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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - Does the team meet after rounding to compile the results of the assessments and plan resident care? … The first video shows the wound nurse and the nurse manager before and after rounds for one resident. … Are resident charts and other documents/sources mentioned in the video taken off the unit for use by … Resident information was available from the Risk for Delayed Healing Report. … Interdisciplinary rounds enhance resident, family, and staff satisfaction.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - Senior leadership engagement is listening, learning, and partnering with staff to improve resident safety … Discusses resident risks identified in the Staff Safety Assessment with team members. … Senior leaders need to hold themselves and staff members accountable for reducing resident risks. … As a result, their interest in and the skills they contribute to the resident safety project will vary … Answer: Increased resident safety and improved quality of life, improved resident and family satisfaction
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Factors
EXAMPLE TABLE – Moment 1: Does my resident have symptoms that suggest an infection? … Factors
Moment 1: Does the resident have symptoms that suggest an infection? … Re-evaluate the resident and review the results of diagnostic tests. Can we stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptII.pdf
January 01, 2025 - Addressing Inappropriate Resident Behavior Toward Staff 71% 73% 68%
6. … Addressing Inappropriate Resident Behavior Toward Staff 68% 72%
6. … Addressing Inappropriate Resident Behavior Toward Staff 65% 70% 76%
6. … Addressing Inappropriate Resident Behavior Toward Staff 51% 46% 79%
6. … Addressing Inappropriate Resident Behavior Toward Staff 72% 67% 66%
6.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-appendixes.pdf
January 01, 2025 - Addressing Inappropriate Resident Behavior Toward Staff 71% 73% 68%
6. … Addressing Inappropriate Resident Behavior Toward Staff 68% 72%
6. … Addressing Inappropriate Resident Behavior Toward Staff 65% 70% 76%
6. … Addressing Inappropriate Resident Behavior Toward Staff 51% 46% 79%
6. … Addressing Inappropriate Resident Behavior Toward Staff 72% 67% 66%
6.
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www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
January 01, 2024 - The script included a bed-bound nursing home resident in need of
personal care for soiled briefs. … across nursing leadership on the use of
the transfer form; and lack of easily retrievable electronic resident … were captured: 1) case identification, 2)
preparation of the isolation room, 3) treatment of the resident … Assuming perfect compliance, additional labor costs
range from less than $20 to almost $200 per resident … Our analysis of MDS
data revealed that 2% of NH discharges to ACHs involved a resident with an active
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Methods: At morning rounds during two 6-week periods, OB/GYN resident physicians were
asked to complete … Resident
physicians in medicine—through confidential peer interviews with other frontline providers … This project was undertaken to assess the ability of resident physicians to identify AEs
and medical … A senior resident physician led morning work rounds. … During rounds, the senior resident
reviewed patients cared for at the hospital with house staff from
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
October 01, 2016 - Sample Monthly Summary Reports
Month Number of Resident Days Number of Antibiotic Rx Number of Antibiotic … Rx divided by Number of Resident Days Number of Residents Receiving Antibiotics for UTI (incl.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
June 02, 2025 - © 2001 Barbara Bates-Jensen
Resident ID: On-Time Pressure Ulcer Assessment
Date of Admission … Occurrence:
Present on Admission (POA)
In-House Acquired (IHA)
Site of Ulcer:
Position of Resident … When Assessed:
Guidelines suggest consistent positioning of the resident over time to enhance assessment … Adherent, soft, black eschar
5= Firmly adherent, hard, black eschar
Resident … Improving
No change
Worsening
Comments
Resident
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - We talk to the resident and staff to figure out what happened when that resident fell or how that pressure … Trigger Summary Reports—Resident and Unit Level. … The Resident Clinical, Functional, and Intervention Profile Report shows a resident-level detailed clinical … Trigger Summary Reports—Resident and Unit Level. … Profile risks for each resident in the report.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - In nursing homes, the typical
resident uses an average of 6 different medications, and 20 percent use … Of all ADEs and potential ADEs, 1.39 per 100 resident-
months are deemed fatal, life-threatening, or … Changes in
hospitalization associated with introducing the
Resident Assessment Instrument. … Development
of the nursing home Resident Assessment Instrument
in the USA. … Resident Assessment Protocols (RAPs) targeted by GRAMTM and evaluated in
Figure 1.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/guide.html
March 01, 2017 - Tool Senior Leader Checklist
Tool Learn from Defects
Engaging Senior Leaders Around Your Resident … Audience: Long-Term Care facility administrators and leaders
Topic: Engaging Senior Leaders Around Your Resident … During a staff meeting, ask team members to discuss how they currently engage senior leaders around resident
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/hand-hygiene-slides.html
March 01, 2017 - Moments for Hand Hygiene 2-3
Image: Guide on hand hygiene in LTC facilities-
Before initial resident … /resident environment contact. … After resident/resident environment contact.
After body fluid exposure risk. … body site to a clean body site
Do not wear the same pair of gloves for the care of more than one resident … Interacting with the resident or environment before handling the urinary device may contaminate hands
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - director can draft a caution alerting
prescribers to avoid these drugs unless culture results from the resident … Selection of empiric therapy in a particular resident
should not be based solely on an antibiogram. … Refer to
microbiologic lab results for %S information for a specific resident. … Refer to lab results for specific susceptibility of individual resident isolates. … If chosen for empiric therapy, you
should prescribe only a 24–72-hour supply and reassess the resident
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - Obstructive Pulmonary Disease Exacerbations
Diagnosis
• A COPD exacerbation should be considered in a resident … 72 hours of each other.5
• Distinguishing COPD exacerbations and community-acquired pneumonia in a resident … less likely to cause Clostridioides difficile infection
compared to alternate options19-21
− If a resident … oral second and third generation
cephalosporins22
− Fluoroquinolones are discouraged unless the resident … prophylaxis should be made on a case-by-case basis taking into account
frequency of exacerbations, resident
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.pdf
September 01, 2024 - Transferring, or Lifting Residents (3 items) (Cronbach’s alpha = 0.84)
• Addressing Inappropriate Resident … 1 2 3 4 5 9
2
Section C: Addressing Inappropriate Resident Behavior Toward Staff
Inappropriate … resident behavior toward staff includes:
• Inappropriate physical contact toward staff, such as residents … Staff are trained to identify triggers or situations
that could lead to inappropriate resident
behavior … There are good procedures to keep staff safe
from inappropriate resident behavior ................
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - Skin or wound meeting
No, unless the resident has a pressure ulcer
ADON
Nursing – A
Rehab – … Nurse Manager: Isn't every resident at risk? … It's a lot of work to keep track of what's been done for each resident and to have an updated picture … Or, what if they attended for just a few minutes to provide an update on the resident? … The On-Time reports can help you look at the risk factors that the resident had before they developed
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - Prevention—speech and swallow evaluation
Antibiotics
Respiratory support
Treatment
· Aspiration event and the resident … · Aspiration event and the resident becomes unstable
· The following signs are indicative of unstable … above).2
Prevention
· Measures that may reduce risk of aspiration events include positioning the resident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Other measures included resident discomfort, mobility, and posture. … Resident Ergonomic Assessment Profile for Seating (REAPS). … Resident leans forward 2 21 2 9
7. Resident leans to side 12 11 10 22
8. … Question # 6, “Does resident lean
forward?” … , and question #7, “Does resident lean to side?”
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - We anticipated training 90% of resident physicians at each
study site in I-PASS techniques; adherence … To assess the rate of handoff-related adverse events, we systematically approached front-line
resident … Limitations
Our project does have some important limitations in that we focused on resident physician … Discussion
We found that adaptation and implementation of the I-PASS handoff bundle for resident … I-PASS Handoff Curriculum: Core Resident Workshop.
MedEdPORTAL Publications. 2013.