Quality Assurance and Performance Improvement in Nursing Homes Using Evidence-Based Protocols to Observe Nursing Care Processes in Real Time
and Vanderbilt Center for Quality Aging, Vanderbilt University, Nashville, Tennessee (Dr Schnelle).Journal of nursing care quality (Impact Factor: 1.39). 08/2012; 28(1). DOI: 10.1097/NCQ.0b013e31826b090b
The Quality Assurance and Performance Improvement Initiative, a component of the Affordable Care Act (2010), is a new approach to quality improvement for US nursing homes. The article describes components of the Quality Assurance and Performance Improvement Initiative, the unique contributions of registered nurses to its implementation, and data collection strategies using direct observation and evidence-based measures and protocols in a Quality Assurance and Performance Improvement program. Copyright
- Journal of Gerontological Nursing 07/2014; 40(7):21-31. DOI:10.3928/00989134-20140414-99 · 1.02 Impact Factor
- JAMA Internal Medicine 06/2015; 175(8). DOI:10.1001/jamainternmed.2015.2774 · 13.12 Impact Factor
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ABSTRACT: The emerging crisis in antibiotic resistance and concern that we now sit on the precipice of a post-antibiotic era have given rise to advocacy at the highest levels for widespread adoption of programmes that promote judicious use of antibiotics. These antibiotic stewardship programmes, which seek to optimize antibiotic choice when clinically indicated and discourage antibiotic use when clinically unnecessary, are being implemented in an increasing number of acute care facilities, but their adoption has been slower in nursing homes. The antibiotic prescribing process in nursing homes is fundamentally different from that observed in hospital and clinic settings, with formidable challenges to implementation of effective antibiotic stewardship. Nevertheless, an emerging body of research points towards ways to improve antibiotic prescribing practices in nursing homes. This review summarizes the findings of this research and presents ways in which antibiotic stewardship can be implemented and optimized in the nursing home setting.08/2015; 32(9). DOI:10.1007/s40266-015-0292-7
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