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  1. www.qualitymeasures.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.
  2. Core-Discussion-Key (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion-key.docx
    March 01, 2017 - Facilitator Notes For example, staff will sometimes forget to clean and disinfect equipment between residents … Facilitator Notes For example, educate staff about the importance of cleaning/disinfecting equipment between residents … Inform the residents that staff will be cleaning and disinfecting equipment between residents to ensure
  3. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
    March 01, 2017 - Explain catheter care and maintenance strategies that facility staff can use to prevent residents from … Slide 3: Protecting Residents Against Infection The Chain of Transmission: Six Links Image: It … associated with increased risk of infection in residents include— Lower level of cleanliness . … Also think about where the dispenser is stored – can residents access the wipes? … Clean environment and clean equipment keep residents safe.
  4. www.qualitymeasures.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.
  5. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
    March 01, 2017 - An estimated 7 to 10 percent 3 of all LTC residents have urinary catheters, including 12 percent 4 … How will it help you care for residents? … CAUTIs and other HAIs into the policies and procedures related to the care of residents' needs. … Infections in residents of long-term care facilities: an agenda for research. … Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 through 2014 .
  6. www.qualitymeasures.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
    October 01, 2016 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … Antibiotics Help Prescribing Clinicians Choose the Right Antibiotic Educate and Engage Residents … Antibiograms should be shared with all health care providers who may prescribe antibiotics for residents … This includes residents’ physicians, but may also include local hospitals, urgent care facilities, or … other inpatient facilities to which residents may be transferred.
  7. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
    June 01, 2021 - infiltrates on chest x ray usually indicates viral pneumonia5,6 • Fewer than 15% of nursing home residents … cough suppressants, fluids, supplemental oxygen, nebulizer treatments, chest physical therapy • Residents … with influenza should receive oseltamivir16 • Residents who are generally in reasonable health and … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities … Utility of pulse oximetry in diagnosing pneumonia in nursing home residents.
  8. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - When staff, residents, and family members have mastered effective communication, everyone on the team … must care for those residents. … Slide 22: Communication Strategies for Use With Residents and Family Members Say: Next we will … Slide 24: What Is Effective Communication Between Staff and Residents and Family? … to speaking up that many staff and residents and family have noted.
  9. Facilitator-Notes (doc file)

    www.qualitymeasures.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
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
    January 01, 2023 - Communication About Incidents 83% reported that staff “always” or “most of the time” discuss ways to keep residents … reported they “strongly agree” or “agree” there are enough staff to handle the workload, meet residents … ’ needs during shift changes, and keep residents safe, because there is not much staff turnover.
  11. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/practice/pledge.html
    March 01, 2017 - I pledge to keep the residents' environment and equipment clean to help stop the spread of germs from … I will explain to residents and their families that cleaning surfaces and equipment helps prevent the … residents with the same germs. … It's okay to discuss alternatives to antibiotics with prescribers and residents. … It's okay for residents to ask if an antibiotic is truly needed.
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - Does information exist to identify residents at risk? How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … 2014 On-Time Overview 6 6 Common Elements of On-Time EMR used to develop reports that identify residents … with recent changes in risks Profile risks for each resident in report Prioritize residents for possible … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
    June 01, 2021 - No. 17(21)-0029 June 2021 • Only collect bacterial cultures from residents … • Bacteria growing in urine or sputum in residents without
  14. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/guide-8-11.html
    September 01, 2020 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … existing teach-back resources, develop a training program for pharmacy staff and/or medical students/residents
  15. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.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.
  16. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-clostridioides-difficile.pdf
    June 01, 2021 - low-grade fevers and leukocytosis) to severe or fulminant colitis.2,3 • Up to 50 percent of nursing home residents … Treatment • Residents with positive CDI tests who do not have symptoms of CDI should not be treated … for CDI.2,5 • Transfer residents with severe or fulminant CDI to an acute care setting.1,6 − Severe … CDI.1 − Loose or soft stool may persist for weeks to months following treatment for CDI.13,14 − For residents … transmission of epidemic and nonepidemic Clostridium difficile strains among long-term care facility residents
  17. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
    April 01, 2017 - Residents with urinary catheters have bacteria in their bladders—usually just colonizing the bladder … It provides detailed definitions for the constitutional criteria for long-term residents; for example … SBAR can be used with clinicians and with residents and families 4. … Slide 12: Using SBAR To Communicate With Residents and Families Sometimes, residents and families … SBAR can be used to improve communication with residents and families.
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
    March 01, 2017 - information is exchanged between individuals, departments, or organizations Information needed to keep residents … Positively affect outcomes, perceptions of quality, and resident safety Residents are more likely to … Complete, clear, brief, and timely No jargon: using language the residents/families can understand Making … , and residents’ families Effective teamwork and communication decreases medical errors, improves outcomes … and improves satisfaction for staff, residents and resident’s families Improved communication and teamwork
  19. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
    March 01, 2017 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … 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. … Using tools, such as TeamSTEPPS, can improve communication and teamwork with staff, residents, and residents
  20. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
    December 01, 2014 - meeting either one of the criteria are categorized as medium risk; residents meeting both criteria are … True False Residents who have not been weighed during the report week cannot display on the High-Risk … with the specified trigger for the week displayed as a percentage of the total number of residents on … True False Residents must meet at least two triggers during the report week to display on the report. … same residents who display on the Nutrition Medium-Risk Report.

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