Culture Change in Nursing Homes

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Commonwealth Fund Survey of Nursing Homes

[Staff Reporters]

The “medical culture change” movement is working to radically transform nursing home care, and help facilities transition from institutions to home.

Survey Highlights

The following highlights just a few of the findings from the Commonwealth Fund 2007 National Survey of Nursing Homes report, released in May 2008:. 

  • Fifty-eight percent of culture change adopters allow residents to determine their own schedules, compared with only 22 percent of traditional nursing homes.
  • Nearly two-thirds (64%) of culture change adopters implement bathing practices that are more resident-centered, while only 37 percent of traditional nursing homes do so.
  • Seven of 10 culture change adopters reported that residents are involved in decisions about their facility, but only one-quarter of traditional nursing homes (27%) involve residents in such decisions. 

Source: M. M. Doty, M. J. Koren, and E. L. Sturla: Culture Change in Nursing Homes: How Far Have We Come? Findings From The Commonwealth Fund 2007 National Survey of Nursing Homes, The Commonwealth Fund, May 2008


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6 Responses

  1. Adverse Events Identified Among Medicare Skilled Nursing Facilities Residents by Category

    Types of Adverse Events Percentage

    Events Related to Medication 37%
    Medication-induced delirium or other change in mental status 12%
    Excessive bleeding due to medication 5%
    Fall or other trauma with injury secondary to effects of medication 4%
    Constipation, obstipation, and ileus related to medication 4%
    Other medication events 14%
    Events Related to Resident Care 37%
    Fall or other trauma with injury related to resident care 6%
    Exacerbations of preexisting conditions resulting from an omission of care 6%
    Acute kidney injury or insufficiency secondary to fluid maintenance 5%
    Fluid and other electrolyte disorders (e.g., inadequate management of fluid) 4%
    Venous thromboembolism, deep vein thrombosis (DVT), or pulmonary embolism (PE) related to resident monitoring 4%
    Other resident care events 14%
    Events Related to Infections 26%
    Aspiration pneumonia and other respiratory infections 10%
    Surgical site infection (SSI) associated with wound care 5%
    Urinary tract infection associated with catheter (CAUTI) 3%
    Clostridium difficile infection 3%
    Other infection events 5%

    Source: Office of Inspector General (OIG), Department of Health and Human Services


  2. Nursing Home Seizing Control Over Patients

    Just to collect debts.



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