QSHC

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER


[Advanced]
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Albert, T.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Albert, T.
Topic Collections
Right arrowRelevant Articles
Qual Saf Health Care 2003;12:236
© 2003 BMJ Publishing Group & Institute for Healthcare Improvement

Action points

Tim Albert

The first 150 words of the full text of this article appear below.


Q. DO NURSING HOMES OFFER A SAFE ENVIRONMENT FOR ELDERLY PEOPLE?
The decision to move an elderly person into a nursing home is often made on the grounds that they will be safer there. But this assumption may be misplaced, according to the author of this paper. He reports that there are many unsafe situations in the 17 000 nursing homes in the US—including falls, adverse drug events, pressure ulcers, problems with tube feeding, and equipment breakdowns. Better reporting of errors would help, but this will be difficult to achieve in view of the "pervasively adversarial—bordering on poisonous—legal, economic, political and medical environment surrounding the US nursing home industry". The author advocates a range of changes, such as modified Medicaid and Medicare payments, better information, quality initiatives, more financial support, and better communication between residents, family, and staff. "To meet . . . expanded expectations and preferences will be a formidable task, calling for expansive thinking and ingenuity beyond simple compliance . . . [Full text of this article]


Relevant Articles

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study
S Ruths, J Straand, and H A Nygaard
Qual. Saf. Health Care 2003 12: 176-180. [Abstract] [Full Text] [PDF]

Intensive support to improve clinical decision making in cardiovascular care: a randomised controlled trial in general practice
B D Frijling, C M Lobo, M E J L Hulscher, R P Akkermans, B B van Drenth, A Prins, J C van der Wouden, and R P T M Grol
Qual. Saf. Health Care 2003 12: 181-187. [Abstract] [Full Text] [PDF]

"At least Mom will be safe there": the role of resident safety in nursing home quality
M B Kapp
Qual. Saf. Health Care 2003 12: 201-204. [Abstract] [Full Text] [PDF]

Tracking adverse events in RCTs: lack of agreement among regulatory institutions
L M Santiago, S M Debanne, and D Neuhauser
Qual. Saf. Health Care 2003 12: 234. [Extract] [Full Text] [PDF]





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2003 by the BMJ Publishing Group Ltd.