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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/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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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/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/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/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/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/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/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
October 01, 2016 - Resident Days Number of Antibiotic Rx Number of Antibiotic Rx divided by Number of Resident Days Number of Residents … Antibiotic name] [Antibiotic name] [Antibiotic name]
Jan In each cell, enter the number of prescriptions or 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/infographic.pdf
March 01, 2017 - Implement a process to
see whether residents
need catheters. … To assist in healing of
open sacral or perineal
wounds in incontinent
residents
For acute urinary … HAIs/CAUTI provides guides, tools and educational videos that will help you provide safer care
for 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/sites/default/files/wysiwyg/nhguide/5_TK2_T5-Concise_Antibiogram_Toolkit_Comprehensive_Antibiogram_Template.xls
May 01, 2014 - Template
Aminoglycosides B-Lactams Cephalosporins Quinolones Others
Gram (-) # of Residents … Aminoglycosides Penicillins Cephalosporins Macrolides Quinolones Others
Gram (+) # of Residents
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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/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/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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
March 01, 2017 - Team members, employees, residents, and family
members should feel encouraged to speak up. … Assess and share project data to encourage, inspire,
and motivate the facility staff, residents, and
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T5-Concise_Antibiogram_Toolkit_Comprehensive_Antibiogram_Template.docx
May 01, 2014 - Template
Aminoglycosides
B-Lactams
Cephalosporins
Quinolones
Others
Gram (-)
Number of Residents … Aminoglycosides
Penicillins
Cephalosporins
Macrolides
Quinolones
Others
Gram (+)
Number of Residents
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-chap4.html
November 01, 2014 - Most respondents (71 percent) indicated they had direct interaction with residents. … Interaction With Residents
As shown in Table 4-3 , most respondents (71 percent) indicated they had … direct interaction with residents.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T2-Prescribing_Clinician_Survey_Phase_1.doc
May 01, 2014 - the prescribing clinicians—physicians, nurse practitioners, and physician assistants—caring for our residents … How long have you been providing care for residents at this facility, [NURSING HOME NAME]? … What percentage of your week is spent caring for nursing home residents?