Longitudinal Pressure Ulcer Rates After Adoption of Culture Change in Veterans Health Administration Nursing Homes.

ABSTRACT:

Objectives

To examine facility-level pressure ulcer (PrU) development rates and variations in these rates after a system-wide adoption of culture change in Veterans Health Administration (VHA) nursing homes.

Design

Four-year retrospective longitudinal design.

Setting

VHA facilities (N=109) representing 132 nursing homes known as community living centers (CLCs).

Participants

VHA nursing home residents.

Measurements

PrUs were identified using fiscal year (FY) 2008-11 Minimum Data Set (MDS) data. PrU development was defined as a Stage 2 or larger PrU on an MDS assessment with no PrU on the previous assessment. A risk adjustment model was developed using 105,274 MDS observations to predict the likelihood of PrUs (c-statistic=0.72). A Bayesian hierarchical mo

SUBMITTER: Hartmann CW 

PROVIDER: S-EPMC4719574 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature