ArticleBMC research notes2013
Practice sensitive quality indicators in RAI-MDS 2.0 nursing home data.
Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled it
- Evidence for publicly reported quality indicators in residential long-term care: a systematic review.BMC health services research · 2022Pooled it
- Comparing effects of two higher intensity feedback interventions with simple feedback on improving staff communication in nursing homes-the INFORM cluster-randomized controlled trial.Implementation science : IS · 2020Trial
- Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.Trials · 2017Trial
- The Association Between the Presence of Medical Care and Resident Outcomes in Canadian Nursing Homes: a Retrospective Cross-Sectional Analysis.Canadian geriatrics journal : CGJ · 2024Article
- Burnout Among Nursing Home Care Aides and the Effects on Resident Outcomes.Medical care research and review : MCRR · 2024Article
- Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Nursing-sensitive quality indicators for quality improvement in Norwegian nursing homes - a modified Delphi study.BMC health services research · 2023Review
- Pain and quality of life in nursing home residents with dementia after admission - a longitudinal study.BMC health services research · 2023Article
- Prevalence and persistent prescription of analgesic drugs in persons admitted with dementia to a nursing home - A longitudinal study.PloS one · 2022Article
- Enhancing sleep quality for nursing home residents with dementia: a pragmatic randomized controlled trial of an evidence-based frontline huddling program.BMC geriatrics · 2021Article
- Article
- Nursing Home Residents by Human Immunodeficiency Virus Status: Characteristics, Dementia Diagnoses, and Antipsychotic Use.Journal of the American Geriatrics Society · 2019Article
- The associations between staffing hours and quality of care indicators in long-term care.BMC health services research · 2018Article
- The Impact of an In-service Educational Program on Nurses' Knowledge and Attitudes Regarding Pain Management in an Ethiopian University Hospital.Frontiers in public health · 2018Article
- Development and Validation of A Scheduled Shifts Staffing (ASSiST) Measure of Unit-Level Staffing in Nursing Homes.The Gerontologist · 2017Article
- The Integrated Nutrition Pathway for Acute Care (INPAC): Building consensus with a modified Delphi.Nutrition journal · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundIn recent years, improving the quality of care for nursing home residents has generated a considerable amount of attention. In response, quality indicators (QIs), based on available evidence and expert consensus, have been identified within the Resident Assessment Instrument-Minimum Data Set 2.0 (RAI-MDS 2.0), and validated as proxy measures for quality of nursing home care. We sought to identify practice sensitive QIs; that is, those QIs believed to be the most sensitive to clinical practice.
methodWe enlisted two experts to review a list of 35 validated QIs and to select those that they believed to be the most sensitive to practice. We then asked separate groups of practicing physicians, nurses, and policy makers to (1) rank the items on the list for overall "practice sensitivity" and then, (2) to identify the domain to which the QI was most sensitive (nursing care, physician care, or policy maker).
resultsAfter combining results of all three groups, pressure ulcers were identified as the most practice sensitive QI followed by worsening pain, physical restraint use, the use of antipsychotic medications without a diagnosis of psychosis, and indwelling catheters. When stratified by informant group, although the top five QIs stayed the same, the ranking of the 13 QIs differed by group.
conclusionsIn addition to identifying a reduced and manageable set of QIs for regular reporting, we believe that focusing on these 13 practice sensitive QIs provides both the greatest potential for improving resident function and slowing the trajectory of decline that most residents experience.
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