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www.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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www.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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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/posters.html
June 01, 2021 - posting in common areas and work stations, and also can be shared with prescribing clinicians as well as residents … Making With Associated Questions (PDF, 298 KB)
The poster below is primarily intended for residents
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www.ahrq.gov/nursing-home/materials/prevention/emergency-preparedness-plans.html
May 01, 2022 - and captures an all-hazards approach to meeting the health, safety, and security needs of staff and residents … Letter to Families (Word, 30 KB) to help nursing homes update the emergency contact information for residents
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - presentation will focus on Step 4, which involves engaging frontline staff to talk about how they think residents … Improving the culture of safety involves identifying events in which residents were harmed or could have … One of the residents in your facility develops pain with urination. … Residents can get sick on the wrong therapy.” … This leads to unnecessary antibiotics prescribed for residents with positive urine cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
February 10, 2014 - Residents meeting either one of the criteria will display as medium risk; residents meeting both criteria … Numerator: Number of residents with at least one pressure ulcer
Denominator: Number of all current residents … % of Residents With New Pressure Ulcers. … It includes residents who previously had not had a pressure ulcer and developed one and residents with … Number of Residents With More Than One IHA Pressure Ulcer.
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www.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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
December 01, 2017 - Denominator: Number of all current residents. … % of Residents With New Pressure Ulcers:
Numerator: Number of current residents with a pressure … Denominator: Number of all current residents. … Number of Residents With More Than One IHA Pressure Ulcer. … Number of Residents With More Than One POA Pressure Ulcer.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - Report Purpose
The Falls High-Risk Report provides clinicians with a weekly snapshot of residents … How many residents at highest risk of a fall are cognitively impaired? … How many residents at highest risk had a change in status during the report week? … Residents are identified as at highest risk of falls based on the three rules defined below. … In addition, the report displays the total number of residents who fell, the total number of residents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - Infection prevention strategies apply to all residents, regardless of their medical condition or indication … ]
· Before and after having direct contact with residents
· Before handling medication
· Before and … Infection rate and colonization with antibiotic-resistant organisms in skilled nursing facility residents … For residents who are catheterized long term, would switching to a suprapubic catheter be appropriate … Developing a bladder management program for rehab residents, for example, helps prevent UTIs, bladder
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - Infection prevention strategies apply to all residents, regardless of their medical condition or indication … Alternatives to Indwelling Urinary Catheterization
For residents who are catheterized long term, … Residents and family members will need education and emotional support when transitioning to a suprapubic … Developing a bladder management program for rehab residents, for example, helps prevent UTIs, bladder … Never share a urine collection container between residents.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
March 01, 2017 - Team members, employees, residents, and family members should feel encouraged to speak up. … What's Working
Assess and share project data to encourage, inspire, and motivate the facility staff, residents
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manap14.html
December 01, 2017 - Information and Training for Staff, Primary Care Providers, and Residents and their Families
Chapter … Staff should use behavior management skills with residents who have unsafe behaviors.
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www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
October 01, 2016 - problems that nursing homes may wish to address are high rates of prescribing for specific infections or residents … Identify
an Infection
Help Prescribing Clinicians Choose the Right Antibiotic
Educate Residents … Suspected UTI SBAR
Working with a Lab to Improve Antibiotic Prescribing
Educate and Engage Residents …
Comprehensive Antibiogram
X
X
X
X
Residents
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/diabetes.html
June 01, 2018 - Residents of the second income quartile could achieve the benchmark in 11 years. … Residents of the third income quartile could achieve the benchmark in less than 12 years. … than for White residents in all income quartiles. … than White residents in the lowest income quartile. … The only group to achieve the benchmark was API residents in the highest income quartile.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - overuse; and
Demonstrate communication strategies that address antibiotic alternatives with providers, residents … a growing problem and that antibiotics can have harsh side effects
CUS
Advocate for individual residents … Slide 9: Consider What Residents and Families Are Actually Saying 2-5
Educate residents and families … Ensure that residents' needs for pain relief and other supportive care are met.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
October 01, 2016 - Research shows that somewhere between 50 and 70 percent of residents in a nursing home will receive at … Think about your residents for a minute. … How many residents would you say you can name? … They are a threat to more than the residents in the nursing home themselves. … Alternatively, some residents have a normal baseline temp of lower than the normal 98.6 degrees.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Among female residents compared with male residents. … influenza immunization was lower:
Among Black and multiple-race residents compared with White residents … In age groups 0-64, 75-84, and 85 and over, Asian residents were less likely than White residents to … In both years, residents ages 0-64, 65-74, and 75-84 were more likely than residents age 85 and over … Hispanic residents compared with White residents.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
December 01, 2023 - The COVID-19 pandemic called nationwide attention to the vulnerability of nursing home residents to viral … Myriad factors, including patient-to-staff ratio and shared living spaces, increase residents’ exposure … She realized the way nursing homes responded to COVID-19 could influence the health outcomes of residents
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - care planning efforts on residents with the most changes in the last week. … It focuses on the highest risk to prioritize residents most likely to fall. … The report also displays the total number of residents who fell, the total number of residents who had … Total Residents Who Fell . … Total Residents With >1 Fall.