共查询到20条相似文献,搜索用时 0 毫秒
1.
2.
3.
4.
5.
6.
7.
Yuchi Young DrPH Nancy R. Barhydt DrPH Suzanne Broderick PhD Anna D. Colello JD Edward L. Hannan PhD 《Journal of the American Geriatrics Society》2010,58(5):901-907
OBJECTIVES: To describe characteristics of New York State nursing homes and identify factors associated with potentially preventable hospitalization in nursing home residents. DESIGN: Cross‐sectional survey. SETTING: Randomly selected nursing homes in New York State. PARTICIPANTS: One hundred forty‐seven directors of nursing (DONs). MEASUREMENTS: Data were collected using a Web‐based survey completed in January 2008. Variables included specific aspects of facility environment, nurse and aide services, resource availability, perceived determinants of hospitalization, and nursing home practice. Stepwise multivariate linear regression examined the associations between perceived determinants and potentially preventable hospitalization. RESULTS: Factors associated with potentially preventable hospitalization included presence of nursing staff trained to communicate effectively with physicians (P<.001); easy access to urgent laboratory results in less than 4 hours on weekends (P=.03); that physicians attempt to treat patients within the nursing home and admit to the hospital as a last resort (P<.001); higher reported proportion of residents enrolled in managed care plans for regular medical care (P=.04); higher perceived likelihood that illness will cause death (P=.03); perceived inadequate access by physicians to residents' and prior medical history, laboratory results, and electrocardiograms (ECGs) (P=.02), as reported by DONs. CONCLUSION: Efficient and effective care depends on continuity of communication between nurses and physicians and adequate access to patients' medical history, laboratory results, and ECGs. The following operational strategies may help institutions reduce potentially preventable hospitalizations: ensure effective communication between nursing staff and physicians regarding patients' condition; provide physicians with easy access to stat laboratory results in less than 4 hours on weekends and adequate access to the patient's medical history, laboratory results, and ECGs; and motivate physicians to treat residents within the nursing home whenever possible. 相似文献
8.
9.
Degree of Implementation of the Interventions to Reduce Acute Care Transfers (INTERACT) Quality Improvement Program Associated with Number of Hospitalizations
下载免费PDF全文
![点击此处可从《Journal of the American Geriatrics Society》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Peter J. Huckfeldt PhD Robert L. Kane MD Zhiyou Yang BS Gabriella Engstrom PhD RN Ruth Tappen EdD RN Carolina Rojido MD David Newman PhD Bernardo Reyes MD Joseph G. Ouslander MD 《Journal of the American Geriatrics Society》2018,66(9):1830-1837
10.
11.
12.
13.
14.
Frequency and Predictors of Analgesic Prescribing in U.S. Nursing Home Residents with Persistent Pain
下载免费PDF全文
![点击此处可从《Journal of the American Geriatrics Society》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Kevin M. Fain JD MPH DrPH G. Caleb Alexander MD MS David D. Dore PharmD PhD Jodi B. Segal MD MPH Andrew R. Zullo PharmD ScM Carlos Castillo‐Salgado MD JD MPH DrPH 《Journal of the American Geriatrics Society》2017,65(2):286-293
15.
Yves Rolland PhD Celine Mathieu MS Christine Piau MD Françoise Cayla MD Catherine Bouget PhD Bruno Vellas PhD Philipe de Souto Barreto 《Journal of the American Geriatrics Society》2016,64(1):193-199
The aim of the Impact d'une démarche QUAlité sur l’évolution des pratiques et le déclin fonctionnel des Résidents en Établissement d'hébergement pour personnes âgées dépendantes (IQUARE) study was to examine the effects of a global intervention comprising professional support and education for nursing home (NH) staff on quality indicators (QIs) and functional decline and emergency department (ED) transfers of residents. One hundred seventy‐five NHs in France (a total of 6,275 residents randomly selected from NHs) volunteered and were enrolled in a nonrandomized controlled multicenter individually customize trial with 18‐month follow‐up. NHs were allocated to a quality audit and feedback intervention (control group: 90 NHs, 3,258 residents) or to the quality audit and feedback intervention plus collaborative work meetings between a hospital geriatrician and NH staff (experimental group: 85 NHs, 3,017 residents). At the NH level, prevalence of assessment of kidney function, cognitive function, risk of pressure ulcers, behavioral disturbances, depression, pain, weight measurement, and transfer to the ED were recorded. Ability to perform basic activities of daily living was assessed at the resident level. At baseline, NH QIs were generally low (with large standard deviations), and annual rate of transfer to the ED was high (~20%) and similar in both groups. The intervention had a significant positive effect on the prevalence of assessment of pressure ulcer risk, depression, pain, and prevalence of ED transfers. It had no significant effect on functional decline. Large‐scale efforts to improve QIs involving collaboration between hospital and NH providers and based on audit and collaborative discussion are feasible and improve some aspects of quality of care in NHs. 相似文献
16.
17.
18.
19.
Central Nervous System Medication Burden and Serious Falls in Older Nursing Home Residents
下载免费PDF全文
![点击此处可从《Journal of the American Geriatrics Society》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Joseph T. Hanlon PharmD MS AGSF Xinhua Zhao PhD Jennifer G. Naples PharmD Sherrie L. Aspinall PharmD MS Subashan Perera PhD David A. Nace MD MPH Nicholas G. Castle PhD Susan L. Greenspan MD Carolyn T. Thorpe PhD MPH 《Journal of the American Geriatrics Society》2017,65(6):1183-1189