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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation … Patient Safety Culture in Nursing Homes
• Safety culture influences staff as well as residents
► Overall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
January 20, 2008 - technology (IT)
infrastructure is needed to address the complex health care needs of nursing home residents … Respondents from 32/43
(74.4 percent) of larger homes with more than 120 residents used technology for … of medium-sized facilities (60 to 120 beds)
that completed surveys had technology for transferring residents … Technology may play an important role in identifying and tracking clinical services used by
residents … For example, telemedicine technologies had been
extensively used to reach Missouri residents living
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
January 29, 2021 - PROCESS: Peds Hospitalist Residents will use the Smart phrase: “.PEDSDCCONTACT” to enter
this information … • All current Peds Hospitalist Attendings, Residents and Interns have been given access
• Mark (star
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … antibiotic prophylaxis in patients who have short-and long-term urinary catheterization. 1 , 2
Moreover, residents … for urinary tract pathogens from the local hospital if you don't have antibiograms of cultures from residents … How does one have an appropriate conversation with the medical staff about placing residents on antibiotics … for asymptomatic bacteriuria, especially in those residents who always have a resistant organism each
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ce.effectivehealthcare.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 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … activity will help staff practice the catheter care skills highlighted in the "Catheter Types and Care for Residents … The collection receptacle should have the residents' name on it and only be used for that resident.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09logtxt.html
December 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Information and Training for Staff, Primary Care Providers, and Residents and their Families
Chapter … Falls Engineer Instructions
Instructions: Write in the names of residents who have been
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.docx
February 10, 2011 - There are several different types of doctors in training:
Residents have completed medical school and … Most residents complete at least 3 years of training, but some doctors, especially surgeons, complete … Interns are first-year residents.
Fellows choose to get advanced training in a specialty.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
May 16, 2013 - There are several
different types of doctors in training:
• Residents have completed medical school … Most
residents complete at least 3 years of training, but
some doctors, especially surgeons, complete … • Interns are first-year residents.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - demonstrates how attention to complete and thoughtful communication can significantly influence the care of residents … You get a call saying one of your residents is growing a multidrug-resistant organism in his urine. … Consider sharing the Delirium cards with residents and families as well. … Also, display the Four Questions To Ask Your Doctor or Nurse About Antibiotics in common areas where residents … Form, and frontline staff should apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - in the community have asymptomatic bacteriuria; this increases
to 25–50 percent in elderly female residents … Encourage incorporating daily device evaluation into team rounds (i.e., when both
residents and faculty
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - in the community have asymptomatic bacteriuria; this increases
to 25–50 percent in elderly female residents … Encourage incorporating daily device evaluation into team rounds (i.e., when both
residents and faculty
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
November 02, 2017 - are at high risk for falls,
• Develop interventions to prevent falls,
• Discuss at-risk residents … If residents are deemed to not be at risk for falls, are they reassessed at regular intervals? … Are care plans developed for all residents determined to be at risk of falling? … Does your facility have a policy to assess residents after falling? … knowledge of residents’ health/risks.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - dose, duration, and indication documented
27 of 42 (64%) 8 of 8 (100%)
Urine culture ordered for residents … prescribers and nursing staff
At least biannually, update when new policies or guidelines are released
Residents … complete the Staff Safety Assessment
Apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
December 20, 2016 - o During huddles with nurses, dietary staff, and nurse
assistants to discuss residents with healing … o During a brief with nurses, nursing assistants, and
Rehab to discuss residents with pressure ulcer … How long do the rounds (actually seeing the residents and
conducting the assessments) take? … o The Wound Nurse provides the number of residents that
were seen the prior week, and the Nurse Manager … The Nurse Manager had assembled a list of residents
to be seen and gathered all the residents’
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Information and Training for Staff, Primary Care Providers, and Residents and their Families
Chapter … Pain management
___ evaluate resident's pain level using appropriate pain scale for residents with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
April 24, 2017 - member of the Green Team who appears to be
overwhelmed by the task requirements of two demanding
residents … teammates have
come to offer her assistance, so you assume that they are
equally busy with their own residents … nurses’ station, where a
nurse has just reprimanded the recreation therapist for
bringing one of her residents
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Can you say with 100 percent certainty that your facility does everything it can to protect its residents … Frontline staff
Engage with leaders, residents, and families in safety improvement. … Tools for communicating with residents and family members. … resident in a wheelchair
Slide 12: Resident and Family Engagement
Methods and tools for working with residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - SAY:
One-third of residents receiving antibiotics for a “UTI” are asymptomatic. … Ideally, all long-term care facility residents should have a POLST accepted form on the chart and have … regardless of culture result
· any resident with an advance directive to not institute antibiotics
· residents … not with a culture but with increased fluid intake and improved toileting, and reserving cultures for residents
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ce.effectivehealthcare.ahrq.gov/policymakers/hrqa99c.html
October 01, 2014 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … hospitals, with the amount for each hospital weighted by the average number of full-time equivalent residents … with the treatment of more severely ill patients and the additional costs related to the teaching of residents … into account variations in case mix among children's hospitals and the number of full-time equivalent residents … with the treatment of more severely ill patients and the additional costs related to the teaching of residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - 2014 2014-2018
5
4.1 million Americans are admitted to nursing homes each year.
70% of nursing home residents … Strive to reduce preventable harm by identifying problems that cause harm to residents. … She spread the bacteria to other residents.
Where Are the Problems in This Case?