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www.qualitymeasures.ahrq.gov/talkingquality/resources/comparative-reports/nursing-homes.html
October 01, 2022 - Nursing homes are assigned scores on the following quality measures: resident satisfaction and quality … information about the quality of care provided by nursing homes in Rhode Island, including information on resident … and Medicare and Medicaid certifications; and quality measures, such as staffing, health inspections, resident … Users of this report can compare nursing homes based on their overall quality of care, resident and family
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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/module2/facilitator-notes.docx
March 01, 2017 - Senior leadership engagement is listening, learning, and partnering with staff to improve resident safety … Hold all staff accountable for carrying out agreed-upon activities designed to reduce resident harms. … Senior leaders need to hold themselves and staff members accountable for reducing resident risks. … Answer: Increased resident safety and improved quality of life, improved resident and family satisfaction … SLIDE 23
SAY:
Use the 4 Es when recruiting a senior leader for the resident safety team.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - The Resident and Family Member Education toolkit helps the nursing home (1) encourage an open and respectful … provided in both a:
Long version ( PDF ) ( Word ) and a
Short checklist version. ( PDF ) ( Word )
Resident … risks associated with unnecessary antibiotic use to treat a suspected UTI (tool 5). ( PDF )
Managing Resident … When a resident has tested positive for drug-resistant bacteria, the Resident Information Sheet (tool
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - The resident
examines the patient and finds her to be dilated 3 cm. … The senior resident tells the intern to order Prostin and insert
it. … The nurse asks the resident to insert the catheter. … The resident asks whether she can have “15 minutes to eat lunch.” … Sixty minutes later, the resident begins
the workup on the patient.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/practice/pledge.html
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 … Tell my supervisor if I think a resident or staff member is sick. … 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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
March 20, 2014 - Scenario 3
The on-call third-year internal medicine resident was sitting
in the break room talking … with the chief resident when an
Intensive Care Unit (ICU) code was announced over the
intercom. … The chief
resident arrived first and was receiving information about the
patient while examining … the patient, when the on-call
resident reached the room and began calling out orders to
the nurses … The OR nurse approaches the resident to discuss
what happened.
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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-care/cathetercare-maintenance.pptx
March 01, 2017 - [CLICK]
The catheter itself can act as a key highway or interstate for microbes to get into that resident … This is very important because interacting with the resident or the environment before handling the urinary … Additionally, the container is for that resident only, so be sure to label it with a resident-identifier … For example, where should the bag be placed if a resident is in a wheelchair? … In support of resident safety, seeking task assistance is expected.
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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/module2/guide.docx
March 01, 2017 - Assessment
· 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.qualitymeasures.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.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
May 01, 2017 - Spanish) describe how to apply the Comprehensive Unit-based Safety Program (CUSP) for long-term care resident … Teamwork and Communication
Provides evidence on why teamwork and communication enhances resident safety … Resident and Family Engagement
Defines resident-and family-centered care, explains why it is important … Get To Know Your Health Care Team ( Word , 2.39 MB; HTML ) (en español: Word , 2.38 MB)
Resident
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www.qualitymeasures.ahrq.gov/nhguide/about/index.html
March 01, 2023 - antibiotic medications alone, one study showed that antibiotic stewardship saved $28 on antibiotics per resident … consideration the potential costs of treating adverse health events, the cost savings was $1,098 per resident … The result is increased resident mortality, hospitalizations, and costs. … antibiotics prescribed in nursing homes are unnecessary. 3 Because it can be challenging to determine when a 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/infection-prevention/precautions/ppe-quiz-key.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident … PPE should be worn during all resident care activities.
☐ True
☒ False
8.
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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/precautions/ppe-quiz.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident … PPE should be worn during all resident care activities.
☐ True
☐ False
8.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 04, 2021 - ASSESS RESIDENT POPULATION AND STAFFING MODEL
Identify staffing needs with a review of your current … workforce and resident population during the COVID-
19 pandemic. … Conduct a brief review of census, occupancy, and resident location. … . ♦
• Align current staffing model with occupancy and resident needs to determine efficiency of staff … Review care schedules, nursing processes, and resident acuity to determine
essential and non-essential
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - PowerPoint Presentation
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term … hematuria, new or worsening urinary incontinence)
+
UTI Management
Case 1: Melba
Melba is an 88-year-old resident … Can cause diarrhea
14
Fosfomycin
UTI Management
14
Case 2: Billy
Billy is a 83-year-old resident … All antibiotic prescriptions that come from the hospital should be re-evaluated when the resident transfers … the Learning From Antibiotic-Associated Adverse Events form and encourage staff to use this when a resident
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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/assessment.docx
March 01, 2017 - Definitions:
· Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in … Date: __________________________________
Resident Name: _________________________
Date of Catheter Insertion … >99°F on repeated occasions, or >2°F over baseline); can be used to meet CAUTI criteria even if the resident
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - The nurse receives the order from the resident on call. … the attending later realizes that the order was given without his consent, he raises his voice to the resident … As you think about this scenario, DESC is an appropriate tool to use in the following way:
D: "I (resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - time” discuss ways to keep residents safe, tell
someone if they see something that might
harm a resident … this a
safe nursing home for their family.
70%
Yes
22%
Maybe
8%
No
Overall Rating on Resident