Critical Analysis of the Evidence Safety in Nursing Home Settings
Project Summary Title and Description
- Critical Analysis of the Evidence Safety in Nursing Home Settings
- Resident safety issues are common in nursing homes. Relevant literature reports a range of poor clinical outcomes thought to be preventable if specific care processes were consistently implemented. The goal of this project was to summarize relevant literature, including identifying safety issues and contextual factors that affect safety in nursing homes; potential hospital safety interventions of relevance to nursing homes; literature on safety interventions evaluated in nursing homes; barriers and facilitators of interventions; and future directions for safety research in this setting.
- Authors of Report
- Methodology description
- We had conversations with Key Informants representing multiple stakeholder groups. We conducted literature searches to identify recent systematic reviews of interventions addressing safety areas in nursing homes. We also searched the literature for newly published studies of interventions
- Data has been retrospectively entered. Study characteristics and outcomes data have been imported to SRDR.
- Funding Source
- 1. GQ 1: Describe the intervention for resident safety practices in nursing home settings GQ1a. 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?
- 2. GQ 2: Describe the context in which the intervention is used for safety practices in nursing home settings 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? Considerations include: a. Staffing – type, education, numbers, turnover b. For-profit versus not-for-profit c. Bed size d. Particular vulnerability of the residents e. Resident mix, including short and long stay
- 3. GQ 3: Describe the current evidence of the intervention for safety practices in nursing home settings GQ3a. What is the state of the current research based on the following criteria: a. Indication/resident inclusion criteria b. Type of intervention c. Study design/size d. Comparator e. Length of follow up g. Outcomes h. Sources of outcome data (i.e., facility self-report versus resident/family self-report versus objective, independent assessments)
- 4. GQ 4: Identify the important issues raised by the intervention for 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 resident safety?
Associated Extraction Forms
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Downloadable Data Content
- XLSX Project Data