Long-term care


Proactive Reporting, Investigation, Disclosure, and Remedying of Medical Errors Leads to Similar or Lower Than Average Malpractice Claims Costs 12/14/09

A medical center adopted a comprehensive process that includes proactive reporting and investigation of potential errors, full disclosure and apology when errors occur, and fair remedy and compensation, leading to similar or lower than average claims costs.

Program to Promote Adherence to Standards of Professional Conduct Improves Staff Perceptions of Patient Safety Culture and Reduces Disruptive Clinician Behavior 11/10/09

A system-wide strategy to set and enforce standards of professional conduct led to improvements in staff perceptions of the patient safety culture within system hospitals and to anecdotal reports of more professional conduct, including fewer instances of disruptive behavior.

Real-Time, Resident-Specific Medication Information and Alerts, Supported by Medication Safety Teams, Enhance Efficiency and Reduce Medication Errors in Nursing Homes 09/30/09

Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.

Locating Mental and Behavioral Health Services in Health Plan Centers Enhances Access and Reduces Utilization of Inpatient Psychiatric Services for Community-Dwelling Frail Seniors 08/06/09

A mental and behavioral health team periodically works onsite at health plan centers to facilitate patient access to mental health services, reducing psychiatric inpatient utilization and generating high levels of staff satisfaction.

Nursing Homes Create Home-Like, Resident-Focused Environment and Culture, Leading to Better Quality and Financial Performance, Higher Resident Satisfaction, and Lower Staff Turnover 07/29/09

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.

Multipronged Strategy Reduces Use of Seclusion and Restraints to Manage Aggression at Inpatient Behavioral Health Facility 02/04/09

An ongoing evaluation suggests that a multipronged strategy to reduce use of seclusion and restraints to manage episodes of aggression in behavioral health patients has reduced seclusion and restraint use, patient and staff injuries, “code green” calls (calls for staff assistance), and workers' compensation claims.

Adaptation and Expansion of Existing Bundle of Inpatient Interventions Reduces Ventilator-Associated Pneumonia at Long-Term Care Facility 11/25/08

Coler-Goldwater Specialty Hospital and Nursing Facility modified and expanded an existing set of known-to-be-effective inpatient interventions for use in the long-term acute care setting, leading to a 58 percent reduction in ventilator-associated pneumonia.

Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 09/24/08

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.

Enhanced Toileting Program Reduces Incontinence and Its Comorbidities Among Residents of Long-Term Care Facility 08/12/08

A long-term care facility adopted an enhanced toileting program consisting of the following components: individualized toileting plan of care based on periodic resident assessments, revised and new care documentation tools, devices to assist with toileting, and comprehensive education and training for facility staff.

Adult Daycare Program Offers Nursing and Rehabilitative Services, Leading to Improved State of Mind for Low-Income Elders and Disabled Adults 07/11/08

Six adult day health centers provide nursing and rehabilitative services, as well as social programs and activities to elders and other vulnerable adults to maintain and/or improve physical, social, and cognitive functioning, thus avoiding the need for placement in a long-term care facility.


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