Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies
The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.
Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home
Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers’ ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.
Nursing Home "Neighborhoods" Emphasize Dignity and Independence, Leading to Improvements in Resident Health and Quality of Life and Lower Employee Turnover
Providence Mount St. Vincent (known as "The Mount") developed and implemented a new model for nursing home care in which most residents live in a "neighborhood" of 20 to 23 residents; neighborhoods contain a cluster of private and semiprivate rooms and a large kitchen/dining area that serves as the central gathering spot for meals and activities. The Mount's approach also focuses on giving residents more independence, autonomy, and dignity than in a traditional nursing home, leading to a greater sense of community and a higher quality of life for residents, as well as a better work environment for employees.
State Health Department Support Spurs Development of Many Antimicrobial Stewardship Programs After Passage of Legislative Mandate
The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.
Nursing Homes Create Home-Like, Resident-Focused Environment and Culture, Leading to Better Quality and Financial Performance, Higher Resident Satisfaction, and Lower Staff Turnover
Seven nursing homes adopted strategies to create a more homelike, resident-focused environment and culture, leading to better quality, higher resident satisfaction, lower staff turnover, and better financial performance.
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National Center for Patient Safety 2004 Falls Toolkit
This toolkit is a collection of resources and tools to help patient care facility staff create and improve comprehensive falls prevention programs.
Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities
This report examines questionnaires, surveys, and other instruments currently used to assess the services and quality of care in assisted living facilities across the United States.
Facility-Assessment: Checklists for Delirium
Nursing home staff can use this self-assessment checklists to use assess processes related to delirium in the facility, in order to identify areas that need improvement.
Performance Improvement (PI) Plan and Template
This guide is a planning template for health care professionals working with long-term care patients to improve and sustain performance improvement strategies.
STate Action on Avoidable Rehospitalizations (STAAR) Materials
The STate Action on Avoidable Rehospitalizations (STAAR) Initiative of the Institute for Healthcare Improvement and The Commonwealth Fund aims to reduce avoidable rehospitalizations. This Web site features guides, presentations, and other tools related to reducing readmissions.