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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 5,692
- 试验地点
- 1
- 主要终点
- Change in falls prevalence
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •Residents who are admitted to a nursing home unit for less than 1 week.
结局指标
主要结局
Change in falls prevalence
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
次要结局
- Change in prevalence of pressure ulcers(Every 3 months, for a minimum of 6 months and a maximum of 36 months)