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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - ' needs during shift changes, and
keep residents safe. … (Item D1) 80%
This nursing home does a good job keeping residents
safe. … (Item D6) 82%
This nursing home is a safe place for residents.
(Item D8) 84%
3. … (Item A7) 67%
Staff have enough training on how to handle difficult
residents. … (Item A3) 22%
Residents' needs are met during shift changes.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI (CAUTI): subrapubic pain and fever; residents … blood cells)
· A positive urine culture is defined as ≥100,000 cfu/mL of a urinary pathogen4 (≥1,000 in residents … catheter is in place, remove and replace it before sending UA and culture4
· Do not start antibiotics in residents … Encourage oral hydration.1
· Consider phenoazopyridine (pyridium) to relieve urinary pain.11
· For residents … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities
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www.ahrq.gov/es/nursing-home/resources/search.html?page=12
January 01, 2022 - the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … Consent - Families This template letter can be used by long-term care facilities to gain consent from residents … Testing Guidelines for Nursing Homes: Interim SARS-CoV-2 Testing Guidelines for Nursing Home Residents … Tips for Keeping Residents Engaged This resource provides tips for nursing home staff to keep residents … many innovative solutions designed at the state level to protect our nation’s vulnerable nursing home residents
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Discussing Infection Concerns About Residents With … SAY:
In this presentation, we are going to discuss some scenarios that may occur when talking with residents … Finally, we will discuss approaches to providing supportive and comfort care measures for residents who … Most residents will improve with supportive care alone. … Acknowledging these struggles may help some residents and families find some measure of peace.
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www.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Improved Use of Telehealth but Overuse of Emergency Departments Found Among Assisted Living Residents … Improved Use of Telehealth but Overuse of Emergency Departments Found Among Assisted Living Residents … Access to care among assisted-living facilities residents is the subject of two AHRQ-funded articles … assisted-living facilities may rely on nearby emergency departments to provide nonemergency care to residents … , potentially placing residents at risk of adverse events and generating wasteful Medicare spending.
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www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - However, for frail elderly residents, these medications bring
substantial risk. … , and 59,000 Hispanic
residents. … disorder
diagnoses than for other residents. … , for residents with physical aggression,
verbal aggression, or bipolar disorder. … Medicare atypical antipsychotic drug claims for elderly nursing home residents.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
March 01, 2017 - Information needed to keep residents safe should be received, understood as intended, and shared at the … Residents are more likely to experience higher levels of satisfaction and follow care plans. … No jargon: using language the residents/families can understand. … Image: A resident in a wheelchair
Slide 27: Barriers to Speaking Up for Staff, Residents, and Families … Using tools, such as TeamSTEPPS, can improve communication and teamwork with staff, residents, and residents
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-apsumm.html
November 01, 2014 - Interaction with residents.
Shift worked most often.
Tenure in nursing home. … Interaction With Residents ( Tables B-9 , B-11 , B-12 )
Respondents without direct interaction … with residents had a higher average percent positive response across the composites (73 percent) than … those with direct interaction with residents (66 percent)
Respondents without direct interaction … to recommend this nursing home to friends than respondents with direct interaction with residents
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME],
the minimum criteria … Residents with an intermittent catheter or a condom catheter should be evaluated as if
they are not … For residents
with acute dysuria, it may be appropriate to initiate empirical antibiotic therapy; but … For residents that regularly run a lower temperature, use a temperature of 2°F (1°C)
above the baseline … These criteria do not apply to residents with burns.
8.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - Although residents with specific UTI symptoms like dysuria usually need treatment, urinalyses and cultures … [footnoteRef:4],[footnoteRef:5],[footnoteRef:6],[footnoteRef:7] In addition, residents with asymptomatic … Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among residents of nursing homes in … Infections in residents of nursing homes. Infect Dis Clin N Am. 2007;21:761-2. … Nursing home residents and Enterobacteriaceae resistant to thirdgeneration cephalosporins.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - As you know, UTIs are the most commonly treated infection among nursing home residents, but
proper diagnosis … Although residents
with specific UTI symptoms like dysuria usually need treatment, urinalyses and cultures … Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among
residents of nursing homes … Infections in residents of nursing homes. … Nursing home residents and Enterobacteriaceae resistant to
third-generation cephalosporins.
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www.ahrq.gov/news/newsroom/case-studies/cdom1201.html
October 01, 2014 - implementing the "On-Time Quality Improvement in Long-Term Care" (On-Time) Program, the percentage of residents … integrates clinical reports into nursing home workflow using health information technology to identify residents … These strategies allow staff to intervene in a timely manner with at-risk residents to reduce the incidence … standup" huddles that have been held since the program was implemented, CNAs visibly advocated for their residents … most often-if not all the time-have the most salient information about the functional status of the residents
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www.ahrq.gov/nursing-home/resources/search.html?page=13
January 01, 2022 - the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … long-term care facilities and nursing homes, and when and how to use it correctly to help protect staff and residents … Vaccination and Testing Series This series of two learning modules focuses on considerations for when to test residents … for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents. … nursing home staff to track and trend COVID-19 vaccine administration data, including boosters, for both residents
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www.ahrq.gov/nursing-home/resources/search.html?page=11
January 01, 2022 - the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … This Spanish-language template letter can be used by long-term care facilities to gain consent from residents … Supporting Nursing Home Residents' Emotional Health This learning module will help you recognize when … Taking Care of You: Tips for Residents of Long-Term Care Facilities This resource for residents of long-term
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - When staff, residents, and family members have mastered effective communication, everyone on the team … must care for those residents. … This can include a review of residents with an indwelling urinary catheter, the approved indication for … When staff involve residents and families in the resident’s care planning, the resident is more likely … Encouraging the residents and family to ask questions, and offering positive reinforcement when they
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - 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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www.ahrq.gov/downloads/monahrq/pdf/MONAHRQ_v60_ReleaseNotes.pdf
March 31, 2015 - Home Health
Inspections NH-HI-05 —
Overall quality Nursing Home Quality NH-QM-OA-01 —
How many residents … had new
pressure sores or sores that got worse
Nursing Home Quality
NH-QM-SS-02 678
How many residents … nursing home stay, got a flu vaccine
if needed
Nursing Home Quality
NH-QM-SS-03 680
How many residents … had new
pressure sores or sores that got worse
Nursing Home Quality
NH-QM-LS-03 678
How many residents … nursing home stay, got a flu vaccine
if needed
Nursing Home Quality
NH-QM-LS-04 680
How many residents
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - SCOPE: Despite significant use of anticholinergic medications in elderly nursing home residents, little … The research focused on elderly nursing home
residents with depression, because underlying diseases … Nursing Facilities, Staffing, Residents and Facility Deficiencies 2009
through 2014. … Estimating the cognitive ability of nursing home residents from the
minimum data set. … Characteristics of elderly nursing home residents
with depression in the United States.