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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Toolkit to Educate and Engage Residents and Family Members helps nursing homes encourage an open and … respectful dialogue between nurses and prescribing clinicians and residents and family members and helps … residents and family members participate in their care. … understand how omissions of care are defined in a way that is meaningful to stakeholders, including residents
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/overview.html
September 01, 2020 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … quality improvement into courses, experiential education and projects for PharmD students and pharmacy residents … Finally, the curricular modules offer valuable activities and content for PharmD students and pharmacy residents
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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/index.html
January 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … payer for these long-stay patients is Medicaid programs; costs are also often borne by nursing home residents … While some measures are relevant to both short- and long-stay nursing home residents, others are specific … When selecting measures of nursing home quality, keep in mind that for residents, especially long-stay … residents, the nursing home is their home as well as a place for them to get care.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - There are data indicating that treating asymptomatic bacteriuria can be harmful to residents as it increases … Residents with chronic indwelling urinary catheters are likely to have asymptomatic bacteriuria. … For residents who have cloudy or dark urine, you should consider an increase in oral fluids. … While the ideal situation is to avoid them altogether, there will always be residents who will need urinary … In residents with urinary catheters, if they have an acute change in mental status, you may consider
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www.qualitymeasures.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … effectively communicate about vaccines, implement a vaccination program, and track vaccinations of residents … These videos are intended to assist nursing homes in overcoming vaccine hesitancy with their staff, residents … Testing Learning Modules
This series of two learning modules focuses on considerations for when to test residents … for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - Diagnosis
• Influenza should be suspected during influenza season (October–March) in nursing home
residents … fever, headache, sore throat, cough,
myalgias, rhinorrhea.1-3
• Influenza testing should occur for residents … appropriate isolation and testing for SARS CoV-2.5,6
Treatment
• All long-term care facility residents … = creatinine clearance
Prevention
• Influenza vaccination should be provided annually to all residents … Testing and Management Consideration
for Nursing Home Residents with Acute
Respiratory Illness Symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - Although residents with specific UTI symptoms like dysuria usually need treatment, urinalyses and cultures … [footnoteRef:4],[footnoteRef:5],[footnoteRef:6],[footnoteRef:7] In addition, residents with asymptomatic … Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among residents of nursing homes in … Infections in residents of nursing homes. Infect Dis Clin N Am. 2007;21:761-2. … Nursing home residents and Enterobacteriaceae resistant to thirdgeneration cephalosporins.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - Interaction With Residents (Tables B-9, B-11, B-12)
Respondents without direct interaction with residents … This nursing home is a safe place for residents. (D8) 86% 89%
2. … This nursing home is a safe place for residents. (D8) 87% 87%
2. … Staff have enough training on how to handle difficult residents. … Residents’ needs are met during shift changes. (A16) 63% 67%
4.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-urine-collection.pdf
June 01, 2021 - No. 17(21)-0029
June 2021
• Health care workers and residents … • Assist residents with cleaning the
peri-urethral region … • For residents with catheters, urine culture
specimens should be obtained from newly placed
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www.qualitymeasures.ahrq.gov/nhguide/index.html
Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Engage Residents and Family
This toolkit helps residents and family members participate in residents … Antibiotics
Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - Moving, Transferring, or Lifting Residents 70% 81% 92%
2. … Moving, Transferring, or Lifting Residents 90% 85% 71% 81%
2. … Moving, Transferring, or Lifting Residents 81% 87% 85% 86%
2. … Moving, Transferring, or Lifting Residents 85% 93%
2. … Moving, Transferring, or Lifting Residents 88% 88% 86%
2.
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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/environment-equipment.pptx
March 01, 2017 - This training will highlight team members roles’ in protecting residents, families and staff members … [CLICK]
Staff also interrupt the chain by helping prevent residents from being a portal of exit. … Frontline staff help residents with good personal hygiene, dress open wounds or sores and use proper … Also think about where the dispenser is stored – can residents access the wipes?
Env. … [PAUSE]
15
Wrapup
Clean environment and clean equipment keep residents safe.
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Tools that describe the diagnosis, treatment, and management of infections common among long-term care residents … documents describe the diagnosis, treatment, and management of infections common among long-term care residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.docx
October 01, 2016 - Practice applying the SBAR tool with case studies of residents with suspected UTIs. … About 7 out of 10 residents in long-term care facilities receive an antibiotic every year. … It is an approach to providing healthier and safer care to residents. … What are some things we could do to help reduce residents’ risk of a UTI? … People that nursing staff communicate with include physicians, RNs, 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/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - This often tricks us into thinking that residents require antibiotics. … Educate residents and families regarding antibiotic use! … the residents. … Residents may want antibiotics because they think there is no harm in them. … Be sure to include residents and family members in your discussions.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
May 12, 2022 - Emergency Preparedness Plan, we are updating the emergency contact information we have on record for our residents … We value the health, safety, and dignity of your loved one and are committed to protecting our residents … · If we need to evacuate, we have agreements with alternate care facilities to provide care for our residents … We appreciate you assisting us with our emergency planning to protect our residents and staff members
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.html
March 01, 2017 - and families
Topic: Communicating With Residents and Family Members
Method: Have staff sit in groups … Then answer the following about their slide: How does staff currently communicate with residents and … What new process or expectation could make communication with residents and families more consistent … Materials: Slides 27–28
Audience: All staff, including administrators and frontline staff; residents … Discuss how the residents responded. How did leaders and administrators respond?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
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 … who are sick with germs that can easily spread
to other people in private rooms or with residents with … • 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.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/Kripalani_2006.pdf
January 01, 2006 - Development and implementation of a health literacy training
program for medical residents. … �
Development and Implementation of a Health Literacy Training Program
for Medical Residents
Sunil … After residents reviewed the materials, they were divided
into two groups. … A communication
assessment and skill-building exercise (CASE) for
first-year residents. … Development and implementation of a health literacy training
program for medical residents.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and … Engage Residents and Family Members
How Are Antibiotic-Resistant Bacteria Different From an Infection … Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate & Engage Residents, Family Family … No. 17-0006-8-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate … & Engage Residents, Family Family Toolkit/Tool 2 3