ArticleInternational journal of environmental research and public health2021
The Effect of Providing Staff Training and Enhanced Support to Care Homes on Care Processes, Safety Climate and Avoidable Harms: Evaluation of a Care Home Quality Improvement Programme in England.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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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
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness and experiences of quality improvement interventions in older care: a mixed-methods systematic review.Frontiers in public health · 2026Pooled it
- How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.International journal of older people nursing · 2025Pooled it
- Implementation of interprofessional quality circles on deprescribing in Swiss nursing homes: an observational study.BMC geriatrics · 2023Pooled it
- HOME, the heart of healing: advancing patient safety beyond the hospital.BMJ open quality · 2026Article
- Nursing home staffing and operations in Taiwan and the United States: A comparative pilot study.International journal of nursing studies advances · 2026Article
- Scan, Screen, Support-A Digital Pathway for Assessing Supportive Care Needs in Oncology: Implementation Study.JMIR cancer · 2026Article
- Key elements of home care workforce capability to provide integrated home care to older people: scoping review.BMJ open · 2025Article
- Article
- Instruments for Patient Safety Assessment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Intervention with institutional caregivers for the purpose of supportive education for disadvantaged children: 3C.Frontiers in psychology · 2024Article
- Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study.BMJ quality & safety · 2023Article
- An integrative review of research evaluating organisational culture in residential aged care facilities.BMC health services research · 2023Review
- Development of an Active Training Method for Belt Conveyor.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Older people living in care homes are at risk from avoidable harms, which may require hospital attendance or admission. This paper describes a mixed methods evaluation of a large quality improvement (QI) programme that provides skills training and facilitated support to staff in 29 care homes across two localities in the West Midlands, UK. The Safety Attitudes Questionnaire (SAQ) is used to assess changes to care home safety climate between baseline and programme end at 24 months. We use routinely collected data to assess pre- and post-programme avoidable harms and hospital attendance/admission rates. Semi-structured interviews with programme managers (n = 18), and staff (n = 49) in four case study homes are also used to assess perspectives on programme implementation. Our results show that safety climate scores increase by 1.4 points. There are significant reductions in falls (
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Registered trials
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.