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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

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Related Experiment Videos

Quality measures for medication continuity in long-term care facilities, using a structured panel process.

Chaim M Bell1, Stacey S Brener, Rebecca Comrie

  • 1St Michaels Hospital, Keenan Research Centre in the Li Ka Shing Knowledge Institute, Toronto, ON, Canada.

Drugs & Aging
|April 3, 2012
PubMed
Summary
This summary is machine-generated.

New quality indicators help track medication safety for patients moving between hospitals and long-term care (LTC). These indicators aim to prevent unintentional prescription gaps for chronic disease medications during care transitions.

Related Experiment Videos

Area of Science:

  • Healthcare Quality Improvement
  • Medication Management
  • Patient Safety

Background:

  • Patient transitions between acute and long-term care (LTC) increase the risk of healthcare communication failures.
  • Few existing quality indicators specifically address medication use continuity between acute and LTC settings.
  • Ensuring medication adherence during care transitions is crucial for managing chronic diseases.

Purpose of the Study:

  • To develop quality indicators that identify potential medication discontinuations for chronic diseases in LTC residents after acute-care hospitalization.
  • To create tools for monitoring and improving medication management during patient transitions.
  • To enhance the continuity of care for individuals with chronic conditions moving between healthcare facilities.

Main Methods:

  • A comprehensive literature review identified potential quality indicators.
  • A three-step consensus process involved an expert panel of healthcare professionals and researchers.
  • Indicators were screened, refined in a consensus meeting, and finalized via an anonymous survey.
  • Consensus required a 75% agreement threshold, with indicators evaluated for effectiveness, relevance, and feasibility using administrative data.

Main Results:

  • Four quality indicators were developed to assess unintentional medication discontinuation for LTC residents post-hospitalization.
  • Consensus was reached on indicators for statins, anticoagulants (for atrial fibrillation), proton-pump inhibitors (for GI hemorrhage), and thyroxine.
  • Additional medication classes for future indicator development include anti-Parkinson's, anti-diabetes, and antidepressant drugs.

Conclusions:

  • A novel set of quality indicators has been established to evaluate medication continuity between acute and long-term care facilities.
  • These indicators provide a framework for assessing and improving medication management during care transitions.
  • Implementation of these quality indicators can support local and regional healthcare quality improvement initiatives.