Defining Safety in the Nursing Home Setting: Implications for Future Research

摘要: Currently, the Agency for Healthcare Research and Quality (AHRQ) Common Format nursing homes (NHs) accommodates voluntary reporting 4 adverse events: falls with injury, pressure ulcers, medication errors, infections. In 2015, AHRQ funded a technical brief to describe state of science related safety in NH setting inform research agenda. Thirty-six recent systematic reviews evaluated safety-related interventions address these events reported mostly mixed evidence about effective approaches ameliorate them. Furthermore, are likely inadequate capture issues that unique encompass other domains residents' quality care life. Future needs include expanding our definition setting, which differs considerably from hospitals, contributing factors as well more resident-centered measures. Second, future should reflect rigorous implementation objective measures processes events, intervention fidelity, staffing resources broader uptake efficacious interventions. Weaknesses contribute current inconclusive base remaining questions what outcomes even achievable given complexity most resident populations. Also implementation, determine effects specific models on outcomes. Last, efforts explore potential settings older adults, notably dementia within assisted living.