Evidence map›Paper›PMID 30395505›Full record

ArticleHealth affairs (Project Hope)2018

Does Nursing Home Compare Reflect Patient Safety In Nursing Homes?

Daniel Brauner, Rachel M Werner, Tetyana P Shippee, John Cursio, Hari Sharma, R Tamara Konetzka

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel BraunerDaniel Brauner is an associate professor in the Department of Medicine, University of Chicago, in Illinois.
Rachel M WernerRachel M. Werner is a professor of medicine in the Division of General Internal Medicine at the Perelman School of Medicine and a professor of health care management at the Wharton School of Business, both at the University of Pennsylvania, and core faculty at the Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, in Philadelphia.
Tetyana P ShippeeTetyana P. Shippee is an associate professor in the Division of Health Policy and Management, School of Public Health, University of Minnesota, in Minneapolis.
John CursioJohn Cursio is a research assistant professor in the Department of Public Health Sciences, University of Chicago.
Hari SharmaHari Sharma is an assistant professor in the Department of Health Management and Policy, University of Iowa, in Iowa City. At the time this research was conducted, Sharma was a doctoral student in the Department of Public Health Sciences, University of Chicago.
R Tamara KonetzkaR. Tamara Konetzka ( konetzka@uchicago.edu ) is a professor in the Department of Public Health Sciences and in the Department of Medicine, University of Chicago.

Funding

Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG047908 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WERNER, RACHEL M · 2014 to 2024
$2.0M
Patient Safety in Nursing Homes: A Closer Look at ImprovementR01HS024967 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA · 2016 to 2018
$1.4M
AHRQ HHS R01 HS024967NIA NIH HHS K24 AG047908
6 · The paper itself

Abstract

The past several decades have seen significant policy efforts to improve the quality of care in nursing homes, but the patient safety movement has largely ignored this setting. In this study we compared nursing homes' performance on several composite quality measures from Nursing Home Compare, the most prominent recent example of a national policy aimed at improving the quality of nursing home care, to their performance on measures of patient safety in nursing homes such as pressure sores, infections, falls, and medication errors. Although Nursing Home Compare captures some aspects of patient safety, we found the relationship to be weak and somewhat inconsistent, leaving consumers who care about patient safety with little guidance. We recommend that Nursing Home Compare be refined to provide a clearer picture of patient safety and quality of life, allowing consumers to weight these domains according to their preferences and priorities.

Indexed as

Accidental FallsAgedHumansMedication ErrorsNursing HomesPatient SafetyPressure UlcerQuality Indicators, Health CareSurveys and QuestionnairesLong-Term Carepatient safetyQuality Of Care

Identifiers

PMID30395505
PMCPMC6405288

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.