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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident … Results can also be discussed at the Infection Prevention and Control, Resident Safety, and Performance … leadership, quality assurance/performance improvement, infection prevention, bedside caregivers, and the resident … ☐ ☐
Is the urine collection device dated, with a resident identifier? … Using the responses to contributing factors above, what contributed to the resident developing a CAUTI
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www.qualitymeasures.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 will clean my hands before and after resident contact
and after certain procedures according to my … Step 2: I will disinfect surfaces and equipment to kill germs
before and after using it on a resident … • Keep surfaces and equipment clean and sanitized.
• Tell my supervisor if I think a resident or staff … • Use the resident’s insulin pen for only that resident. … If a resident needs to be started on additional infection prevention
precautions, I will explain these
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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/measurement-sets.html
November 01, 2018 - Medicaid program, which includes nearly all nursing homes in the United States, must submit periodic resident-level … These include:
The health and functioning of the resident. … The services being provided to the resident.
Changes in the resident’s status. … Home Surveys assess the experiences of nursing home residents and family members:
The Long-Stay Resident … The Short-Stay Resident Instrument assesses the experiences of residents who stayed less than 30 days
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
March 01, 2017 - Teamwork
Staff Empowerment
Teamwork and Communication
Resident and Family Engagement
2. … Training & Skills
Staff Empowerment
Sustainability
Resident and Family Engagement
5. … Handoffs
Teamwork and Communication
Resident and Family Engagement
7. … Overall Perceptions of Resident Safety
Resident and Family Engagement
Sustainability
11. … Overall Ratings
Resident and Family Engagement
Sustainability
Publication
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … The resident not only had a heart attack but has developed a rash and acute kidney injury. … The resident likely did not need any antibiotics. … SAY:
Let’s first consider what happened to our resident. … The resident was transferred to long-term care on oral, not intravenous, antibiotics.
2.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - Antibiotic days should be presented as a rate with the denominator being 1,000 resident days of care … These can also be measured as the number of antibiotic starts per 1,000 resident days of care or as the … Antibiotic starts are the number of new antibiotic prescriptions started in a resident. … If a resident receives two different antibiotics, count each as a start. … If a resident started amoxicillin on the first of the month for 5 days and then had a new prescription
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - PowerPoint Presentation
Clean Equipment and Environment
Promotes Safe Resident Care
Training Module … HAIs/CAUTI
Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident … (Portal of Exit)
Mode of Transmission
Entry of New Resident
(Entry Portal)
Resident
(Reservoirs … (Portal of Exit)
Mode of Transmission
Entry of New Resident
(Entry Portal)
Resident
(Reservoirs … The takeaway here is to dedicate one urine measuring device to each resident.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/scenario-instr.docx
March 01, 2017 - Supplies
· CPR mannequin or a staff member volunteer
· An empty resident room and/or bed
· A indwelling … 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.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/discussion.html
October 01, 2019 - The survey can help facilities assess staff perceptions of resident safety culture and track changes … These surveys can be used to:
Raise staff awareness about resident safety and why it is so important … Thank all of the staff for their participation in assessing the current resident safety culture by taking … Discussion questions:
Who else knows of a situation in which a resident has been inadvertently harmed … Results from the AHRQ database track changes in staff perceptions of resident safety culture over time
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - There are a few questions that put the issue of resident safety in real terms. … Would you want a loved one to be a resident there? Would you want to be a resident there? … How do you think the next resident could be harmed in your facility? … Slide 12: Resident and Family Engagement
Say:
In the Resident and Family Engagement module, we … How can you integrate across projects to improve resident safety?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_ig_msmt.pdf
October 18, 2017 - In the case of
TeamSTEPPS, results include resident outcomes, such as
the number of pressure ulcers … and resident perceptions of
care, and clinical process outcomes, such as the number of
structured … Observing the nursing staff placing orders to the pharmacy or
reconciling resident medication orders … • Clinical process measures, such as length of resident wait
time, medication administration … the impact of resident safety interventions.
-
www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes. … shows a positive relationship between staff empowerment and resident quality of life. … This leads to happier staff, which increases resident satisfaction and perception of care. … advocates and can recognize and respond to resident needs in real time. … satisfaction and resident safety.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/module-3-slides.pptx
March 01, 2017 - Objectives
Cite staff empowerment concepts
Discuss how staff empowerment contributes to a culture of resident … Care: HAIs/CAUTI
Long-Term Care Safety Modules
Staff Empowerment | 7
7
Relationship Between Resident … Empowerment | 8
8
Staff Empowerment
Increased job satisfaction, lower job turnover
Increased resident … Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes. … Does Empowering Resident Families or Nursing Home Employees in Decision Making Improve Service Quality
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiological-cultures.pdf
June 01, 2021 - method
o Always clean urethral meatus prior to collection
o Consider collecting urine after the resident … Ask the resident to rinse his/her mouth out with water before collection and tell the resident you need
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
May 10, 2017 - found wandering during the night,
which was a change for this resident … and the plan of care to ensure resident
safety. … wandering during the night, which was a change for this resident … wandering during the night, which was a change for this resident … wandering during the night, which was a change for this resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - Addressing Inappropriate Resident Behavior Toward Staff (3 items)
4. … The one we [have sometimes
tilts] over when we try to get
a resident up.” … Staff [are] treated
differently depending on who
they are.”
49
Addressing Inappropriate Resident … behavior
63
Composite Measure Average 66
Addressing Inappropriate Resident Behavior
Toward Staff … “Staff are burned out
and tired, so this
means resident care is
not what it should be.”
57
Overall
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - These tools utilize microbiologic data from resident
specimens from a nursing facility to estimate prevalence … • Selection of empiric therapy in a particular resident should not be based solely on an antibiogram … Antibiograms provide guidance for empiric antibiotic use in residents, but other factors including
resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - R., a 92-year-old long-term care resident. She fell out of bed tonight. … Come in on the weekend and evaluate the resident.
B. … Come in on the weekend and evaluate the resident.
B. … Your assessment and impression of the resident is a critical part of the communication, and directly … affects health care practitioner responses and resident outcomes.
23
Communicating With Prescribers
-
www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/tool.html
March 01, 2017 - The facility will ensure that the medical care of each resident is supervised by a physician who assumes … Each resident shall remain under the care of a physician and shall be provided care that meets prevailing … nourishing and well-balanced meals to meet the daily nutritional and special delivery needs of each resident … He or she oversees the cleanliness of resident rooms and common facility areas as well as the appropriate … handling/laundering of facility linens and resident clothing.