A Flowchart System to Improve Fall Data Documentation in a Long-Term Care Institution: A Pilot Study

2007 ◽  
Vol 8 (5) ◽  
pp. 300-306 ◽  
Author(s):  
M MONTEROODASSO ◽  
P LEVINSON ◽  
B GORE ◽  
D EPID ◽  
L TREMBLAY ◽  
...  
Keyword(s):  
Pilot Study ◽  
Long Term Care ◽  
Term Care ◽  
Care Institution ◽  
Data Documentation

scholarly journals The Impact of Enhanced Antimicrobial Stewardship Support on Antibiotic Starts in Long-Term Care Facilities

2020 ◽  
Vol 41 (S1) ◽  
pp. s527-s527
Author(s):  
Gabriela Andujar-Vazquez ◽  
Kirthana Beaulac ◽  
Shira Doron ◽  
David R Snydman
Keyword(s):  
Public Health ◽  
Pilot Study ◽  
Infection Control ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Medical Center ◽  
Term Care ◽  
Care Facilities ◽  
The Impact

Background: The Tufts Medical Center Antimicrobial Stewardship (ASP) Team has partnered with the Massachusetts Department of Public Health (MDPH) to provide broad-based educational programs (BBEP) to long-term care facilities (LTCFs) in an effort to improve ASP and infection control practices. LTCFs have consistently expressed interest in individualized and hands-on involvement by ASP experts, yet they lack resources. The goal of this study was to determine whether “enhanced” individualized guidance provided by an ASP expert would lead to antibiotic start decreases in LTCFs participating in our pilot study. Methods: A pilot study was conducted to test the feasibility and efficacy of providing enhanced ASP and infection control practices to LTCFs. In total, 10 facilities already participating in MDPH BBEP and submitting monthly antibiotic start data were enrolled, were stratified by bed size and presence of dementia unit, and were randomized 1:1 to the “enhanced” group (defined as reviewing protocols and antibiotic start cases, providing lectures and feedback to staff and answering questions) versus the “nonenhanced” group. Antibiotic start data were validated and collected prospectively from January 2018 to July 2019, and the interventions began in April 2019. Due to staff turnover and lack of engagement, intervention was not possible in 2 of the 5 LTCFs randomized to the enhanced group, which were therefore analyzed as a nonenhanced group. An incidence rate ratios (IRRs) with 95% CIs were calculated comparing the antibiotic start rate per 1,000 resident days between periods in the pilot groups. Results: The average bed sizes for enhanced groups versus nonenhanced groups were 121 (±71.0) versus 108 (±32.8); the average resident days per facility per month were 3,415.7 (±2,131.2) versus 2,911.4 (±964.3). Comparatively, 3 facilities in the enhanced group had dementia unit versus 4 in the nonenhanced group. In the per protocol analysis, the antibiotic start rate in the enhanced group before versus after the intervention was 11.35 versus 9.41 starts per 1,000 resident days (IRR, 0.829; 95% CI, 0.794–0.865). The antibiotic start rate in the nonenhanced group before versus after the intervention was 7.90 versus 8.23 antibiotic starts per 1,000 resident days (IRR, 1.048; 95% CI, 1.007–1.089). Physician hours required for ASP for the enhanced group totaled 8.9 (±2.2) per facility per month. Conclusions: Although the number of hours required for intervention by an expert was not onerous, maintaining engagement proved difficult and in 2 facilities could not be achieved. A statistically significant 20% decrease in the antibiotic start rate was achieved in the enhanced group after interventions, potentially reflecting the benefit of enhanced ASP support by an expert.Funding: This study was funded by the Leadership in Epidemiology, Antimicrobial Stewardship, and Public Health (LEAP) fellowship training grant award from the CDC.Disclosures: None

Memory Stimulation in Long-Term Care Institution for Elderly

2014 ◽  
Vol 22 (03) ◽  
pp. 365-372
Author(s):  
Kátine Estivalet ◽  
Kayla Palma
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Institution

Effects of 12‐month exercise intervention on physical and cognitive functions of nursing home residents requiring long‐term care: a non‐randomised pilot study

2020 ◽  
Vol 20 (4) ◽  
pp. 419-426
Author(s):  
Akito Tsugawa ◽  
Soichiro Shimizu ◽  
Daisuke Hirose ◽  
Tomohiko Sato ◽  
Hirokuni Hatanaka ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Cognitive Functions ◽  
Long Term Care ◽  
Exercise Intervention ◽  
Nursing Home Residents ◽  
Term Care

Caregivers’ attitudes regarding oral health in a long-term care institution in Brazil

Gerodontology ◽  
2012 ◽  
Vol 31 (3) ◽  
pp. 178-183 ◽  
Author(s):  
Roger Junges ◽  
Fernando Freitas Portella ◽  
Fernando Neves Hugo ◽  
Dalva Maria Pereira Padilha ◽  
Susana Maria Werner Samuel
Keyword(s):  
Oral Health ◽  
Long Term Care ◽  
Term Care ◽  
Care Institution
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