The annals of long-term care : the official journal of the American Medical Directors Association最新文献

Associations Between Quality of Life and Outdoor Access in Nursing Homes: A Cross-Sectional Study. 生活质量与养老院户外通道的关系:一项横断面研究。

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2021-02-02 DOI: 10.25270/ALTC.2021.02.00001

S. Dyer, E. Liu, E. Gnanamanickam, Stephanie L. Harrison, R. Milte, M. Crotty

引用次数: 1

A Systematic Review of Interventions to Improve Nursing Home to Emergency Department Care Transitions. 改善养老院到急诊科护理过渡的干预措施系统回顾。

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2020-06-01 Epub Date: 2020-01-22

Cameron J Gettel, Nathan Pertsch, Elizabeth M Goldberg

{"title":"A Systematic Review of Interventions to Improve Nursing Home to Emergency Department Care Transitions.","authors":"Cameron J Gettel, Nathan Pertsch, Elizabeth M Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"This study aimed to identify interventions that are effective in improving the transitions of care for patients from nursing homes (NHs) to emergency departments (EDs). A total of 607 studies were identified, from which 19 studies were included for full-text review. Nine pre-post intervention studies and two retrospective cohort studies met all criteria for inclusion. In the quality assessment, two (18.2%) were assessed as good quality; seven (63.6%) were fair; and two (18.2%) were poor. Nine studies (81.2%) had a severe risk of bias, primarily due to confounding and deviation from the intended intervention. Pre-post intervention studies utilized transfer checklists/forms, web-based communication networks, and multimodal approaches to improve transitions of care. Eight studies reported significant improvement in critical NH-ED transfer information completeness after intervention implementation. Three studies assessed health care utilization after intervention implementation with two studies reporting no reduction in utilization and one study reporting decreased 30-day hospital readmission and ED revisit rates. Studies evaluating patient-centered outcomes, such as whether interventions reduced harm to patients by decreasing medical errors, hospital length of stay, or the overall number of facility transfers, are needed.","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"28 2","pages":"e12-e19"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295263/pdf/nihms-1557210.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38051450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of Skilled Nursing Facility Quality Ratings With 30-Day Rehospitalizations and Emergency Department Visits. 熟练护理机构质量评分与30天再住院和急诊就诊的关系。

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2020-03-01 Epub Date: 2019-12-06

Mairead M Bartley, Parvez A Rahman, Curtis B Storlie, Paul Y Takahashi, Anupam Chandra

{"title":"Associations of Skilled Nursing Facility Quality Ratings With 30-Day Rehospitalizations and Emergency Department Visits.","authors":"Mairead M Bartley, Parvez A Rahman, Curtis B Storlie, Paul Y Takahashi, Anupam Chandra","doi":"","DOIUrl":"","url":null,"abstract":"Skilled nursing facilities (SNFs) increasingly provide care to patients after hospitalization. The Centers for Medicare & Medicaid Services reports ratings for SNFs for overall quality, staffing, health inspections, and clinical quality measures. However, the relationship between these ratings and patient outcomes remains unclear. In this retrospective cohort study, we reviewed the electronic health records of 3,923 adult patients discharged from the hospital and admitted to 9 SNFs served by a health care delivery system. We used Cox proportional hazards models to examine associations between the overall quality and individual ratings and our primary outcomes of 30-day rehospitalizations and 30-day emergency department visits. Patients in higher-rated facilities had a 13% lower risk of 30-day rehospitalization than patients in lower-rated facilities (hazard ratio, 0.87; 95% CI, 0.76-0.99). The risk of emergency department visits was also lower for patients in facilities with a higher overall quality rating and a higher quality measures rating. Staffing and health inspection ratings were not associated with our primary outcomes. These findings may help inform providers and nursing home policy makers.","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"28 1","pages":"e11-e17"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025962/pdf/nihms-1054361.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25583541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Filling the Health Care Gap for Older Adults: An Opportunity for Physician Assistants 填补老年人医疗保健缺口:医师助理的机会

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2020-01-01 DOI: 10.25270/altc.2020.11.00001

Benjamin J. Smith, James C. Zedaker, P. Katz, J. Cawley

引用次数: 0

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2019-11-01 Epub Date: 2019-09-16

Sara K Mamo, Nicholas S Reed, Matthew K McNabney, Jack Rund, Esther S Oh, Frank R Lin

{"title":"Age-Related Hearing Loss and the Listening Environment: Communication Challenges in a Group Care Setting for Older Adults.","authors":"Sara K Mamo, Nicholas S Reed, Matthew K McNabney, Jack Rund, Esther S Oh, Frank R Lin","doi":"","DOIUrl":"","url":null,"abstract":"Ensuring that older adults in long-term care settings can effectively communicate is important. The goal of this study was to characterize key modifiable factors that could affect verbal communication in an adult day care setting, namely prevalence of audiometric hearing loss and the acoustic characteristics in the activity hall. The prevalence of age-related hearing loss among participants (n=51) was 71%, although only 15% of enrollees at the group care setting (n=21 of 140) used amplification. The noise and reverberation characteristics of the activity hall revealed signal-to-noise ratios of -3.1 decibels (dB) and -2.4 dB during morning activity and lunch, respectively, which are poorer than the recommended levels for understanding speech in background noise. Older adults attending adult day services are likely to spend the day in a room with acoustics that are too challenging to understand speech clearly. Opportunities to improve listening environments in group care settings for older adults are discussed.","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"27 11","pages":"e8-e13"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295162/pdf/nihms-1067054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38051449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Considerations in the Management of Rheumatoid Arthritis Among Older Adults in Long-Term Care 长期护理中老年人类风湿关节炎管理的考虑

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2018-08-06 DOI: 10.25270/ALTC.2018.08.00035

N. Tavakoli, Chioma Akwara, P. Kish

引用次数: 0

Top 10 Patient Safety Concerns, 2018 2018年十大患者安全问题

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2018-04-10 DOI: 10.25270/ALTC.2018.04.00027

V. L. Rose

引用次数: 8

Skilled Nursing Facility Value-Based Purchasing: Are You Ready? 基于价值的专业护理机构采购:你准备好了吗?

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2018-04-10 DOI: 10.25270/altc.2018.04.00026

R. Stefanacci

引用次数: 0

End-of-life Care: Law, Ethical principles, and Jewish Medical Ethics 临终关怀:法律、伦理原则和犹太医学伦理

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2018-04-10 DOI: 10.25270/altc.2018.04.00025

K. R. Cohen, Z. Loewy, M. Rumore

引用次数: 0

Correlation of hearing loss and chronic falling among patients with dementia in 3 memory-care communities 3个记忆保健社区痴呆患者听力损失与慢性跌倒的相关性

The annals of long-term care : the official journal of the American Medical Directors Association Pub Date : 2018-03-01 DOI: 10.25270/ALTC.2018.04.00022

E. Schonfeld, L. T. Meyer, A. Becker, K. Tate, M. Moodabagil, C. Mcsharry, M. Amidi, A. Bestler, R. Senno

引用次数: 6