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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
December 01, 2017 - Exclusions
Exclude from report calculations and displays residents who do not have a minimum of 75 … Additional exclusions follow:
Residents no longer being treated at the facility, which includes residents … (This will be used to identify which residents appear on subsequent reports.) … (This will be used to identify which residents appear on subsequent reports.) … (This will be used to identify which residents appear on subsequent reports.)
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - self-assessment worksheet that identifies details about current processes at the facility to identify residents … The team discusses residents populated on the report to ensure that data on the report agree with staff … knowledge of residents' health/risks. … focuses on detailed information for any resident and can be used to provide a clinical history for residents … reports is optional, but these reports provide more insight on the clinical and intervention history of residents
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
December 01, 2017 - Exercise #2: Report Information
Using the table below, answer the following questions:
How many residents … How many residents have weight loss within the last 30 days? … How many residents experienced ≥10% weight loss in the last 6 months? … Return to Additional Exercises Contents
Exercise #3: Prioritize Residents for Followup
Using the … table below, prioritize residents for followup.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - condition
___ Other (specify): ____________________________________________________
When are residents … ___ Other (specify): ____________________________________________________
Do you screen all residents … Yes ___ No _X_
Do you screen residents for pressure ulcer risk with the following diagnoses? … Yes _X_ No ___
Paralysis: Yes ___ No _X_
Section 2: Pressure Ulcer Prevention Plan
For residents … Do you develop a care plan for residents at risk of developing a pressure ulcer?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - Moving, Transferring, or Lifting Residents
Equipment or assistive devices are available when
needed … to help move, transfer, or lift residents. … (Item WPA3)
Staff clean their hands before and after helping
residents with personal care. … Moving, Transferring, or Lifting Residents 89% 8.97% 50% 78% 85% 92% 95% 97% 100%
2. … are available when
needed to help move, transfer, or lift residents.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - Moving, Transferring, or Lifting Residents
Equipment or assistive devices are available when
needed … to help move, transfer, or lift residents. … (Item WPA3)
Staff clean their hands before and after helping
residents with personal care. … Moving, Transferring, or Lifting Residents 89% 8.97% 50% 78% 85% 92% 95% 97% 100%
2. … are available when
needed to help move, transfer, or lift residents.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
January 01, 2019 - Overall perceptions of resident safety Residents are well cared for and safe. … and keep
residents safe, because there is not much staff
turnover. … • Most respondents (74 percent) indicated they had direct interaction with
residents. … Compliance With Procedures
Staff follow standard procedures to care for residents. … Interaction With Residents (Tables B-9, B-11, B-12)
• Respondents without direct interaction with residents
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - Overall perceptions of resident safety Residents are well cared for and safe. … and keep
residents safe, because there is not much staff
turnover. … • Most respondents (74 percent) indicated they had direct interaction with
residents. … Compliance With Procedures
Staff follow standard procedures to care for residents. … Interaction With Residents (Tables B-9, B-11, B-12)
• Respondents without direct interaction with residents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Lawrence Schonfeld,
Audrey Nelson, Stephen Luther
Abstract
Objectives: Most elderly nursing home residents … Several studies report that between 40 and 80 percent of nursing home
residents who use wheelchairs … This could possibly affect the wheelchair seating status of residents. … The
changing profile of nursing home residents: 1985–
1997. Aging Trends 2001;4:1–8.
3. … Improving posture
and function among wheelchair bound nursing home
residents.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - clinicians are encouraged to continue to
implement an antibiotic time out on a regular basis for all residents … Techniques to improve
communication, both among staff members and between staff members and residents … Everyone in the facility who is involved in prescribing antibiotics and caring for residents
receiving … It is important to remember
that most stewardship interventions will not include enough residents to … each month to understand what
changes may need to occur in guiding the
treatment of future residents
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
April 01, 2016 - Residents meeting either one of the criteria will display as medium risk ; residents meeting both … Not all nursing homes weigh residents weekly. … There are two reports: medium- and high-risk residents. … The sample report is for medium-risk residents. … Only the report for the medium-risk residents is shown.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
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? … SAY:
It is difficult to obtain clean catches of urine from many nursing home residents who are frail … Alternatively, some residents have a normal baseline temp lower than the normal 98.6 degrees.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase1_Assessment_and_Planning_final.doc
June 02, 2025 - This information will help tailor the program to the prescribers caring for residents in a specific nursing … · Communicate with area hospitals that frequently care for the nursing home’s residents when they are … antibiogram is that it can be made available to outside facilities and prescribing clinicians who care for residents … transferred to hospitals.
· Nursing home residents are frequently transferred to emergency departments … and key prescribing clinicians;
2) establishing a process to send the nursing home’s antibiogram with residents
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
June 01, 2012 - NOTES
NOTES
4
Working Toward a Safe Environment
Reporting changes helps keep residents as safe as … Residents are most
safe – protected from harm or injury – when it is normal and accepted that care … A Safe Environment
› Reporting changes helps keep residents safe.
› Learning and experience are what … We all care about the residents in our nursing center. … In practice, however, care teams communicate
about residents in many ways.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - after additional clinical data are available.
2
UTI Management
2
Asymptomatic Bacteriuria
3
Residents … UTI Management
Asymptomatic Bacteriuria, continued1
Asymptomatic bacteriuria affects around 50% of residents … Nitrofurantoin is safe for use for uncomplicated cystitis and can be used in residents with reduced renal … was harmed or had the potential to be harmed (“near-miss”) by an antibiotic
Review the Talking With Residents … Supporting Materials
Urinary Tract Infections and Asymptomatic Bacteriuria one-pagers
Talking With Residents
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - using results of diagnostic tests
Discuss reasonable durations of antibiotic therapy for pneumonia for residents … of long-term care settings
2
Management RTI
2
Risk Stratification
Residents in generally good health … Residents who meet any of the following criteria are at risk of pneumonia with more resistant infections … clinicians and other frontline staff
Apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents … each month
Supporting Materials
Talking With Residents and Family Members About Lower Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - In addition, although SBP is required by the ACGME
as one of the core competencies that residents must … Many programs train residents in SBP through brief seminars, courses, or field trips to managed
care … There does not seem to be a concentrated effort to integrate SBP into
residents’ clinical training, … that are often overlooked by today’s busy residents. … sharing
detailed knowledge of workarounds with the next generation of residents.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - Only
residents who meet criteria for high fall risk will display on the
report. … How many residents at highest risk for injurious fall are
cognitively impaired? … 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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
December 01, 2016 - Residents meeting either one of the criteria will display as medium risk; residents meeting both criteria … 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 Pressure Ulcer. … Number of Residents With More Than One IHA Pressure Ulcer.
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www.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