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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - 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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pcmh.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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pcmh.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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pcmh.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/antibiotic-tool.html
September 01, 2017 - This decision support tool can help prescribers determine appropriate treatment for nursing home residents … Residents with an intermittent catheter or a condom catheter should be evaluated … 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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pcmh.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 … Thus inappropriate urine culturing can put residents at increased chances of developing drug-resistant … 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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pcmh.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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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
March 01, 2017 - 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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pcmh.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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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - 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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pcmh.ahrq.gov/nhguide/about/index.html
March 01, 2023 - 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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pcmh.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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pcmh.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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pcmh.ahrq.gov/news/newsroom/press-releases/sources-financial-strain.html
November 01, 2023 - Despite the enactment of the Affordable Care Act and its successes increasing insurance coverage, U.S. residents … To better understand the health-related financial burden on American residents, Didem M.
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - Frontline staff can use the pocket card while caring for residents to assess for signs and symptoms of … Also, clinicians can use it when evaluating residents for signs and symptoms of CAUTI. … side 1
Catheter-Associated Urinary Tract Infection
Criteria for defining CAUTI in long-term care residents … more (≥10 5 CFU/ml)
Slide 3: Pocket card side 2
*Constitutional Criteria for Long-Term Care Residents
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pcmh.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Recognize the importance of seeking input from all team members, including residents and their family … For example:
A daughter of one of the residents in your nursing home approaches a provider because she … This can occur after someone has had antibiotics and can be devastating in nursing home residents. … Here is an example:
A nurse notices that one of the residents in her facility, Mr. … K, I am calling about one of the residents.
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
March 01, 2017 - information while avoiding unnecessary details that may lead to confusion and leaving enough time for residents … Using information that is plainly understood should be a priority when speaking with residents and their … Times of observations and interventions should always be noted in the resident's record, and residents … Scenario #2
Mary, a nursing assistant, asks her colleague, Jessica, to help her reposition two residents … in bed
The two residents, Mrs.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - Receipt of Pneumococcal Immunization by Nursing Home Residents
Long-stay nursing home residents who … ♦ Among female residents compared with male residents. … residents … home residents … Black and Hispanic residents compared with White residents
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pcmh.ahrq.gov/talkingquality/resources/comparative-reports/nursing-homes.html
October 01, 2022 - ownership, inspection deficiency details, staffing details such as average hours worked per day per residents … for RNs, LPNs, LVNs and CNAs, and quality measures for residents, including percent of residents with
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pcmh.ahrq.gov/es/nursing-home/resources/search.html
January 01, 2022 - Family Members
(43)
Managers
(224)
Nursing Assistants
(141)
Nursing Technicians
(136)
Residents … the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … These videos are intended to assist nursing homes in overcoming vaccine hesitancy with their staff, residents … important preliminary results on the level of population risk and COVID-19 antibody response in older adult residents
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pcmh.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
March 01, 2014 - The residents give contradictory orders, and the ER staff becomes confused about whose orders they should … The residents begin to argue because each feels his plan of action is correct.