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A Self-Monitoring Method of Resident Care Quality Assurance in Long Term Care Facilities

Published online by Cambridge University Press:  29 November 2010

Larry W. Chambers
Affiliation:
McMaster University
Pat Caulfield
Affiliation:
McMaster University
Mark Magenheim
Affiliation:
McMaster University
E. Ann Mohide
Affiliation:
McMaster University
Vince Rudnick
Affiliation:
McMaster University
Peter Tugwell
Affiliation:
McMaster University
J.R.D. Bayne
Affiliation:
McMaster University
Sue Baptiste
Affiliation:
McMaster University
Michelle King
Affiliation:
McMaster University
Miriam Pill
Affiliation:
Canadian Council on Hospital Accreditation (CCHA)

Abstract

Quality assurance packages for common health problems are being developed for use in long term care settings. Each package includes a criteria map outlining explicit process and outcome criteria, a reviewer's manual and data summary forms. The packages were developed for use by direct care providers in long term care facilities. Established criteria are applied to records on resident care in order to identify areas which require remedial actions. A feasibility study to assess the use of the packages in eleven nursing homes is reported.

Résumé

Des unités de conditionnement assorties de garanties de qualité destinées au traitement des affections communes ont été élaborées à l'intention des établissements de soins à long terme. Chaque unité se compose d'une liste de critères comportant la description explicite du processus ainsi que de l'issue en cause, un manuel et des formulaires de données. Elles sont destinées au personnel soignant des établissements de soins à long terme. L'application de critères reconnus aux dossiers des soins donnés en institution a permis de cerner les domaines où des mesures correctives s'imposent. Un rapport sur l'utilisation des unités de conditionnement dans onze maisons de cure complète l'article.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1983

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References

REFERENCES

Ontario Nursing Home Association Active and Commercial List. Willowdale, Ontario: Ontario Nursing Home Association 1982.Google Scholar
Blum, SW. The Doctor and his Patient. New York: The Free Press, 1965.Google Scholar
Brown, CR, Uhl, H. S. M.: Mandatory continuing education: sense or nonsense? JAMA 1970; 213: 10: 16601668.CrossRefGoogle ScholarPubMed
Canadian Council on Hospital Accreditation (CCHA), Standards for Chronic Care Facilities. Ottawa: Canadian Council on Hospital Accreditation 1978.Google Scholar
Chambers, LW, Burke, M, Ross, J, Cantwell, R.Quantitative assessment of the quality of medical care provided in five family practices before and after attachment of a family practice nurse. Can Med Assoc J 1978; 118: 10601064.Google ScholarPubMed
Chambers, LW, Bruce-Lockhart, P, Black, DP, Sampson, E, Cantwell, R., Burke, M.: A controlled trial of the impact of the family practice nurse on volume, quality and cost of rural health services. Med Care 1977; 15: 971981.CrossRefGoogle ScholarPubMed
Chambers, LW, Sibley, JS, Spitzer, WO, Tugwell, P. Quality of care assessment: how to set up and use an indicator condition. Clin Invest Med 1981; 4: 1: 4150.Google ScholarPubMed
Chekryn, J, Roos, L.Auditing the process of care in a new geriatric unit. J Am Geriatr Soc 1979; 27: 2: 6272.CrossRefGoogle Scholar
Clute, KF. The quality of general practice. In: The general practitioner. Toronto: University of Toronto Press, 1963.CrossRefGoogle Scholar
Department of Clinical Epidemiology and Bio-statistics, Clinical Epidemiology rounds: how to read clinical journals—about the quality of care, Can Med. Assoc J (in press).Google Scholar
Donabedian, A.Medical care appraisal: Vol 2 of a guide to medical care administration. New York: American Public Health Association 1969.Google Scholar
Government of Ontario The nursing act, 1972. Toronto: Queen's Printer for Ontario 1980.Google Scholar
Greenfield, S, Lewis, CE, Kaplan, SH. Peer review by criteria mapping: criteria for diabetes mellitus. Ann Intern Med 1975; 83: 6: 761770.CrossRefGoogle ScholarPubMed
Greenfield, S, Kaplan, SH, Goldberg, GA, Nadler, MA, Deigh-Hewerston, R. Physician preference for criteria mapping in medical care evaluation. J Fam Pract 1978; 6: 5: 10791086.Google ScholarPubMed
Greenfield, S, Cretin, S, Worthman, L, Dorey, FJ, Soloman, NE, Goldberg, GA. Comparison of a criteria map to a criteria list in quality-of-care assessment for patients with chest pain: the relation of each to outcome. Med care 1981; 19: 3: 255272.CrossRefGoogle ScholarPubMed
Hegyvary, ST, Haussman, RKD. Monitoring nursing care quality. J Nurse Admin 1976; 6: 9: 330.Google Scholar
Jungfer, CC, Last, JM. Clinical performance in Australian general practice. Med care 1965; 2: 7183.CrossRefGoogle Scholar
Kane, RA, Kane, RL, Kleffel, D, et al. The PSRO and the nursing home: Vol 1 of ten demonstration projects in PSRO long-term care review. Santa Monica, CA: Rand Corporation 1972.Google Scholar
Mainland, D, Suttcliff, MI. Aspirin in rheumatoid arthritis: a seven-day double-blind trial. Bull rheum dis 1965; 16: 388391.Google ScholarPubMed
Peterson, OL, Andrews, LP, Spain, RS, Greenberg, BD. An analytical study of North Carolina general practice: 1953–54. J Med Edcu 1965; 31: (part 2): 1165.Google Scholar
Phaneuf, MC. The nursing audit: self-regulation in nursing practice (2nd ed). New York: Appleton-Century-Crofts 1976.Google Scholar
Plant, F.Various approaches proposed to assess quality in long-term care hospitals. J Am Hosp Assoc 1977; 51: 9398.Google Scholar
Sibley, J, Sackett, DL, Neufeld, V, Gerrard, B, Rudnick, KV, Fraser, W.A randomized trial of continuing medical education. N Engl J Med 1982; 306: 511515.CrossRefGoogle ScholarPubMed
Sibley, JC, Spitzer, WO, Rudnick, KV, et al. Quality of care appraisal in primary care: a quantitative method. Ann Intern Med 1975; 83: 4652.CrossRefGoogle ScholarPubMed
Wallerstein, RO, Condit, PK, Kasper, CK, Brown, JW, Morrison, FR.Statewide study of chloramphenicol therapy and fatal aplastic anemia. JAMA 1969; 208: 20452050.CrossRefGoogle ScholarPubMed
Watson, A, Mayers, M.Evaluating the quality of patient care through retrospective chart review. J Nurs Admin 1976; 1721.CrossRefGoogle ScholarPubMed
Ullman, SG. Assessment of facility quality and its relationship to facility size in the long term health care industry. The Gerontologist 1981; 21: 9197.Google Scholar
Zimmer, JC.Medical care evaluation studies in long-term care facilities. J Am Geriatr Soc 1979; 27: 2: 6272.CrossRefGoogle ScholarPubMed