Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission

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Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.

BACKGROUND Older adults are at greatest risk of medication errors during the transition period of the first 7 days after admission and readmission to a skilled nursing facility (SNF). PURPOSE The aim of this study was to evaluate structure- and process-related factors that contribute to medication errors and harm during transition periods at a SNF. METHODOLOGY/APPROACH Data for medication e...

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Impact of medication aide use on skilled nursing facility quality.

PURPOSE OF THE STUDY A number of states have begun to allow skilled nursing facilities to employ medication aides, who have less formal education than registered nurses (RNs) or licensed practical nurses (LPNs), to administer medications. If this results in fewer RNs or LPNs, quality degradation may occur. We evaluated the effect of regulations allowing for medication aides on subsequent medica...

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Home Health and Skilled Nursing Facility Use: 1982-90

In this article, analyses are made of home health and skilled nursing facility (SNF) use for the period 1982-90 using Medicare records linked to data on community and institutional residents from the National Long-Term Care Surveys (NLTCSs) of 1982, 1984, and 1989. The combined survey and administrative data analyses are performed to ascertain how the chronic health and functional characteristi...

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Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.

STUDY OBJECTIVE To assess the impact of a pilot pharmacist-managed medication reconciliation program on mortality and use of health care services in patients discharged to home from a skilled nursing facility (SNF). DESIGN Quasi-experimental, controlled trial. SETTING Health maintenance organization (HMO). PATIENTS Five hundred twenty-one HMO members. INTERVENTION Patients were assigned...

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Medicare skilled nursing facility reimbursement and upcoding.

Post-acute care provided by skilled nursing facilities (SNFs) is reimbursed by Medicare under a prospective payment system using resource utilization groups (RUGs) that adjust payment intensity on the basis of predefined ranges of weekly therapy minutes provided and the functionality of the patient. Individual RUGs account for differences in the intensity of care provided, but there exists sign...

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ژورنال

عنوان ژورنال: Health Care Management Review

سال: 2014

ISSN: 0361-6274

DOI: 10.1097/hmr.0000000000000000