Document Detail


Exploratory Study of Nursing Home Factors Associated with Successful Implementation of Clinical Decision Support Tools for Pressure Ulcer Prevention.
MedLine Citation:
PMID:  23337649     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:: To enhance the learner's competence with information about a study examining nursing home factors associated with the On-Time Quality Improvement for Pressure Ulcer Prevention program clinical decision support tools. TARGET AUDIENCE:: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES:: After participating in this educational activity, the participant should be better able to:1. Interpret study components that increase successful implementation of the On-Time program.2. Apply findings of this study in planning for implementation of a similar program for prevention of pressure ulcers. ABSTRACT: OBJECTIVES:: To determine those factors that are associated with nursing homes' success in implementing the On-Time quality improvement (QI) for pressure ulcer prevention program and integrating health information technology (HIT) tools into practice at the unit level. DESIGN:: Observational study with quantitative analysis of nursing home characteristics, team participation levels, and implementation milestones collected as part of a QI program. SETTING:: Fourteen nursing homes in Washington, District of Columbia, participating in the On-Time Pressure Ulcer Prevention program. MAIN OUTCOME MEASURES:: The nursing home level of implementation was measured by counting the number of implementation milestones achieved after at least 9 months of implementation effort. MAIN RESULTS:: After at least 9 months of implementation effort, 36% of the nursing homes achieved level III, a high level of implementation, of the On-Time QI-HIT program. Factors significantly associated with high implementation were high level of involvement from the administrator or director of nursing, high level of nurse manager participation, presence of in-house dietitian, high level of participation of staff educator and QI personnel, presence of an internal champion, and team's openness to redesign. One factor that was identified as a barrier to high level of implementation was higher numbers of health inspection deficiencies per bed. CONCLUSION:: The learning from On-Time QI offers several lessons associated with facility factors that contribute to high level of implementation of a QI-HIT program in a nursing home.
Authors:
Siobhan Sharkey; Sandra Hudak; Susan D Horn; Ryan Barrett; William Spector; Rhona Limcangco
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  26     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  83-92     Citation Subset:  -    
Affiliation:
Siobhan Sharkey, MBA • Principal • Health Management Strategies • Austin, Texas Sandra Hudak, MS, RN • Principal • Health Management Strategies • Austin, Texas Susan D. Horn, PhD • Senior Scientist • Institute for Clinical Outcomes Research • Salt Lake City, Utah Ryan Barrett • Analyst • Institute for Clinical Outcomes Research • Salt Lake City, Utah William Spector, PhD • Senior Social Scientist • Agency for Healthcare Research and Quality, US Department of Health & Human Services • Rockville, Maryland Rhona Limcangco, PhD • Analyst • Social & Scientific Systems, Inc • Rockville, Maryland.
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