The Association of Nursing Home Characteristics and Quality with Adverse Events After a Hospitalization.

Background/objectives: We previously found high rates of adverse events (AEs) for long-stay nursing home residents who return to the facility after a hospitalization. Further evidence about the association of AEs with aspects of the facilities and their quality may support quality improvement efforts directed at reducing risk.

Design: Prospective cohort analysis.

Characteristics of Long-Term Care Residents That Predict Adverse Events after Hospitalization.

Background/objectives: Adverse events (AEs) occur frequently in long-term care (LTC) residents transitioning from the hospital back to an LTC facility. Measuring the association between resident characteristics and AEs can inform AE risk reduction strategies.

Design: Prospective cohort analysis.

Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home.

Importance: Transition from hospital to nursing home is a high-risk period for adverse events in long-term care (LTC) residents. Adverse events include harms from medical care, including failure to provide appropriate care.

Objective: To report the incidence, type, severity, and preventability of adverse events in LTC residents transitioning from hospital back to the same LTC facility.

Associations between nursing home performance and hospital 30-day readmissions for acute myocardial infarction, heart failure and pneumonia at the healthcare community level in the United States.

Objectives: To evaluate community-specific nursing home performance with community-specific hospital 30-day readmissions for Medicare patients discharged with acute myocardial infarction, heart failure or pneumonia.

Design: Cross-sectional study using 2009-2012 hospital risk-standardised 30-day readmission data for Medicare fee-for-service patients hospitalised for all three conditions and nursing home performance data from the Centers for Medicare & Medicaid Services Five-Star Quality Rating System.

Setting: Medicare-certified nursing homes and acute care hospitals.

Community Level Association between Home Health and Nursing Home Performance on Quality and Hospital 30-day Readmissions for Medicare Patients.

We evaluated whether community-level home health agencies and nursing home performance is associated with community-level hospital 30-day all-cause risk-standardized readmission rates for Medicare patients used data from the Centers for Medicare & Medicaid Service from 2010 to 2012. Our final sample included 2,855 communities that covered 4,140 hospitals with 6,751,713 patients, 13,060 nursing homes with 1,250,648 residents, and 7,613 home health agencies providing services to 35,660 zipcodes. Based on a mixed effect model, we found that increasing nursing home performance by one star for all of its 4 measures and home health performance by 10 points for all of its 6 measures is associated with decreases of 0.

Use of Indwelling Urinary Catheters in Nursing Homes: Implications for Quality Improvement Efforts.

Objectives: To describe the epidemiology of indwelling urinary catheter use in nursing homes (NHs).

Design: Observational cohort study.

Setting: A purposeful sampling strategy was used to identify a diverse sample of 28 Connecticut NHs, defined in terms of ownership, quality ratings, and bed size.

Dissemination of Evidence-Based Antipsychotic Prescribing Guidelines to Nursing Homes: A Cluster Randomized Trial.

Objectives: To evaluate the effectiveness of efforts to translate and disseminate evidence-based guidelines about atypical antipsychotic use to nursing homes (NHs).

Design: Three-arm, cluster randomized trial.

Setting: NHs.

Process Evaluation of a Quality Improvement Project to Decrease Hospital Readmissions From Skilled Nursing Facilities.

Objective: To describe and evaluate the impact of quality improvement (QI) support provided to skilled nursing facilities (SNFs) by a Quality Improvement Organization (QIO).

Design: Retrospective, mixed-method, process evaluation of a QI project intended to decrease preventable hospital readmissions from SNFs.

Setting: Five SNFs in Connecticut.

Antipsychotic use in nursing homes varies by psychiatric consultant.

Background: The relationship between psychiatric consultation and antipsychotic prescribing in nursing homes (NH) is unknown.

Objective: To identify the association between psychiatric consultant groups and NH-level antipsychotic prescribing after adjustment for resident case-mix and facility characteristics.

Research Design And Subjects: Nested cross-sectional study of 60 NHs in a cluster randomized trial.

Predicting nursing home adherence to a clinical trial intervention: lessons for the conduct of cluster randomized trials.

Objectives: To describe factors predictive of nursing home (NH) adherence to a clinical trial intervention.

Design: Post hoc analysis of a cluster randomized trial (CRT) evaluating a structured communication intervention to improve nurse-physician telephone communication in NHs.

Setting: NH.

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

Background: More than 1.6 million Americans currently reside in nursing homes. As many as 12% of them receive long-term anticoagulant therapy with warfarin.

Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Purpose: Clear and complete communication between health care providers is a prerequisite for safe patient management and is a major priority of the Joint Commission's 2008 National Patient Safety Goals. The goal of this study was to describe nurses' perceptions of nurse-physician communication in the long-term care (LTC) setting.

Methods: Mixed-method study including a self-administered questionnaire and qualitative semistructured telephone interviews of licensed nurses from 26 LTC facilities in Connecticut.