Organizational Culture as a Dimension of Quality Improvement in Rural Nursing Homes

2011 ◽  
Vol 12 (3) ◽  
pp. B18-B19
Author(s):  
Chandni Tara Sud ◽  
Chandni Tara Sud ◽  
Jurgis Karuza ◽  
Tobie H. Olsan ◽  
Suzanne M. Gillespie ◽  
...  
Keyword(s):  
Organizational Culture ◽  
Quality Improvement ◽  
Nursing Homes ◽  
Rural Nursing

A Model for Collaborative Quality Improvement in Rural Nursing Homes

2011 ◽  
Vol 12 (3) ◽  
pp. B3 ◽  
Author(s):  
Tobie H. Olsan ◽  
Tobie H. Olsan ◽  
Suzanne M. Gillespie ◽  
Jurgis Karuza ◽  
Paul R. Katz ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
Rural Nursing

Innovation and Quality Improvement: Safe or Sabotage in Nursing Homes?

2021 ◽  
Vol 22 (8) ◽  
pp. 1670-1671
Author(s):  
Cari Levy ◽  
David Au ◽  
Mustafa Ozkaynak
Keyword(s):  
Quality Improvement ◽  
Nursing Homes

Collaborative Clinical Quality Improvement for Pressure Ulcers in Nursing Homes

2007 ◽  
Vol 55 (10) ◽  
pp. 1663-1669 ◽  
Author(s):  
Joanne Lynn ◽  
Jeff West ◽  
Susan Hausmann ◽  
David Gifford ◽  
Rachel Nelson ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
Pressure Ulcers ◽  
Clinical Quality ◽  
Clinical Quality Improvement

scholarly journals The Impact of Nursing Homes Staff Education on End-of-Life Care in Residents With Advanced Dementia: A Quality Improvement Study

2019 ◽  
Vol 57 (1) ◽  
pp. 93-99 ◽  
Author(s):  
Paola Di Giulio ◽  
Silvia Finetti ◽  
Fabrizio Giunco ◽  
Ines Basso ◽  
Debora Rosa ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Advanced Dementia ◽  
Staff Education ◽  
The Impact

Interorganizational Linkages and Service and Personnel Shortages in Rural Nursing Homes

1996 ◽  
Vol 15 (2) ◽  
pp. 172-187 ◽  
Author(s):  
Diane Brannon ◽  
Kathryn Dansky ◽  
Cathy Kassab ◽  
Larry Gamm
Keyword(s):  
Nursing Homes ◽  
Rural Nursing ◽  
Personnel Shortages

scholarly journals EVALUATING THE EVIDENCE BASE OF A STAFFING GUIDELINE FOR DUTCH NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S381-S381
Author(s):  
Ramona Backhaus ◽  
Hilde Verbeek ◽  
Bram De Boer ◽  
Erik Van Rossum ◽  
Jos Schols ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Home ◽  
Nursing Homes ◽  
Scientific Literature ◽  
Evidence Base ◽  
Care Provision ◽  
Ministry Of Health ◽  
Nursing Home Quality ◽  
Quality Framework ◽  
Board Level

Abstract Related to the Dutch nursing home quality framework implemented in 2017, a staffing guideline was developed, aimed at assisting nursing homes to adequately staff their wards. For the Dutch Ministry of Health, we investigated the evidence base of this guideline. We critically reviewed scientific literature (n=65) and interviewed (inter)national experts (n=8) and potential guideline users (n=5). We found that departing a quality improvement dialogue directly from teams, clients and their families is positive. However, weaknesses were identified as well. Several risks exist for employees to adequately assess resident needs. Furthermore, buy-in is needed from board level to develop a vision on which competencies and amount of staff are needed to fulfill these needs. Examples of guideline improvement recommendations were assisting teams in how to assess resident needs, critically reflect on care provision and considering a role for (top)management. Overall, it was concluded that the value of the guideline was limited.

Omissions of Care in Nursing Homes: A Uniform Definition for Research and Quality Improvement

2020 ◽  
Vol 21 (11) ◽  
pp. 1587-1591.e2 ◽  
Author(s):  
Rikki Mangrum ◽  
Mark D. Stewart ◽  
David R. Gifford ◽  
Yael Harris ◽  
Aaron M. Ogletree ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
Uniform Definition

Antimicrobial stewardship in rural nursing homes: Impact of interprofessional education and clinical decision tool implementation on urinary tract infection treatment in a cluster randomized trial

2019 ◽  
Vol 40 (4) ◽  
pp. 432-437 ◽  
Author(s):  
Darren K. Pasay ◽  
Micheal S. Guirguis ◽  
Rhonda C. Shkrobot ◽  
Jeremy P. Slobodan ◽  
Adrian S. Wagg ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Nursing Homes ◽  
Antimicrobial Stewardship ◽  
Hospital Admissions ◽  
Urine Culture ◽  
Intervention Group ◽  
Clinical Decision ◽  
Rural Nursing ◽  
Antimicrobial Prescribing ◽  
Cluster Randomized

AbstractObjectives:To measure the impact of an antimicrobial stewardship initiative on the rate of urine culture testing and antimicrobial prescribing for urinary tract infections (UTIs) between control and intervention sites. Secondary objectives included evaluation of potential harms of the intervention and identifying characteristics of the population prescribed antimicrobials for UTI.Design:Cluster randomized controlled trial.Setting:Nursing homes in rural Alberta, Canada.Participants:The study included 42 nursing homes ranging from 8 to 112 beds.Methods/interventions:Intervention sites received on-site staff education, physician academic detailing, and integrated clinical decision-making tools. Control sites provided standard care. Data were collected for 6 months prior to and 12 months after the intervention.Results:Resident age (83.0 vs 83.8 years) and sex distribution (female, 62.5% vs 64.5%) were similar between the groups. Statistically significant decreases in the rate of urine culture testing (−2.1 tests per 1,000 resident days [RD]; 95% confidence interval [CI], −2.5 to −1.7;P< .001) and antimicrobial prescribing for UTIs (−0.7 prescriptions per 1,000 RD; 95% CI, −1.0 to −0.4;P< .001) were observed in the intervention group. There was no difference in hospital admissions (0.00 admissions per 1,000 RD; 95% CI, −0.4 to 0.3;P= .76), and the mortality rate decreased by 0.2 per 1,000 RD in the intervention group (95% CI, −0.5 to −0.1;P= .002). Chart reviews indicated that UTI symptoms were charted in 16% of cases and that urine culture testing occurred in 64.5% of cases.Conclusion:A multimodal antimicrobial stewardship intervention in rural nursing homes significantly decreased the rate of urine culture testing and antimicrobial prescriptions for UTI, with no increase in hospital admissions or mortality.

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