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digital.ahrq.gov/sites/default/files/docs/implementation/Horn.ppt
March 16, 2005 - Pressure Ulcer Long-term care Study (NPULS)
6 long-term care provider organizations
109 facilities
2,490 residents … studied
1,343 residents with pressure ulcer; 1,147 at risk
70% female, 30% male
Average age = 79.8 years … Long-Term Care Residents
with Agitation in Dementia
Recommended Practice
Use fewest number of … in one facility with weight loss
(5-10% in <=30 days, >10% in <=180 days)
3 (13%)residents treated … with combination therapy
12 (52%) residents treated with mono-therapy
8 (35%) residents received no
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digital.ahrq.gov/location/usa-fl-tampa
January 01, 2023 - Description
This project examined variability in voluntary movement paths of assisted living facility residents … to see if it was greater in patients who fell the week preceding their fall as compared to residents
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/requiring-physicians-respond
June 01, 1993 - health care effectivness/quality Summary: Settings: Thirty-one general internal medicine faculty, 145 residents … Intervention residents responded significantly more often than control residents to all reminders together … faculty, but the compliance rate for control faculty was significantly higher than the rate for control residents … for patients > or = 70 years old, with significant results for all tests, together and singly, for residents
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/take-notes-differential-ehr
September 01, 2001 - Descriptive-quantitative Summary: Settings: Academic Primary Care Teaching clinic for medicine and pediatric residents … forms for management of common diseases Quality of Care and Patient Safety Outcome: Internal medicine residents … (vs. pediatric residents) were more likely to believe that the system did not improve patient care ( … efficiency and productivity: Physician satisfaction was high among both groups, but internal medicine residents
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reminders-physicians
January 01, 1984 - Outcomes: Impact on health care effectivness/quality, Impact on health care access Summary: Settings: Residents … indications for six different actions per patient in 12 467 patients during a 2-year study: 61 study group residents … who received computer reminders responded to 49% of these indications; 54 control group residents, to … The intentions of the control residents did not.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2011
January 01, 2011 - Summary: Pressure ulcers and injurious falls have serious health and economic consequences for elderly residents … These resources will allow nursing home staff to intervene in a timely manner with at-risk residents … to include two additional tasks: 1) a review of literature and analysis of national data to identify residents … The most common problem was residents listed in the pressure ulcer records with no corresponding information
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-controlled-trial-2
April 01, 2005 - Evaluation Method: Surgical and medical residents were randomized to use a web-based computerized rounding … Residents may organize patient lists and enter detailed sign-out information and Òto doÓ lists about … In that time, residents familiarized themselves with the system and it was modified to better fit needs … Junior residents reported that they could then spend more time seeing patients before rounds.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mayo-smith-mf-et-al
January 01, 2023 - physicians versus nurse practitioners/physician assistants (87.6% versus 88.1%) but both were better than residents … With residents excluded, there were no differences between hospital and community-based clinics or between … characteristics, including professional training, demographics and provider attitude, although was lower among residents … compared to nurse practitioners/physician assistants (87.6% versus 88.1%) but both were better than residents
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2012
January 01, 2012 - track variability in everyday movements as an additional means to predict risk of falls for elderly residents … This project recruited 53 volunteer residents of two ALF facilities. … Medications, ADLs, residents’ history of falls, and Fractal D were entered as predictors in a multinomial … scale since the infrastructure need not be pervasive, individual tag costs are low, and more than 100 residents
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2011
January 01, 2011 - track variability in everyday movements as an additional means to predict risk of falls for elderly residents … This project recruited 53 volunteer residents from two ALF facilities. … Medications, ADLs, and residents' history of falls and Fractal D were entered as predictors in a multinomial … Results from the 53 subjects indicate that Fractal D is linked to future fall activity in ALF residents
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computers-exam-room-differences
January 01, 2007 - Summary: Settings: Veterans Administration (VA) primary care clinic Intervention: 11 internists and 12 residents … Description: Electronic medical records Ð no detailed description Facilitators: Faculty (opposed to residents … time with EHR due to greater experience Quality of Care and Patient Safety Outcome: Patients seeing residents
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-ambulatory-prescribing
Summary: Settings: Urban university-based resident-staffed clinic Intervention: Internal medicare residents … Residents evaluated actors trained to portray patients with musculoskeletal symptoms, their assessment … Six months after PDAs were distributed to residents, decision support system MedDecide, developed using
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system
January 01, 2023 - confirm the hypothesis that variability in voluntary movement paths of assisted living facility (ALF) residents … would be greater in patients who fell the week preceding their fall as compared to residents who did … Over a period of a year, the movements of 53 elderly residents in two ALFs were monitored and their falls … movement paths is related to cognitive impairment: wireless fractal estimation in assisted living facility residents
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
January 01, 2008 - How are changes in clinical practice using health IT associated with improved health outcomes for NH residents … beginning of the shift to provide quality resident care, understanding what needs to be done for the residents … shift, spending the right amount of time on shift report to communicate resident needs, aware of all residents … Minimum Data Set for Nursing Home Residents Feedback: Based on feedback from 26 MDS coordinators, the … pre- and 18-months post-health IT implementation data for the CMS quality measure (QM) for high risk residents
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015430-gurwitz-final-report-2008.pdf
January 01, 2008 - Ten community-based physicians provided care to long-stay residents. … The observer did not interact with either nurses or residents. … was 70.0
minutes per 20 residents (SD = 4.9). … per 20 residents (SD = 4.0), behavioral care: 68.0 minutes per 20
residents (SD = 3.6), and dementia … care: 50.0 minutes per 20 residents (SD = 2.7)).
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-nursing-home/annual-summary/2008
January 01, 2008 - The dearth of evidence about the value of IT in the care of nursing home residents and uncertainties … Ten community-based physicians provided care to long-stay residents. … During the 12 months of the trial, more than 800 residents were present on the participating units. … Physicians prescribing medications for residents in the intervention units received 274 alerts for a … Computerized clinical decision support during medication ordering for long-term care residents with renal
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/citation/tortuosity
January 01, 2023 - movement paths is related to cognitive impairment: wireless fractal estimation in assisted living facility residents
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesHorn2010.pdf
February 04, 2011 - prevalent, and preventable
condition that can reduce
quality, affect mortality for
nursing home residents … Recognizing residents who
are at high risk of
developing pressure ulcers
could prevent unnecessary … work
“On Time emphasizes together as a team in
communication; you communication and care
know the residents … OnTime
reduced the percentage of
residents with pressure
ulcers and led to closer bedside monitoring
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/friedman-cp-et-al-1999
January 01, 1999 - total of 216 physicians: 72 at each site, including 24 internal medicine faculty members, 24 senior residents … Larger increases (P = .048) were observed for students than for residents and faculty. … (5.9%)...The largest consultation effects were observed for the students, with smaller effects for residents … selected DSSs, the authors selected 12 faculty physicians (general internists); 12 internal medicine residents
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digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_in_2009_update_2.pdf
January 01, 2009 - The dearth of evidence about the
value of IT in the care of nursing home residents and uncertainties … Ten community-based physicians provided care to
long-stay residents. … During the 12 months
of the trial, more than 800 residents were present on the participating units. … Physicians prescribing medications for residents in the
intervention units received 274 alerts for a … Computerized clinical decision support during medication ordering for
long-term care residents with