Residents in Longterm Care Facilities
Conditions
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.
Interventions
OTHERinterRAI LTCF
Standardized evaluations (interRAI LTCF) will be introduced to selected nursing homes in Quebec.
Sponsors
Canadian Frailty Network
Centre hospitalier de l'Université de Montréal (CHUM)
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the prevalence of physical restraints use | 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 |
| Change in prevalence of potentially inappropriate antipsychotic use | 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 falls prevalence | 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 | 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 | 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) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in prevalence of pressure ulcers | Every 3 months, for a minimum of 6 months and a maximum of 36 months | Stage 2 pressure ulcer on the interRAI pressure ulcer scale |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in other interRAI LTCF quality indicators | Every 3 months, for a minimum of 6 months and a maximum of 36 months | interRAI LTCF evaluation leads to a number of quality indicators being generated each of which will be tracked over time for each facility to compare before and after effects, as well as comparisons with other centers in Canada |
Countries
Canada
Outcome results
None listed