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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Explain catheter care and maintenance strategies that facility staff can use to prevent residents from … Slide 3: Protecting Residents Against Infection
The Chain of Transmission: Six Links
Image: It … associated with increased risk of infection in residents include—
Lower level of cleanliness . … Also think about where the dispenser is stored – can residents access the wipes? … Clean environment and clean equipment keep residents safe.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Overall Perceptions of Resident Safety Residents are well cared for and safe. … and keep residents
safe, because there is not much staff turnover. … YES, I work directly with residents most of the time 2,003 66%
NO, I do NOT work directly with residents … (Item D1) 86%
This nursing home does a good job keeping residents safe. … (Item A3) 24%
Residents’ needs are met during shift changes.
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - When staff, residents, and family members have mastered effective communication, everyone on the team … must care for those residents. … Slide 22: Communication Strategies for Use With Residents and Family Members
Say:
Next we will … Slide 24: What Is Effective Communication Between Staff and Residents and Family? … to speaking up that many staff and residents and family have noted.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - • Especially consider in residents who received antibiotics
in previous 60 days and have one or more … How to Isolate Culture-positive Residents:
• Limit time outside of room for C. difficile positive resident … How to Isolate Culture-positive Residents:
• Do not use contact precautions in the absence of a
draining … How To Isolate Culture-positive Residents:
• Do not use contact precautions in the absence of
a draining
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Communication
About Incidents
83%
reported that staff “always” or “most of the
time” discuss ways to keep residents … reported they “strongly agree” or “agree”
there are enough staff to handle the workload,
meet residents … ’ needs during shift changes,
and keep residents safe, because there is not
much staff turnover.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - with >1 ulcer will appear multiple times)
Can be filtered to display residents at the unit and facility … with at least one pressure ulcer
Denominator: Number of all current residents
% of Residents With New … Pressure Ulcers
Numerator: Number of current residents with a pressure ulcer that developed during the … With More Than One IHA Pressure Ulcer
Number of Residents With More Than One POA Pressure Ulcer … Were these residents identified as at risk for delayed healing of their pressure ulcers?
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - of large central
metropolitan areas received worse care than residents of large fringe
metropolitan … ♦ For one-third of quality measures, residents of micropolitan and noncore
areas received worse care … than residents of large fringe metropolitan areas … ♦ For a little less than 20% of quality measures, medium and small
metropolitan residents received … worse care than residents of large fringe
metropolitan areas.
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - Residents with urinary catheters have bacteria in their bladders—usually just colonizing the bladder … It provides detailed definitions for the constitutional criteria for long-term residents; for example … SBAR can be used with clinicians and with residents and families
4. … Slide 12: Using SBAR To Communicate With Residents and Families
Sometimes, residents and families … SBAR can be used to improve communication with residents and families.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/gurwitz.pdf
January 01, 2014 - Description
The prevalence of off-label use of atypical antipsychotic drugs
among the 1.6 million residents … of U.S. nursing homes is
extraordinarily high; nationally, over 20% of all nursing home
residents … stakeholders, including facility leadership, prescribers and
consultant pharmacists, nursing staff, and residents … Antipsychotic use among nursing home residents.
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healthcare411.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
December 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … increase the implementation of evidence-based infection prevention and safety practices to protect residents … Fall 2020, nearly one-quarter of the known COVID-19 deaths in the United States have been nursing home residents … Advanced age, underlying frailty, and communal living conditions make nursing home residents especially
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - at risk
Helps clinicians see changes in resident status earlier, and identify residents at risk before … they fall
October 2017
On-Time Falls Prevention
7
Falls High-Risk Report
How many residents triggered … How many residents at highest risk are cognitively impaired? Have no cognitive impairment? … How many residents at highest risk had a change in status during the report week? … Who Fell Total Residents With >1 Fall Total Falls
Unit A
# falls
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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Hospital admission also is a concern for three million nursing home residents who are affected by HAIs … These infections are particularly problematic in nursing homes because residents are older and more prone … The 5-year PROTECT Trial (Protecting Nursing Home Residents from Infections and Readmissions)—a cluster … Universal decolonization includes using over-the-counter antiseptic solutions to clean the skin and nose of residents
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … This includes all residents, whether or not they have a catheter. … collected at the same time each day.
0
Urine Cultures:
Number of urine cultures collected, for all residents … ________ (e.g., 10/1/2015)
Date
CAUTIs
(# of new events)
Resident Catheter Days
(# of residents … w/catheters)
Resident Days
(# of residents)
Urine Cultures
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - And we care about antibiotic stewardship in long-term care because our residents are suffering ill effects … going to bring in a resident who has acquired some bacteria in the hospital that can endanger other residents … Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … Sometimes residents and families can be the ones driving inappropriate antibiotic use. … Engaging and educating residents and families is a crucial part of a successful stewardship program.
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healthcare411.ahrq.gov/nursing-home/tg/learning-modules/health-learning.html
December 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Home
Nursing Home COVID-19 Action Network
Learning Modules
Nursing Home Residents … Topic
Learning Modules
Emotional & Organizational Support for Staff
Nursing Home Residents
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healthcare411.ahrq.gov/nursing-home/hc/learning-modules/health-learning.html
November 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Home
Nursing Home COVID-19 Action Network
Learning Modules
Nursing Home Residents … Topic
Learning Modules
Emotional & Organizational Support for Staff
Nursing Home Residents
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healthcare411.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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healthcare411.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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healthcare411.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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healthcare411.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.