Quality Indicators as Predictors of Future Inspection Performance in Ontario Nursing Homes

2020 ◽  
Vol 21 (6) ◽  
pp. 793-798.e1 ◽  
Author(s):  
Pouria Mashouri ◽  
Babak Taati ◽  
Hannah Quirt ◽  
Andrea Iaboni
BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004488 ◽  
Author(s):  
Peter G Norton ◽  
Michael Murray ◽  
Malcolm B Doupe ◽  
Greta G Cummings ◽  
Jeff W Poss ◽  
...  

2012 ◽  
Vol 27 (3) ◽  
pp. 266-276 ◽  
Author(s):  
Ingibjörg Hjaltadóttir ◽  
Ingalill Rahm Hallberg ◽  
Anna Kristensson Ekwall

2013 ◽  
Vol 12 (6) ◽  
pp. 630-635 ◽  
Author(s):  
Armand ALM Rondas ◽  
Jos MGA Schols ◽  
Ellen E Stobberingh ◽  
Ruud JG Halfens

2014 ◽  
Vol 26 (5) ◽  
pp. 824-840 ◽  
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Liam Chadwick ◽  
Aleece MacPhail ◽  
Linda McAuliffe ◽  
Susan Koch ◽  
...  

Nutrition ◽  
2014 ◽  
Vol 30 (11-12) ◽  
pp. 1384-1390 ◽  
Author(s):  
Noémi C. van Nie ◽  
Judith MM. Meijers ◽  
Jos M.G.A. Schols ◽  
Christa Lohrmann ◽  
Marieke Spreeuwenberg ◽  
...  

Author(s):  
Stéphane Sanchez ◽  
Fiona Ecarnot ◽  
Dimitri Voilmy ◽  
Biné Mariam Ndiongue ◽  
Clément Cormi ◽  
...  

Abstract Introduction Nursing homes (NHs) are an ideal environment in which to implement interventions aimed at reducing inappropriate prescriptions. Quality indicators (QIs) may be useful to standardize practices, but it is unclear how they mediate change. In the framework of a quantitative study aimed at reducing the prescription of anticholinergic drugs among NH residents using QIs, we performed a qualitative study to describe the investigators’ perception of the utility of QIs. Methods Qualitative study using focus group methodology. Focus groups were recorded and transcribed, and analyzed by thematic analysis. Participants were purposefully recruited from among the medical directors of the NHs in the quantitative study. Results Five medical directors participated in two focus group meetings. The main themes to emerge were: (1) communication is key to introducing new practices and achieving lasting uptake; (2) improved coordination and communication provided useful information to help interpret the quantitative results observed: e.g., participants reported that they were able to obtain contextual and patient-specific information that explained why some prescribers had consistently, but justifiably “poor” performance on the quantitative indicators; (3) negative aspects reported included reluctance to change among prescribers and the tendency to shirk responsibility. Conclusion From the point of view of medical directors of NHs participating in an interventional program to reduce inappropriate prescriptions of anticholinergic drugs, the main factor driving the success of the program was communication, which is key to achieving adherence. Improved communication provides useful insights into the reasons why no quantitative reduction is observed in objective quality indicators.


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