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Process auditing in long term care facilities.

S M Hewitt, J LeSage, K L Roberts

    QRB. Quality Review Bulletin
    |January 1, 1985
    PubMed
    Summary
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    Developing a nursing home quality of care audit tool shows promise for monitoring care processes and resident needs. Regular audits can identify strengths and deficiencies, guiding interventions for continuous quality improvement in long-term care facilities.

    Area of Science:

    • Gerontology
    • Healthcare Management
    • Quality Improvement

    Background:

    • Nursing homes require effective tools to monitor the quality of resident care.
    • Existing audit processes may not fully capture the nuances of care delivery and resident needs.

    Purpose of the Study:

    • To evaluate the potential of a process audit tool for monitoring quality of care in nursing homes.
    • To identify areas for improvement in the audit tool for comprehensive quality assessment.

    Main Methods:

    • Development and application of a process audit tool in nursing home settings.
    • Focus on care processes and resident needs, requiring approximately one hour per resident.

    Main Results:

    • The audit tool shows promise in monitoring quality of care and providing actionable information for care providers and administrators.

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  • Identified need for revisions including interdisciplinary focus, support services, discharge planning, and involvement of significant others.
  • Conclusions:

    • A validated and reliable quality of care audit tool is crucial for long-term care (LTC) facilities.
    • Future efforts will focus on developing intervention plans based on audit findings and evaluating strategies for quality improvement.