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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/about/measures-nursing-home-family-member-609.pdf
December 28, 2017 - produces four composite measures and one rating
measure:
• Nurses/Aides’ Kindness/ Respect Towards Resident … Nurses/Aides’ Kindness/ Respect Towards Resident
Q12 Nurses/Aides treat resident with courtesy and … respect
Q13 Nurses/Aides treat resident with kindness
Q14 Nurses/Aides really cared about resident … Q24 Nurses/Aides appropriate with resident displaying behavioral problems
Response Options
• Never … • Sometimes
• Usually
• Always
Q15 Nurses/Aides rude to resident
Response Options
• Yes
• No
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - Lee, a 71-year-old female, is a long-term resident of the nursing home. … Jones, a 76-year-old man, is a long-term resident of the nursing home facility. … Williams, a 66-year-old woman, is a long-term resident of the nursing home. … Jackson is a 75-year-old, long-term resident of your facility, with no recent hospitalizations.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/best-practices-empowering-residents.pdf
May 01, 2022 - • Encouraging resident participation in their nursing home’s resident council to discuss concerns … Resident councils are groups for residents to meet privately to discuss
issues related to the nursing … Although not all nursing homes have Resident Councils,
residents have a legal right to form and participate … Nursing home staff may also be able to use technology to
collect information about resident interests … Tablets and other devices also let families share photos, videos, and music
with the resident.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - Right now we are mostly involved if the resident has an injurious fall. … We look at fall prevention one resident at a time. … receiving therapy, the resident and his or her family, and the MDS coordinator. … We work together as a team with a constant focus on resident safety. … the resident was engaged in at the time of the fall, and suspected causes of the fall.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/scenarios-instr.html
March 01, 2017 - An empty resident room and/or bed.
A indwelling urinary catheter, its tubing, and drainage bag. … Each scenario involves caring for a fictional resident with an indwelling urinary catheter. … This resident can either be the CPR mannequin or another staff member who volunteer. … Scenario Answer Key
Scenario 1
A staff member comes in to say "hi" to the resident. … The staff person does not perform hand hygiene or put on gloves, but proceeds to touch the resident.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/infographic.pdf
March 01, 2017 - Use the smallest catheter
size that will allow good
drainage for the resident. … T
Training for Catheter Care
Train staff, resident, and family. … Care Planning
Consider alternatives to using a
urinary catheter when developing
individual resident … Every resident deserves a
chance to be catheter-fre
e
and infection-fre
e.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - COPD 4 X X X X X X 1 X X 2 2 1
Resident D 80 1 Gastroenteritis 1 GI bleed 3 X X X X X X 2 X 1 1
Resident … A 11/11/2013 Angina X X X X X
Resident B 11/20/2013 UTI X X X X 1
Resident C 11/15/2013 Anemia X X … X X X X 1
Resident D 11/13/2013 COPD X X X X X 1
Resident G 11/2/2013 Gastro-
enteritis
X X X X … X X X
Resident G 11/11/2013 Fracture X X 1
Resident J 11/20/2013 G tube
replacement
X X X 1
Resident … Resident T 11/30/2013 Asthma X X X X X X 1 1
Resident Y 11/30/2013 Laceration X X
Total reasons 21
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - COPD 4 X X X X X X 1 X X 2 2 1
Resident D 80 1 Gastroenteritis 1 GI bleed 3 X X X X X X 2 X 1 1
Resident … A 11/11/2013 Angina X X X X X
Resident B 11/20/2013 UTI X X X X 1
Resident C 11/15/2013 Anemia X X … X X X X 1
Resident D 11/13/2013 COPD X X X X X 1
Resident G 11/2/2013 Gastro-
enteritis
X X X X … X X X
Resident G 11/11/2013 Fracture X X 1
Resident J 11/20/2013 G tube
replacement
X X X 1
Resident … Resident T 11/30/2013 Asthma X X X X X X 1 1
Resident Y 11/30/2013 Laceration X X
Total reasons 21
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Slide 7
Resident Risk Factors for Falls
Previous falls.
Diminished strength. … Things about the resident (e.g., review medications). … Slide 14
Pitfalls
Forgetting to do a falls assessment for a resident. … Failing to make a new falls assessment and care plan for a resident who has fallen.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - transferring facility)
Treatments provided in the nursing home prior to transfer
Providers who saw the resident … Sample Transfer Note
Resident Name:
Transfer Date:
Transfer Time:
Transfer to:
|_ … Physician's Assistant
|___| Respiratory Therapist
|___| Other
|___| Transfer requested by resident … to the nursing home, to use it in reporting, and to facilitate improved monitoring and management of resident … The Intake Note is completed for each resident returning from a hospital admission, ED visit, or observation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - Falls Risk
• Section 2: Falls Prevention Plan
• Section 3: Investigations/Root Cause Analysis of Resident … vendor and have decided to use these reports to create electronic risk
information to help prevent resident … Is a standardized assessment tool used to assess resident risk for falls? … was found on (e.g., wet
floor, uneven terrain)
Description of resident gait
Resident footwear … Rehab Department Internal Review
Postfall Assessment Summary by Resident
17.
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - Assessment and Management of the Resident With a Suspected Urinary Tract Infection
Assessment and … Management of the Resident With a Suspected Respiratory Tract Infection
Assessment and Management … of the Resident With a Suspected Skin or Soft Tissue Infection
Penicillin Allergies and Other Side
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
April 01, 2019 - Percentage of family members of long-stay residents reporting how often the resident looked and smelled … Average resident rating of how quickly the staff come when they call for help. … Whether the facility has resident councils, family councils, or both.
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - Consider the following example of an effective handoff:
A second-year resident is handing off their … patient to the night-team resident and shares that the patient is unstable; presents relevant background … The off-going resident also says the patient needs respiratory treatments every 2 hours, with arterial … The off-going resident then gives the receiving resident an opportunity to repeat the plan back and ask
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Other
Pressure Ulcer Trigger Summary Report: Resident Level
1. … Other
Risk Change Report: Resident Changes and Declines From Prior Week
1 … Internal review to confirm awareness of resident behavior changes
8. … Other
Resident Clinical, Functional, and Intervention Profile Report – 4-Week View
… Resident change in condition reviews
2.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Presentation: Program Overview
Assessment of the Resident With a Suspected Respiratory Tract Infection … large airways; 90% caused by viruses.
‹#›
Assessment of RTI
4
Case 1: Sandy
75-year-old resident … Place the resident on standard and droplet precautions—this means she will need her own room. … Test the resident’s roommate, anyone else with close exposure to the resident, and any of the residents … x ray does not show any acute changes to suggest pneumonia
What do you think is going on with this resident
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - The Physician Orders for Life Sustaining Treatment (POLST) form is the best-accepted method to record resident … or without positive urine culture)
Upper respiratory infection (common cold)
Bronchitis or asthma in resident … symptoms
Suspected or proven influenza in absence of secondary infection
Respiratory infections in resident … They include:
- a positive urine culture in an asymptomatic resident
- a positive urine culture ordered … Note that resident/family/staff education is important because some people assume antibiotics are the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - , a senior
surgical resident, one surgical intern, and two fourth-year medical students
(n = 9). … never
discovered by a senior resident. … Thus, all the discernable resident
responses involved few overt or sustained reactions. … or resident team.” … For example, a junior resident should not be making
intern mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-summary.pdf
January 01, 2025 - staff discuss
ways to keep residents safe, tell someone if
they see something that might harm a
resident … Overall Perceptions
of Resident Safety
82%
of respondents reported that residents are
well cared … this is a
safe nursing home for
their family.
70%
Yes
22%
Maybe
7%
No
Overall Rating on Resident
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.docx
October 01, 2016 - Nursing home prescribing clinicians: If a resident is suspected of having an infection, the nurse should … statement about antibiotic resistance trends (see tool 4) together with any other information about that resident … Non-urgent hospital transfers: Provide a copy of the antibiogram with transfer paperwork when a resident … procedures
Procedures for residents suspected of having an infection
Procedures for transferring a resident