Structured Abstract

Contents

• Preface
• Acknowledgments
• Key Informants
• Peer Reviewers
• Background
  • Nursing Home Safety
  • Technical Brief Objectives
  • Report Organization
  • Scope
• Methods
  • Data Collection
  • Screening of Studies for
  • Quality Assessment for
  • Data Organization and Presentation
  • Peer Review
• Findings
  • Guiding Question (GQ) 1a What are the safety issues of particular concern in the nursing home setting?
  • GQ1b Are there important differences in safety issues for short-stay versus long-stay residents?
  • GQ1c Are there specific interventions that have improved patient safety in the hospital setting that could transfer to the nursing home setting, but have yet to be tested as such?
  • GQ2a What characteristics and qualities of nursing homes and nursing home residents create unique settings for assessing safety and may affect choice of intervention and success rates?
  • GQ3 Current literature assessing interventions for improving safety practices in nursing home settings
  • GQ4a What is the uptake of evidence-based nursing home interventions beyond individual test sites? What are the most important barriers/facilitators to uptake of successful interventions?
  • GQ4b What major areas for future research remain regarding resident safety in nursing homes?
  • GQ4c In what ways is the field of long-term care changing such that resident safety interventions may need to adapt to a new environment, and what additional challenges do these changing conditions bring to increasing long-term care patient safety?
• Summary and Conclusions
  • Summary of Patient Populations and/or Safety Issues Not Addressed in This Technical Brief
  • Conclusions
• References
• Appendix A Summary of Key Informant Calls
• Appendix B Literature Search Strategies
• Appendix C Summary Tables of Recent Systematic Reviews Addressing Interventions for Common Format Safety Events
• Appendix D Comparative Studies of Interventions Addressing Common Format Safety Events in the Nursing Home Published After the Publication of Systematic Reviews Included in This Technical Brief

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services¹, Contract No. 290-2015-00003-I, Prepared by: Vanderbilt Evidence-based Practice Center, Nashville, TN

Suggested citation:

Simmons S, Schnelle J, Slagle J, Sathe NA, Stevenson D, Carlo M, McPheeters ML. Resident Safety Practices in Nursing Home Settings. Technical Brief No. 24 (Prepared by the Vanderbilt Evidence-based Practice Center under Contract No. 290-2015-00003-I.) AHRQ Publication No. 16-EHC022-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. www.effectivehealthcare.ahrq.gov/reports/final.cfm.

This report is based on research conducted by the Vanderbilt Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2015-00003-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.

The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not be stated or implied.

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