Better tArgetting, Better Outcomes for Frail ELderly Patients: A Quality Improvement Initiative in Long-term Care Facilities Using interRAI Long-term Care Assessment in Quebec
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 5,692
- Locations
- 1
- Primary Endpoint
- Change in falls prevalence
Study Overview
Brief Summary
The acronym for this proposal, BABEL, refers to the fact that a common "language" - the interRAI risk-stratification and decision-making tool - will be used in this project, allowing several measures of care quality in long-term care facilities to be compared with those in other provinces for the first time. The impact of the use of this assessment system and associated care planning protocols will also be investigated using usual practice as the point of reference.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All nursing home residents in a particular unit where standardized evaluations are being introduced (for example, all residents in a particular floor or wing of the longterm care facility)
Exclusion Criteria
- •Residents who are admitted to a nursing home unit for less than 1 week.
Outcomes
Primary Outcomes
Change in falls prevalence
Time Frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months
Prevalence of falls among residents under study
Change in prevalence of pain
Time Frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months
Using interRAI pain scale scores greater than 0
Change in depression prevalence
Time Frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months
Depression rating scale score of 3 or more (from interRAI LTCF)
Change in prevalence of potentially inappropriate antipsychotic use
Time Frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months
Use of antipsychotics in the absence of an appropriate diagnosis
Change in the prevalence of physical restraints use
Time Frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months
Use of physical restraints on residents as assessed using interRAI LTCF
Secondary Outcomes
- Change in prevalence of pressure ulcers(Every 3 months, for a minimum of 6 months and a maximum of 36 months)