Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs. Teresi, J., A.; Ramirez, M.; Remler, D.; Ellis, J.; Boratgis, G.; Silver, S.; Lindsey, M.; Kong, J.; Eimicke, J., P.; and Dichter, E. International journal of nursing studies, Elsevier Ltd.
Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs [link]Website  abstract   bibtex   
Objectives The aim was to conduct a comparative effectiveness research study to estimate the effects on falls, negative affect and behavior, and the associated societal costs of implementing evidence-based education and best practice programs in nursing homes (NHs).; Design A quasi-experimental design, a variant of a cluster randomized trial of implementation research examining transfer of research findings into practice, was used to compare outcomes among three groups of residents in 15 nursing homes per group.; Methods Forty-five NHs participated in one of three conditions: (1) standard training, (2) training and implementation modules provided to facility staff, or (3) staff training and implementation modules augmented by surveyor training. After application of exclusion and matching criteria, nursing homes were selected at random within three regions of New York State. Outcomes were assessed using medical records and the Minimum Data Set (MDS).; Results The main finding was of a significant reduction of between 5 and 12 annual falls in a typical nursing home. While both intervention groups resulted in fall reduction, the larger and significant reduction occurred in the group without surveyor training. A significant reduction in negative affect associated with training staff and surveyors was observed. Net cost savings from fall prevention was estimated.; Conclusions A low cost intervention targeting dissemination of evidence-based best practices in nursing homes can result in the potential for fall reduction, and cost savings.
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 title = {Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs},
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 keywords = {Comparative effectiveness research,Costs,Dissemination,Evidence-based practices,Falls,Nursing homes,Training},
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 notes = {ID: S0020748911002677; M3: Article; Accession Number: S0020748911002677; Author: Jeanne A. Teresi (a, b, c, 1); Author: Mildred Ramirez (a, c, ⁎); Author: Dahlia Remler (d, 2); Author: Julie Ellis (e, f, 3); Author: Gabriel Boratgis (a, 1); Author: Stephanie Silver (a, c, 1); Author: Michael Lindsey (g); Author: Jian Kong (a, c, 1); Author: Joseph P. Eimicke (a, c, 1); Author: Elizabeth Dichter (h); Affiliation: Research Division, Hebrew Home at Riverdale, 5901 Palisade Avenue, Riverdale, NY 10471, United States; Affiliation: Columbia University Stroud Center, Faculty of Medicine and New York State Psychiatric Institute, 100 Haven Avenue, Tower III, 30F, New York, NY 10471, United States; Affiliation: Weill Medical College of Cornell University, Department of Geriatrics, Faculty of Medicine, 1300 York Avenue, New York, NY 10065, United States; Affiliation: School of Public Affairs, Baruch College, City University of New York, 1 Bernard Baruch Way, Box D-0916, New York, NY 10010, United States; Affiliation: Aged Care Services Australia Group Pty. Ltd., 101 Punt Road, Windsor, Vic 3181, Australia; Affiliation: La Trobe University, Division of Nursing and Midwifery, Australia; Affiliation: Office of Health Insurance Programs, New York State Department of Health, Room 1938, Corning Tower, Albany, NY 12237-0066, United States; Affiliation: Bureau of Professional Credentialing, Division of Quality and Surveillance for Nursing Homes and ICFs/MR, New York State Department of Health, 161 Delaware Avenue, Delmar, NY 12054, United States; Keyword: Comparative effectiveness research; Keyword: Costs; Keyword: Dissemination; Keyword: Evidence-based practices; Keyword: Falls; Keyword: Nursing homes; Keyword: Training; Language: English;},
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 abstract = {Objectives The aim was to conduct a comparative effectiveness research study to estimate the effects on falls, negative affect and behavior, and the associated societal costs of implementing evidence-based education and best practice programs in nursing homes (NHs).; Design A quasi-experimental design, a variant of a cluster randomized trial of implementation research examining transfer of research findings into practice, was used to compare outcomes among three groups of residents in 15 nursing homes per group.; Methods Forty-five NHs participated in one of three conditions: (1) standard training, (2) training and implementation modules provided to facility staff, or (3) staff training and implementation modules augmented by surveyor training. After application of exclusion and matching criteria, nursing homes were selected at random within three regions of New York State. Outcomes were assessed using medical records and the Minimum Data Set (MDS).; Results The main finding was of a significant reduction of between 5 and 12 annual falls in a typical nursing home. While both intervention groups resulted in fall reduction, the larger and significant reduction occurred in the group without surveyor training. A significant reduction in negative affect associated with training staff and surveyors was observed. Net cost savings from fall prevention was estimated.; Conclusions A low cost intervention targeting dissemination of evidence-based best practices in nursing homes can result in the potential for fall reduction, and cost savings.},
 bibtype = {article},
 author = {Teresi, Jeanne A and Ramirez, Mildred and Remler, Dahlia and Ellis, Julie and Boratgis, Gabriel and Silver, Stephanie and Lindsey, Michael and Kong, Jian and Eimicke, Joseph P and Dichter, Elizabeth},
 journal = {International journal of nursing studies}
}
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