Health services research
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Health services research · Aug 2005
Multicenter StudyThe quality of the quality indicator of pain derived from the minimum data set.
To examine facility variation in data quality of the level of pain documented in the minimum data set (MDS) as a function of level of hospice enrollment in nursing homes (NHs). ⋯ The examination of data quality of pooled MDS data from multiple NHs is insufficient. Multilevel analysis is needed to elucidate sources of heterogeneity in the quality of MDS data across NHs. Facility characteristics, e.g., hospice use or NH location, are systematically associated with overrated/underrated pain and may bias pain quality indicator (QI) comparisons. To ensure the integrity of QI comparison in the NH setting, the government may need to institute regular audits of MDS data quality.
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Health services research · Aug 2005
Multicenter Study Clinical Trial Controlled Clinical TrialAn educational intervention to enhance nurse leaders' perceptions of patient safety culture.
To design a training intervention and then test its effect on nurse leaders' perceptions of patient safety culture. ⋯ Sensitively delivered training initiatives for nurse leaders can help to foster a safety culture. Organizational leadership support for improvement is, however, also critical for fostering a culture of safety. Together, training interventions and leadership support may have the most significant impact on patient safety culture.