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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/scenarios-instr.html
March 01, 2017 - activity will help staff practice the catheter care skills highlighted in the "Catheter Types and Care for Residents … The collection receptacle should have the residents' name on it and only be used for that resident.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - year, or include common infection-causing organisms even when they were not isolated
in nursing home residents … The second column shows the number of residents in the
nursing home who had the organism and were included … Yellow highlighting in any row
indicates that fewer than 30 residents were included in the set of cultures … 34 * 30 0 # of Residents 37 33 31 *† 23
Pe
ni
ci
lli
ns
Penicillin 0 100
A
m
in
og
ly
co … Our antibiogram report indicates high rates
of resistance among diagnostic isolates from our residents
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME],
we will begin providing … prescribing clinicians will take the antibiogram into account when they
are choosing therapy for their residents … PROVIDED (IN PRINT BY
MAIL OR FAX, BY EMAIL) AND WHETHER IT WILL BE SENT WITH
COMMUNICATIONS ABOUT RESIDENTS
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME], we will begin providing … prescribing clinicians will take the antibiogram into account when they are choosing therapy for their residents … provided (in print by mail or fax, by email) and whether it will be sent with communications about residents
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - and lower respiratory tract infections are the most commonly treated infections among nursing home residents … 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 … 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.
1.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - Leaders, clinicians, frontline staff, and residents and families should be included in the process in … Additional tools and resources to engage residents and families in the program to reduce CAUTIs and other … Engaging not only leadership, but nursing staff, frontline staff, and residents and families in monitoring … Assess and share program data to encourage, inspire, and motivate the facility staff, residents, and … Evaluating team engagement and communication with one another, residents, and families is an ongoing
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb4_qualitytrends.html
June 01, 2018 - who have moderate to severe pain
-37.037
-39.223
2013
Long-stay nursing home residents who lose … too much weight
-26.042
-24.515
2013
Low-risk long-stay nursing home residents who lose control … with a urinary tract infection
-30.882
-20.592
2013
Low-risk long-stay nursing home residents … with moderate to severe pain
-27.7778
-3.66089
2013
Long-stay nursing home residents with too … much weight loss
-17.7083
-2.76303
2013
Low-risk, long-stay nursing home residents with loss
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es.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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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.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - suspected respiratory tract infection
Identify indications for antibiotics and supportive care measures for residents … Test the resident’s roommate, anyone else with close exposure to the resident, and any of the residents … During the winter months, all residents with fever and cough should be tested for influenza. … Clear communication regarding decision making with residents and family is key, and supportive measures … Utility of pulse oximetry in diagnosing pneumonia in nursing home residents.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - home residents with physical restraints MDS 2019
Short-stay nursing home residents with moderate to … home residents with physical restraints MDS 2019
Short-stay nursing home residents with moderate to … Among residents of micropolitan areas: 375.3 per 100,000 population.
Among residents of noncore … Among residents of micropolitan areas: 147.1 per 100,000 population.
Among residents of noncore … population.
Among residents of micropolitan areas: 157.4 per 100,000 population.
Among residents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - Conclusion: This
proactive methodology actively engaged surgical residents in quality improvement as … Surgeons (residents and staff) were oriented during existing scheduled meetings. … Therefore, two separate meetings were arranged,
one with floor staff and one with surgical residents … • Limited knowledge among surgical residents regarding appropriate medication dosages
for older … Make current medication lists more easily available to residents.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
September 12, 2017 - o Transfer Risk Reports (high- and medium-risk residents)
provide a weekly snapshot of residents at … • Prioritize residents for possible changes to their treatment
plan. … o How do you pick up on subtle changes in residents’ risk
status? … agrees with
their knowledge and assessment of these residents. … appear on the reports who
should not be there, residents are missing from reports, residents are
less
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - Prioritize residents for possible changes to their treatment plan. … How do you pick up on subtle changes in residents’ risk status? … with their knowledge and assessment of these residents. … appear on the reports who should not be there, residents are missing from reports, residents are less … Prioritize residents who may need changes to care plans.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Among female residents compared with male residents. … residents. … In age groups 0-64, 75-84, and 85 and over, Asian residents were less likely than White residents to … among nursing home residents. … Hispanic residents compared with White residents.
-
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/research/findings/final-reports/21264-Aparasu-draft-1.pdf
July 31, 2018 - 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.
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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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdf
January 01, 2006 - Given the medical complexity of
nursing home residents, the use of multiple medications may be clinically … A recent study of residents in 18 Massachusetts nursing homes estimated 1.89 adverse
drug effects (ADEs … Frail, older nursing home residents
represent a vulnerable population, and their medication profiles … The workload of consultant
pharmacists is approximately 1,000 residents per month. … Of residents experiencing preventable ADEs, 26% were on
antipsychotics, 18% were on antidepressants,