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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Slide 6: Problem Statement 5
Up to 70% of residents in a nursing home receive one or more courses … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … Slide 11: CDC Core Elements: Education 10
Engage and educate residents and families on antibiotic … B – Background
A – Assessment
R – Recommendation
Image: Screen shot of a brochure for residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
January 29, 2021 - PROCESS: Peds Hospitalist Residents will use the Smart phrase: “.PEDSDCCONTACT” to enter
this information … • All current Peds Hospitalist Attendings, Residents and Interns have been given access
• Mark (star
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … AHRQ) created On-Time Falls Prevention to help nursing homes with electronic medical records identify residents
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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/module1/safety-modules.pptx
March 01, 2017 - Can you say with 100 percent certainty that your facility does everything it can to protect its residents … to learn and practice using teamwork and communication tools
Frontline staff
Engage with leaders, residents … Communication
Concepts and tools to improve communication among LTC team members
Tools for communicating with residents … Applying Safety Principles | ‹#›
11
Resident and Family Engagement
Methods and tools for working with residents
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … antibiotic prophylaxis in patients who have short-and long-term urinary catheterization. 1 , 2
Moreover, residents … for urinary tract pathogens from the local hospital if you don't have antibiograms of cultures from residents … How does one have an appropriate conversation with the medical staff about placing residents on antibiotics … for asymptomatic bacteriuria, especially in those residents who always have a resistant organism each
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation … Patient Safety Culture in Nursing Homes
• Safety culture influences staff as well as residents
► Overall
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - demonstrates how attention to complete and thoughtful communication can significantly influence the care of residents … You get a call saying one of your residents is growing a multidrug-resistant organism in his urine. … Consider sharing the Delirium cards with residents and families as well. … Also, display the Four Questions To Ask Your Doctor or Nurse About Antibiotics in common areas where residents … Form, and frontline staff should apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Implementing a Staff Vaccination Program
in Your Nursing Home
COVID-19 vaccines help protect nursing home residents … vaccinated also have a
lower risk of getting COVID-19 or spreading the virus that causes the illness to residents … Form a team that includes facility leadership, human resources team members, residents,
family members … and recording the vaccination status of all staff
who provide care, treatment, or other services for residents … continue maintaining infection control and prevention best
practices even as more staff members and residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.docx
February 10, 2011 - There are several different types of doctors in training:
Residents have completed medical school and … Most residents complete at least 3 years of training, but some doctors, especially surgeons, complete … Interns are first-year residents.
Fellows choose to get advanced training in a specialty.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
May 16, 2013 - There are several
different types of doctors in training:
• Residents have completed medical school … Most
residents complete at least 3 years of training, but
some doctors, especially surgeons, complete … • Interns are first-year residents.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … When frontline staff can influence day-to-day resident care decisions, both staff and residents are more … How does this process affect my residents? How can it be improved? … How does this improvement affect not just my residents, but all the residents in the facility? … Do they show an exceptionally positive attitude with residents? With other team members?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
April 24, 2017 - member of the Green Team who appears to be
overwhelmed by the task requirements of two demanding
residents … teammates have
come to offer her assistance, so you assume that they are
equally busy with their own residents … nurses’ station, where a
nurse has just reprimanded the recreation therapist for
bringing one of her residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - dose, duration, and indication documented
27 of 42 (64%) 8 of 8 (100%)
Urine culture ordered for residents … prescribers and nursing staff
At least biannually, update when new policies or guidelines are released
Residents … complete the Staff Safety Assessment
Apply the Four Moments of Antibiotic Decision Making Form to 5–10 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/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Can you say with 100 percent certainty that your facility does everything it can to protect its residents … Frontline staff
Engage with leaders, residents, and families in safety improvement. … Tools for communicating with residents and family members. … resident in a wheelchair
Slide 12: Resident and Family Engagement
Methods and tools for working with residents
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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/overview.docx
March 01, 2017 - facilities do their work and provide care, allowing for better outcomes and higher quality of care for residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/insertion-checklist.docx
March 01, 2017 - Purpose
Use of a standardized indwelling urinary catheter (IUC) insertion checklist can ensure that residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - 2014 2014-2018
5
4.1 million Americans are admitted to nursing homes each year.
70% of nursing home residents … Strive to reduce preventable harm by identifying problems that cause harm to residents. … She spread the bacteria to other residents.
Where Are the Problems in This Case?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - obstruction
· To assist in healing in stage III or IV open sacral or perineal wounds in incontinent residents … insertion and care policies to ensure evidence-based guidelines are driving practices
☐ Educate staff, residents
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
March 01, 2017 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Team members, employees, residents, and family members should feel encouraged to speak up. … What's Working
Assess and share project data to encourage, inspire, and motivate the facility staff, residents
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Approach to Residents With Reported Penicillin Allergy (PDF, 230 KB)
One-Page Document – Antibiotic