Publications by authors named "G H Caughey"
Objective: To identify quality and safety indicators routinely used to monitor, evaluate, and improve care transitions for older adults globally.
Design: A scoping literature review.
Setting And Participants: This review identified indicators used internationally to monitor and evaluate the quality and safety of care transitions by older adults.
Validity of Pharmaceutical Claims Data for Determining Medication Exposure in Long-Term Care Facilities.
Pharmacoepidemiol Drug Saf
December 2024
Article Synopsis
- - The study aimed to evaluate how accurate pharmaceutical claims are compared to medication administration charts in long-term care facilities (LTCFs) by analyzing data from 279 residents across 5 facilities.
- - Researchers found that pharmaceutical claims had a high positive predictive value (PPV) of over 75% for most medications, particularly at the 3-digit ATC classification level, and sensitivity for specific drug classes like diabetes agents and beta-blockers was also very high.
- - The analysis concluded that claims data is reliable for tracking medication exposure, suggesting that exposure periods of 90-120 days are generally adequate, although longer durations might be necessary for medications in larger pack sizes.
Article Synopsis
- This study analyzed the performance of long-term care services (LTCS) in Australia, focusing on 12 quality indicators to determine achievable benchmarks of care (ABC©) based on top-performing facilities.
- The research included data from 2,746 LTCS and over 244,000 residents aged 65 and older in 2019, revealing that certain quality indicators had low benchmark rates, with 17-59% of LTCS meeting ABC for severe health concerns.
- Results showed that smaller and government-owned LTCS were more likely to achieve these benchmarks, highlighting the importance of these characteristics for quality care delivery.
Objectives: A Star Rating system (1 to 5 stars) of long-term care facilities in Australia is based on 4 sub-categories: compliance, quality measures, residents' experience, and staffing. The objectives were to examine associations between facility characteristics and the odds of receiving a 4- or 5-star rating, and changes in ratings between the earliest reporting period (October-December 2022) to the most recent (April-June 2023).
Design: Cross-sectional, ecological study, with an additional longitudinal component.