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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/improve/specimens.html
June 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Intervention, Measuring Change
Collecting Microbiologial Specimens
Discussing Concerns About Residents … quality samples, are key components to the appropriate diagnosis and, when indicated, treatment of residents
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … C
Catheter Removal
Think about catheters in any of your residents. … Implement a process to see whether residents need catheters. … Indwelling Urinary Catheter
To assist in healing of open sacral or perineal wounds in incontinent residents … HAIs/CAUTI provides guides, tools and educational videos that will help you provide safer care for residents
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/core-discussion-key.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Facilitator Notes
For example, staff will sometimes forget to clean and disinfect equipment between residents … Facilitator Notes
For example, educate staff about the importance of cleaning/disinfecting equipment between residents … Inform the residents that staff will be cleaning and disinfecting equipment between residents to ensure
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=474
January 01, 2024 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Physical restraint use declined significantly from 1999 to 2008 in NH residents with severe cognitive … Correspondingly, antipsychotic use in the same residents increased more in NHs that were subject to public … The effects of public reporting on physical restraints and antipsychotic use in nursing home residents … The relationship between Older Americans Act in-home services and low-care residents in nursing homes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
September 08, 2017 - Long-term care residents Yes No
B. Short-term care residents Yes No
C. … Do you develop a care plan for residents at risk for hospital transfers? … Standing daily weight orders for residents with CHF? Yes No
ii. … Standing rescue orders for residents with COPD? Yes No
iv. … knowledge of residents’ health and risks.
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ce.effectivehealthcare.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … When this occurs, it is harder to treat infections, and residents may develop complications. … At the same time, nursing home residents are at high risk for developing complications associated with … prescribing clinicians follow the best guidelines for making clinical decisions about nursing home residents … are present in a nursing home and which antibiotics are effective for treating an infection
Educate residents
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … billion for hospitalizations. 4 CAUTI is a common, costly, and potentially life-threatening HAI for LTC residents … An estimated 7 to 10 percent 5 of all LTC residents have urinary catheters, including 12 percent 6 … Infections in residents of long-term care facilities: an agenda for research. … model for reducing infections and antimicrobial resistance in skilled nursing facilities: focus on residents
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … communication strategies to address alternatives to antibiotic use with providers, long-term care staff, and residents … Stewardship educational video
This 5-minute educational video promotes antibiotic stewardship among residents … brochure ( PDF , 814.2 KB)
A brochure to help facility staff communicate with residents and families
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/infographic.pdf
March 01, 2017 - Implement a process to
see whether residents
need catheters. … To assist in healing of
open sacral or perineal
wounds in incontinent
residents
For acute urinary … HAIs/CAUTI provides guides, tools and educational videos that will help you provide safer care
for residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - Infection prevention strategies apply to all residents, regardless of their medical condition or indication … ]
· Before and after having direct contact with residents
· Before handling medication
· Before and … Infection rate and colonization with antibiotic-resistant organisms in skilled nursing facility residents … For residents who are catheterized long term, would switching to a suprapubic catheter be appropriate … Developing a bladder management program for rehab residents, for example, helps prevent UTIs, bladder
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
December 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … The COVID-19 pandemic called nationwide attention to the vulnerability of nursing home residents to viral … Myriad factors, including patient-to-staff ratio and shared living spaces, increase residents’ exposure … She realized the way nursing homes responded to COVID-19 could influence the health outcomes of residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.pdf
October 01, 2016 - information about the antibiogram in instructions related to communication with physicians
about residents … training at the nursing home for:
• Antimicrobial stewardship policies and procedures
• Procedures for residents … Antimicrobial stewardship policies and procedures
Procedures for residents suspected of having
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Leaders, clinicians, frontline staff, and residents and families should be included in the process in … Additional tools and resources to engage residents and families in the program to reduce CAUTIs and other … Assess and share program data to encourage, inspire, and motivate the facility staff, residents, and … Evaluating team engagement and communication with one another, residents, and families is an ongoing
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ce.effectivehealthcare.ahrq.gov/nursing-home/learning-modules/covid-id-prevention.html
December 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Topic
Learning Modules
Emotional & Organizational Support for Staff
Nursing Home Residents … frontline nursing facility staff when and how to report potential signs and symptoms of COVID-19 in residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptx
March 01, 2017 - Because they are used for residents who can void they are not appropriate for treating urinary retention … before you begin.
_______________________________________
Additional Notes
Research has shown that residents … For female residents, apply topical lidocaine for comfort, if needed. … Don’t use the residents bed. Then, remove your gloves and cleanse your hands. … lubricant onto tray
Catheter Insertion │ 9
To help prevent CAUTIs and the spread of MDROs to residents
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - Information and Training for Staff, Primary Care Providers, and Residents and their Families
Chapter … The key indicators for the FMP are outcome measures that include falls, residents who fall, residents … Key indicators for the FMP
Number of falls each month
Number of residents who fall each month … Number of residents with two or more falls each month
Number of falls with serious injury each month … Perceptions of residents and family members are important indicators of customer satisfaction and should
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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/antibiotic-tool.html
September 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … This decision support tool can help prescribers determine appropriate treatment for nursing home residents … For residents
with acute dysuria, it may be appropriate to initiate empirical … Yes 13
No 12
Notes:
For residents who regularly run a lower temperature … These criteria do not apply to residents with burns.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
March 01, 2017 - Team members, employees, residents, and family
members should feel encouraged to speak up. … Assess and share project data to encourage, inspire,
and motivate the facility staff, residents, and
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ce.effectivehealthcare.ahrq.gov/topics/patient-and-family-engagement.html
Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … The Toolkit To Educate and Engage Residents and Family Members is one of four toolkits in the Nursing … nursing home encourage an open and respectful dialogue between nurses and prescribing clinicians and residents … and their family members and helps residents and family members participate in their care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.doc
January 01, 2011 - guidelines exist for uncomplicated urinary tract infections (UTIs), this classification should not include residents … Complicated UTIs should include at a minimum: UTIs in residents with indwelling urinary catheters, recent