity15285 improves resident performance, and results in a significant reduction in harm for @entity1 .

Individualized Performance Feedback to Surgical Residents Improves Appropriate XXXX Prophylaxis Prescription and Reduces Potentially Preventable @entity1211 : A Prospective Cohort Study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['VTE', 'venous thromboembolism'] @entity15285 :: ('MESH:C536430', 'Disease') :: ['coaching']
@entity1211 :: (MESH:D054556,Disease) :: ['Venous Thromboembolism']
