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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedLucas JA, Chakravarty S, Bowblis JR
Antipsychotic medication use in nursing homes: a proposed measure of quality.
There is an important need for a more specific measure of quality related to antipsychotic medication (APM) use. This paper proposes such a measure, compares it with the APM quality measure introduced by CMS in 2012 and examines variation in these two measures across resident and facility characteristics using a multi-state case demonstration of long-stay NH residents.
AHRQ-funded; HS021112.
Citation: Lucas JA, Chakravarty S, Bowblis JR .
Antipsychotic medication use in nursing homes: a proposed measure of quality.
Int J Geriatr Psychiatry 2014 Oct;29(10):1049-61. doi: 10.1002/gps.4098..
Keywords: Medication, Nursing Homes, Elderly, Quality Measures, Quality Measures
Kahvecioglu D, Ramiah K, McMaughan D
Multidrug-resistant organism infections in US nursing homes: a national study of prevalence, onset, and transmission across care settings, October 1, 2010-December 31, 2011.
The investigators sought to understand the prevalence of multidrug-resistant organism (MDRO) infections among nursing home (NH) residents and the potential for their spread between NHs and acute care hospitals (ACHs). They found that, although NHs are the most likely setting where residents would acquire MDROs after admission to an NH, a significant fraction of NH residents acquire MDRO infection at ACHs, suggesting a need for effective MDRO infection control for NH residents with simultaneous, cooperative interventions among NHs and ACHs in the same community.
AHRQ-funded; HS019989.
Citation: Kahvecioglu D, Ramiah K, McMaughan D .
Multidrug-resistant organism infections in US nursing homes: a national study of prevalence, onset, and transmission across care settings, October 1, 2010-December 31, 2011.
Infect Control Hosp Epidemiol 2014 Oct;35 Suppl 3:S48-55. doi: 10.1086/677835.
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Keywords: Elderly, Healthcare-Associated Infections (HAIs), Medication, Nursing Homes, Patient Safety
Huybrechts KF, Gerhard T, Franklin JM
Instrumental variable applications using nursing home prescribing preferences in comparative effectiveness research.
The objective of this study was to explore the presence of unexplained between-nursing home (NH) variation in prescribing and to empirically evaluate the validity of instruments based on NH prescribing preference. High-prescribing and low-prescribing nursing homes differed by a factor of 2. There was no evidence that instrument status was associated with markers of nursing home quality of care.
AHRQ-funded; 290200500161; HS021112
Citation: Huybrechts KF, Gerhard T, Franklin JM .
Instrumental variable applications using nursing home prescribing preferences in comparative effectiveness research.
Pharmacoepidemiol Drug Saf 2014 Aug;23(8):830-8. doi: 10.1002/pds.3611..
Keywords: Nursing Homes, Comparative Effectiveness, Medication, Quality of Care
Konetzka RT, Brauner DJ, Shega J
The effects of public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive impairment.
The purpose of this paper was to assess whether reductions in physical restraint use associated with quality reporting may have had the unintended consequence of increasing antipsychotic use in nursing home (NH) residents with severe cognitive impairment. Physical restraint use declined significantly from 1999 to 2008 in NH residents with severe cognitive impairment. Correspondingly, antipsychotic use in the same residents increased more in NHs that were subject to public reporting. This analysis suggests that public reporting of physical restraint use had the unintended consequence of increasing use of antipsychotics in NH residents with severe cognitive impairment.
AHRQ-funded; HS018718.
Citation: Konetzka RT, Brauner DJ, Shega J .
The effects of public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive impairment.
J Am Geriatr Soc 2014 Mar;62(3):454-61. doi: 10.1111/jgs.12711.
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Keywords: Dementia, Elderly, Medication, Nursing Homes, Public Reporting