M J Rantz

..The aim of this paper is to report on the revision and simplification of the MDS Mortality Rating Index (MMRI) for use in clinical practice to predict the probability of death in six months for care home residents...

..As the MDS instrument or recommended calculations for the MDS QIs change, thresholds will be reestablished to ensure a fit with the instrument and data...

..We describe the development of a statewide strategy to improve resident outcomes in nursing facilities, and we present some evaluative data from this strategy...

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..They can help older adults with light care needs to make informed decisions about long-term care, seek out community options, and set in place assistive care systems that can help them age in the community...

..A culture of safety...

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..A summary is also included on the challenges encountered and the lessons learned as a result of our experiences in monitoring aging adults in their homes...

..Findings will be useful to administrators and policy makers who are contemplating implementation of a clinical information system...

..The results of this work will additionally reduce the workload on caregivers, foster communication between residents and family, and give these seniors independence. We have requested and received IRB approval for this study...

..Analyzing the data even at this level we gain increased confidence that technology will be a welcome addition as the population ages and require increasing care...

..3 hours in total). The actor was previously trained by our nursing collaborators to fall like an elderly person. The use of height information reduced the false alarm hourly rate from 32 to 5 at a 100% fall detection rate...

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..Through the use of a sensor system, new ways of detecting functional decline in elderly residents of assisted living facilities can be accomplished...

..Users want better image quality, when expectations are matched satisfaction increases, and unclear meaning of motion measures decreases satisfaction...

..The pattern of decline identified here may provide additional clues to the presence of underlying depression...

..Nurses from a variety of environments dialogue about what could be and how to create it. Discussions are affirming, confirming, and challenging, creating personal and professional growth and innovation...

..This study describes the prevalence, profile, and survivorship of residents admitted to LTC facilities, using the Minimum Data Set (MDS) designation of being at the EOL...

..To compare hospice residents in nursing homes with residents who are noted as end-stage, but not in hospice programs...

..We compared treatment and mortality in U.S. and Dutch nursing home residents with lower respiratory infections (LRI), which are often the immediate cause of death in dementia...

..A model of staff support in the nursing home is proposed that conceptualizes the nursing home as a supportive social system in which the needs of both staff and residents can be better met...

..By building a regression model from this higher order information, our system can automatically estimate elder activity levels...

..Our experimental results demonstrate that the proposed system is efficient in indoor elder activities monitoring and easily utilized by eldercare professionals...

..Strategies are recommended for designing effective experimental interventions...

..This finding provides support of the importance and advantage of continuous gait assessment in a daily living environment. Results on 4 elderly participants are included in the paper...

..Our findings indicate that the use of adaptive technology that can be installed in the home environment has the potential to not only support but also empower individual senior users...

..Findings indicate that innovative QI programs and APN consultation can positively influence nursing home quality improvement efforts and improve care...

..Sex and ethnic differences need further investigation. There is a vital need for rigorously designed studies to contribute to this science...

..The results of this study provide a basis for developing educational programs and a guide for future research...

..43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities...

..Because grey literature is a source of data that might not employ peer review, critics have questioned the validity of its data and the results of meta-analyses that include it...

..Findings suggest that residents admitted from assisted living facilities are more likely to be older, to have diagnoses of dementia and depression, and to be placed in Alzheimer's special care units...

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..Descriptions of the Quality Improvement Program for Missouri and the Aging in Place Project are detailed to illustrate real-world application of research to practice...

..Generalizability Theory analyses revealed that dependability of scores can be improved by including a second site observer, or by revisiting a site. There is a small additional benefit from increasing observers or visits beyond two...

..While each individual quality measure makes only small contributions to costs, when considered across the facility, quality could have a substantial financial impact on the operations of the home...

..To measure pressure ulcer quality indicator (QI) scores and to describe the self-reported skin integrity assessment, pressure ulcer risk assessment, and pressure ulcer prevention and treatment practices in long-term care facilities (LTCFs)...

..90 for the total scale, indicating excellent results for initial field-testing. A focus group confirmed the 5 dimensions of quality of care measured by the instrument as important in residential care settings...

..The purpose of this study was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes...

..Achieving these outcomes is the challenge facing those currently working in and leading nursing facilities...

..To evaluate a range of staffing measures and data sources for long-term use in public reporting of staffing as a quality measure in nursing homes...

..Academic nursing units can develop research cultures to support meaningful research that secures major external funding...

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..Findings suggest that many NH residents classified as light-care by these criteria could be cared for in community settings offering fewer services than NHs...

..Collaboration between Nursing, Computer Engineering, and Health Informatics is likely on a path to improve the quality of life of seniors...

..Senior Care and the Aging in Place initiative provide an excellent example of how nurses can be leaders in health system change...

..Future work to develop valid measures of primary study quality dimensions will improve the ability of meta-analysis to inform research and nursing practice...