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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents … For Residents With a
Urinary Catheter … for other causes of delirium has
been performed and no other cause for delirium is
identified
For Residents … � For mental status changes (without vital sign changes or urinary symptoms
for noncatheterized residents … Development of minimum criteria for the
initiation of antibiotics in residents of long-term-care facilities
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
0%0% … Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & … Symptoms of a UTI
For Residents Without
a Urinary Catheter
� Dysuria
OR
� Fever (>100°F … Suprapubic pain
� Gross hematuria
� Costovertebral angle
tenderness
� Urinary incontinence
For Residents … � For mental status changes (without vital sign changes or urinary symptoms for
noncatheterized residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - Talking With Residents’ Family Members
These talking points are presented in Q&A format to encourage … an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members … Engage Residents and Family Members
III. … Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate & Engage Residents, Family Family … & Engage Residents, Family Family Toolkit/Tool 2 7
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents … These can also be shared with prescribing clinicians as well as residents and their family members. … Stewardship Team is encouraged to use Four Moments of Antibiotic Decision Making Form to review 5–10 residents … The residents reviewed should be individuals who are being evaluated for or treated for an infection.
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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
April 01, 2019 - Patient Safety Measures:
Percentage of low-risk, long-stay residents with pressure ulcers. … Percentage of residents with a urinary tract infection. … Effectiveness Measures:
Percentage of residents who lost too much weight. … Percentage of residents whose need for help with daily activities has increased. … Percentage of residents with worsening of a depressed or anxious mood.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - and Engage Residents and Family Members
Tool 6. … Materials: Make sure you have enough copies of the Talking with Residents and the Talking
with Residents … Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate & Engage Residents, Family … & Engage Residents, Family Family Toolkit/Tool 6 3
VI. … Supporting residents and family members.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - Skin and Soft Tissue Infections in Nursing Home Residents
Signs and Symptoms Associated
With … Skin and Soft Tissue Infections in Nursing
Home Residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - Discussing Infectious Concerns About Residents With Family Members and Caregivers
Discussing Infectious … Concerns About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving … end-of-life care as it relates to antibiotic use
Recognize supportive and comfort care measures for residents … each month
Supporting Materials
Talking With Residents and Family Members About Antibiotics poster … Patterns of antimicrobial use among nursing home residents with advanced dementia.
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www.qualitymeasures.ahrq.gov/nursing-home/materials/well-being/index.html
June 01, 2022 - Resident Well-Being
Best Practices to Help Nursing Home Residents and Their Families to Reduce the … Impact of Social Isolation
This document highlights ways nursing home staff can help residents and … Best Practices for Identifying and Managing Deconditioning in Nursing Home Residents
This resource … discusses ways nursing home staff can identify residents at high risk for deconditioning and work with … Supporting Nursing Home Residents’ Emotional Health Learning Module
This brief video will help you
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www.qualitymeasures.ahrq.gov/es/nursing-home/resources/search.html?page=4
January 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … COVID-19 Vaccines for Long-term Care Residents This webpage discusses the value of vaccination in the … long-term care setting for residents and staff. … Factors Associated With Racial Differences in Deaths Among Nursing Home Residents With COVID-19 Infection … FAQs About Visitation Considerations for Nursing Home Residents This document answers questions related
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-brochure.pdf
March 01, 2017 - • Residents and their families are
treated as individuals and as mem-
bers of the health care team … • Staff actively listen to residents
and families about what they want
and need
• Residents, families … possible
• Ask residents and their families
what they want in their care and
daily life
• Get to … know the needs and prefer-
ences of residents and their family
members
• Actively encourage residents … and their families to take part in
planning the residents’ care
• Ask residents and their families
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www.qualitymeasures.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … In nursing homes using the bathing routine, known as decolonization, two residents per month avoided … Nearly 14,000 residents were included in the study. … Nursing home residents are at high risk for HAIs due to age, wounds, medical devices, and other illnesses … No change in MDRO prevalence was detected in residents who lived in the nursing homes that used routine
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
March 01, 2017 - Explain the importance of engaging residents and family members. … for residents and families. … Helping residents articulate concerns. … and family members by designating residents as advisers. … Exploring the facility through the eyes of residents and their families by doing a "walkabout" with residents
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www.qualitymeasures.ahrq.gov/es/nursing-home/resources/search.html?page=1
January 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … ways nursing home staff can identify residents at high risk for deconditioning and work with them to … It also provides a sample decision tree for monitoring residents during daily encounters for signs and … This document highlights ways nursing home staff can help residents and families balance the need for … Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings This LeadingAge
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/engagemt-checklist.docx
March 01, 2017 - Communicate to residents and family that CAUTI reduction is a facilitywide priority. … Complete
Opportunities To Engage Residents and Family
Responsible Party
Notes
Invite residents … Explore the facility through the eyes of residents and their families by doing a “walk-about” with residents … Ask residents to help define what successful resident/family engagement will look like. … Include residents/family in team celebrations.
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/nh/index.html
August 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Resident Surveys
The CAHPS Nursing Home Surveys include two separate instruments for nursing home residents … This survey asks about the experiences of long-stay residents (more than 100 days) currently living in … This survey asks about the experiences of residents recently discharged from nursing homes after short
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - Do staff have the authority to do something about residents’ preferences? … ASK:
How can you do a better job communicating with residents and families? … SLIDE 29
SAY:
Some facilities have engaged residents and family members by designating residents as … and recognize the impact of changes in the facility on staff and residents. … and their families by doing a “walkabout” with residents and families.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/module-5-slides.pptx
March 01, 2017 - and family members
Describe different methods to engage residents and family members in safety initiatives … Does staff have the authority to do something about the residents’ preferences? … Are staff members allowed time to sit with residents and have meaningful conversation? … their involvement
Listen for the needs and preference of residents and their families
Give residents … and their family members can serve as advisors
Residents, family members, and prospective residents
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/guide.docx
March 01, 2017 - Materials: Slides 12–13
Audience: All staff, including administrators and frontline staff; residents … Discuss how staff can support residents and family to get to know the team. … Talk about any barriers or concerns that staff or residents have concerning fully engaging residents … Discuss ways your facility successfully communicates with residents and families. … Discuss opportunities to improve communication with all residents and family.
-
www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Intervention, Measuring Change
Collecting Microbiologial Specimens
Discussing Concerns About Residents … with health care practitioners, and discussing infectious concerns about residents with family members … Antibiotic Prescribers (presentation and narrated presentation)
Discussing Infectious Concerns About Residents … and Measuring Change
Collecting Microbiological Specimens
Discussing Infectious Concerns About Residents