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The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities

AIM: Undesirable events, such as falls, aspiration, and pressure ulcers, are associated with functional decline and lower quality of life among older adults. This study describes the frequency of such events among residents of geriatric care facilities and assesses the effect of training care manage...

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Autores principales: Ikeda‐Sonoda, Shino, Okochi, Jiro, Ichihara, Nao, Miyata, Hiroaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457073/
https://www.ncbi.nlm.nih.gov/pubmed/34233381
http://dx.doi.org/10.1111/ggi.14228
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author Ikeda‐Sonoda, Shino
Okochi, Jiro
Ichihara, Nao
Miyata, Hiroaki
author_facet Ikeda‐Sonoda, Shino
Okochi, Jiro
Ichihara, Nao
Miyata, Hiroaki
author_sort Ikeda‐Sonoda, Shino
collection PubMed
description AIM: Undesirable events, such as falls, aspiration, and pressure ulcers, are associated with functional decline and lower quality of life among older adults. This study describes the frequency of such events among residents of geriatric care facilities and assesses the effect of training care managers in a multidisciplinary plan‐do‐check‐adjust cycle on preventing such events. METHODS: This was a Japan‐based, non‐randomized cluster intervention study. The intervention group comprised geriatric care facilities from which care managers had attended a training course, while the control group comprised facilities with care managers who did not receive this training. Six‐month pre‐admission and 3‐month post‐admission incidences of undesirable events were collected from both groups, and the two groups were compared. RESULTS: Valid data were collected from 862 residents (416 and 446 from the intervention and control groups, respectively) from 130 facilities (60 and 70, respectively). Three‐month post‐admission incidences were 27.8%, 20.0%, and 11.3% for falls, fever, and pressure ulcers, respectively. There was no difference between the groups regarding post‐admission incidence for any event type. Training care managers reduced the post‐admission incidence of pressure ulcers among residents with a history of such ulcers. CONCLUSIONS: The training of care managers in a multidisciplinary risk‐management cycle was not effective for preventing falls, fever, or pressure ulcers. Results underscore the difficulty of preventing risk events in geriatric care facility residents even with organizational training efforts. The authors believe it is important to share such risks with residents and their families. Geriatr Gerontol Int 2021; 21: 842–848.
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spelling pubmed-84570732021-09-27 The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities Ikeda‐Sonoda, Shino Okochi, Jiro Ichihara, Nao Miyata, Hiroaki Geriatr Gerontol Int Original Articles: Social Research, Planning and Practice AIM: Undesirable events, such as falls, aspiration, and pressure ulcers, are associated with functional decline and lower quality of life among older adults. This study describes the frequency of such events among residents of geriatric care facilities and assesses the effect of training care managers in a multidisciplinary plan‐do‐check‐adjust cycle on preventing such events. METHODS: This was a Japan‐based, non‐randomized cluster intervention study. The intervention group comprised geriatric care facilities from which care managers had attended a training course, while the control group comprised facilities with care managers who did not receive this training. Six‐month pre‐admission and 3‐month post‐admission incidences of undesirable events were collected from both groups, and the two groups were compared. RESULTS: Valid data were collected from 862 residents (416 and 446 from the intervention and control groups, respectively) from 130 facilities (60 and 70, respectively). Three‐month post‐admission incidences were 27.8%, 20.0%, and 11.3% for falls, fever, and pressure ulcers, respectively. There was no difference between the groups regarding post‐admission incidence for any event type. Training care managers reduced the post‐admission incidence of pressure ulcers among residents with a history of such ulcers. CONCLUSIONS: The training of care managers in a multidisciplinary risk‐management cycle was not effective for preventing falls, fever, or pressure ulcers. Results underscore the difficulty of preventing risk events in geriatric care facility residents even with organizational training efforts. The authors believe it is important to share such risks with residents and their families. Geriatr Gerontol Int 2021; 21: 842–848. John Wiley & Sons Australia, Ltd 2021-07-07 2021-09 /pmc/articles/PMC8457073/ /pubmed/34233381 http://dx.doi.org/10.1111/ggi.14228 Text en © 2021 The Authors. Geriatrics & Gerontology International published by John Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles: Social Research, Planning and Practice
Ikeda‐Sonoda, Shino
Okochi, Jiro
Ichihara, Nao
Miyata, Hiroaki
The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title_full The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title_fullStr The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title_full_unstemmed The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title_short The effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
title_sort effectiveness of care manager training in a multidisciplinary plan‐do‐check‐adjust cycle on prevention of undesirable events among residents of geriatric care facilities
topic Original Articles: Social Research, Planning and Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457073/
https://www.ncbi.nlm.nih.gov/pubmed/34233381
http://dx.doi.org/10.1111/ggi.14228
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