-
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.
-
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
-
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.
-
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.
-
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 .
-
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.
-
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.
-
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.
-
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
-
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.
-
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.
-
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
-
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
-
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
-
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.
-
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
-
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.
-
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
-
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
-
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.