Module 1: Detecting Change in a Resident's Condition
This student workbook was prepared for the Agency for Healthcare Research and Quality by RAND Corporation under contract 290-06-00017-7. It is one component of a four-part set of training modules intended for use in long-term care facilities to improve patient safety.
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Santa Monica, CA
Stephanie L. Taylor, PhD, MPH
Debra Saliba, MD, MPH
This student workbook is from the first module of a three-module set of training
materials. Module 2 focuses on communicating changes in a resident's condition,
and Module 3 covers falls prevention and management. Select for information on
ordering additional copies of this student workbook or other materials in this
Learning and Performance Objectives
Role of Nursing Assistants and Licensed Nurses
Changes that Matter
Watching for Changes
What Should Be Reported
Following Up on the First Sign of Changes
Responsibility for Observation and Reporting
Creating a Safe Environment
Pearls and Pitfalls
Additional Tools and Resources
These training materials were developed for the Agency for Healthcare Research and Quality under contract 290-06-00017-7, by RAND Health, Santa Monica, CA. Project Leaders Stephanie L. Taylor, PhD, MPH, and Debra Saliba, MD, MPH; Project Director Victoria Shier, MPA, all of RAND Health; Subcontractor staff from Northwestern University: Linda Emanuel, MD, PhD; Celia Berdes, MSPH, PhD; Karen Glasser Scandrett, MD, MPH; Amy Lobner, MPH; and Derek Jarvis.
Note: At the time these training materials were developed, Stephanie L. Taylor, PhD, MPH, was affiliated with RAND Health. Her current affiliation is Associate Director, Center of Excellence for the Study of Healthcare Provider Behavior, U.S. Department of Veterans Affairs, Los Angeles, CA.
This document is in the public domain and may be used and reprinted without
The opinions presented in this guide are those of the authors, who are responsible
for its content, and do not necessarily reflect the position of the U.S. Department of
Health and Human Services or the Agency for Healthcare Research and Quality.
The RAND Corporation and Northwestern University Feinberg School of
Medicine thank The Moorings of Arlington Heights (one of the Presbyterian
Homes) for providing valuable feedback on the development and refinement of
the materials by participating in focus groups and trainings.
AHRQ Publication No. 12-0001-2
Current as of June 2012
Taylor SL, Saliba, D. Improving Patient Safety in Long-Term Care Facilities.
Module 1: Detecting Change in a Resident's Condition. Student Workbook. (Prepared by RAND Corporation under contract 290-06-00017-7). AHRQ Publication No. 12-0001-2, June 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/ptsafetyltc/ltcmodule1.htm