Patient safety in long-term care facilities and the COVID-19 pandemic

Ortman JM Velkoff VA Hogan H . An aging nation: the older population in the United States. U.S. Census Bureau. May 2014. https://www.census.gov/prod/2014pubs/p25-1140.pdf (accessed October 25, 2021).

Hado E Komisar H . Fact sheet: long-term services and supports. American Association of Retired Persons Public Policy Institute, August 2019, available at https://www.aarp.org/content/dam/aarp/ppi/2019/08/long-term-services-and-supports.doi.10.26419-2Fppi.00079.001.pdf (accessed October 25, 2021).

Favreault M Dey J . Long-term services and supports for older Americans: risks and financing research brief, June 30, 2015, available at https://aspe.hhs.gov/reports/long-term-services-supports-older-americans-risks-financing-research-brief-0 (accessed October 25, 2021).

Levinson DR Adverse events in long-term care hospitals: National incidence among Medicare beneficiaries. Department of Health and Human Services: Office of Inspector General, November 2018, available at https://oig.hhs.gov/oei/reports/oei-06-14-00530.pdf. (accessed October 25, 2021).

Harrington C Garfield R . Nursing facilities, staffing, residents and facility deficiencies, 2009 through 2015. Kaiser Family Foundation, July 2017, available at https://files.kff.org/attachment/REPORT-Nursing-Facilities-Staffing-Residents-and-Facility-Deficiencies-2009-2015 (accessed October 25, 2021).

Gruneir A Mor V . Nursing home safety: current issues and barriers to improvement. Annu Rev Public Health 2008; 29: 369–382. doi:10.1146/annurev.publhealth.29.020907.090912.

de Bienassis K Llena-Nozal A Klazinga N. "The economics of patient safety part III: long-term care: valuing safety for the long haul", OECD Health working papers, 2020, No. 121, OECD Publishing, Paris, https://doi.org/10.1787/be07475c-en (accessed October 25, 2021).

H.R. 3545 – Omnibus Budget Reconciliation Act of 1987. available at https://www.congress.gov/bill/100th-congress/house-bill/3545 (accessed October 25, 2021).

Healthcare Quality Improvement Campaign. available at https://nhqualitycampaign.org/ (accessed October 25, 2021).

Commission on Long-Term Care Report to the Congress. available at https://www.govinfo.gov/content/pkg/GPO-LTCCOMMISSION/pdf/GPO-LTCCOMMISSION.pdf. (accessed October 25, 2021). September 30, 2013.

Brauner D Werner RM Shippee TP , et al. Does nursing home compare reflect patient safety In nursing homes? Health Aff (Millwood) 2018 Nov; 37: 1770–1778. doi: 10.1377/hlthaff.2018.0721. PMID: 30395505; PMCID: PMC6405288.

Institute of Medicine (US) Committee on Improving Quality in Long-Term Care; Wunderlich GS, Kohler PO, editors. Improving the quality of long-term care. Washington (DC): National Academies Press (US), 2001, 3, State of Quality of Long-Term Care. Available from: https://www.ncbi.nlm.nih.gov/books/NBK224503/ (accessed October 25, 2021).

Chidambaram P Garfield R . Nursing home experienced steeper increase in COVID-19 cases and death in August 2021 then the rest of the country. https://www.kff.org/coronavirus-covid-19/issue-brief/nursing-homes-experienced-steeper-increase-in-covid-19-cases-and-deaths-in-august-2021-than-the-rest-of-the-country/ (accessed October 25, 2021).

Mathews AW Douglas J Kamp J , et al. Covid-19 stalked nursing homes around the world. Wall Street Journal December 31, 2020; https://www.wsj.com/articles/covid-19-stalked-nursing-homes-around-the-world-11609436215 (accessed October 25, 2021).

Freidus A , Shenk D, Wolf C. A rapid qualitative appraisal of the impact of COVID-19 on long-term care communities in the United States: perspectives from area aging staff and advocates. Hum Organ 2020; 79(4): 313-322, available at https://ltccovid.org/wp-content/uploads/formidable/3/Human-Org-2020.pdf (accessed October 25, 2021).

Freidus A Shenk D . “It spread like a wildfire”: analyzing affect in the aarratives of nursing home staff suring a COVID-19 outbreak. Anthropology & Aging 2020; 41(2): 199–206. https://anthro-age.pitt.edu/ojs/index.php/anthro-age/article/view/312/360

Berridge C Parsey CM Ramirez M , et al. Caring for Washington's older adults in the COVID-19 pandemic: Interviews with organization leaders about the state of social and healthcare services. October 12, 2020, available at https://ltccovid.org/wp-content/uploads/formidable/3/CARING-FOR-WASHINGTONS-OLDER-ADULTS-IN-THE-COVID-19-PANDEMIC.pdf. (accessed October 25, 2021).

Werner RM Hoffman AK Coe NB . Long-Term care policy after covid-19 - solving the nursing home crisis. N Engl J Med 2020 Sep 3; 383: 903–905. doi: 10.1056/NEJMp2014811. Epub 2020 May 27. PMID: 32459918.

Wilcox C . Kendal at ithaca beats COVID-19. J Patient Safe Risk Manage 2021 (December); 26(6): 237–239.

Micocci M Buckle P Hayward G , et al. Point of care testing using rapid automated antigen testing for SARS-COV-2 in care homes – an exploratory safety, usability and diagnostic agreement evaluation. Patient Safe Risk Manage 2021 (December); 26(6): 243–250.

Hannawa A . “We’re on our way:” A message from the mountains. Patient Safe Risk Manage 2021 (December); 26(6): 240–242.

Samuels A Broom M McDonald T , et al. Improving self-reported empathy and communication skills through harm in healthcare response training. Patient Safe Risk Manage 2021(December); 26(6): 251–260.

World Health Organization. Ageing and health, October 4, 2021, available at https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (accessed October 25, 2021).

The Joint Commission. Nursing Care Center National Patient Safety Goals, 2022, available at https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/simple_2022-ncc-npsg-goals-101921.pdf. (accessed October 25, 2021).

Agency for Health Research and Quality. Improving patient safety in long term care facilities, July 2012, available at https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html. (accessed October 25, 2021).

Scott D . Covid-19 made America's long-term care crisis impossible to ignore. Vox, June 27, 2021, available at https://www.vox.com/policy-and-politics/22375360/nursing-home-care-in-home-covid-19; (accessed October 25, 2021).

Gleckman H . Where long-term care reform goes now. Forbes, June 30, 2021, available at https://www.forbes.com/sites/howardgleckman/2021/06/30/where-long-term-care-reform-goes-now/?sh=58ffc3f121aa; (accessed October 25, 2021).

Harrar S , et al. 10 Steps to reform and improve nursing homes. AARP, January 13, 2021, available at https://www.aarp.org/caregiving/health/info-2021/steps-to-improve-nursing-homes.html.

Centers for Medicare and Medicaid Services. CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes. April 30, 2020, available at https://www.cms.gov/newsroom/press-releases/cms-announces-independent-commission-address-safety-and-quality-nursing-homes.

The Honourable Frank N. Marrocco, et al. Ontario's Long-Term Care COVID-19 Commission, Final Report. April 30, 2021, available at http://www.ltccommission-commissionsld.ca/report/pdf/20210623_LTCC_AODA_EN.pdf.

Bonner AF . Patient safety culture: a review of the nursing home literature and recommendations for practice. Ann Longterm Care 2008 Mar; 16: 18–22. available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119574/.