The effectiveness of care manager training in a multidisciplinary plan-do-check-adjust cycle on prevention of undesirable events among residents of geriatric care facilities.

The intervention with the PDCA cycle in this study was not proven effective because (i) intrinsic factors of elderly persons, such as frailty syndrome, play a stronger role than the preventive effects of the intervention, and therefore the effect did not reach statistical significance, and (ii) many of the GCFs had other risk‐management programs with or without PDCA cycles already in place, and the additional intervention in this study could not show a further decrease of undesirable events.

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