OBJECTIVES: To examine the frequency distributions and interrater reliability of individual items interRAI Acute Care instrument. DESIGN: Observational study a representative sample older inpatients; duplicate assessments conducted on subsample by independent assessors to reliability. SETTING: medical, acute geriatric orthopedic units in 13 hospitals nine countries. PARTICIPANTS: Five hundred thirty‐three patients aged 70 (mean age 82.4, range 70–102) with an anticipated stay 48 hours or...

A multi-domain suite of instruments has been developed by the interRAI research collaborative to support assessment and care planning in mental health, aged disability services. Each instrument comprises items common other specialized exclusive that instrument. This study examined reliability from five supporting home care, long term palliative post-acute care. Paired assessments on 783 individuals across 12 nations were completed within 72 hours each trained assessors who blinded others'...

OBJECTIVE : To describe the results of an international trial home care version MDS assessment and problem identification system (the MDS‐HC), including reliability estimates, a comparison MDS‐HC reliabilities with same items in 2.0 nursing instrument, examination types problems found clients using MDS‐HC. DESIGN Independent, dual home‐care agencies by trained clinicians draft MDS‐HC, additional descriptive data regarding profiles for clients. SETTING AND PARTICIPANTS Reliability from...

OBJECTIVES: To develop a scale predicting mortality and other adverse outcomes associated with frailty. DESIGN: Observational study based on Minimum Data Set (MDS) 2.0 data. SETTING: Ontario chronic hospitals. PARTICIPANTS: All hospital patients (N = 28,495) assessed the MDS after mandatory implementation in July 1996 followed until May 1999. MEASUREMENTS: assessments done as part of normal practice mainly by registered nurses or multidisciplinary teams hospital. Mortality data are available...

OBJECTIVES: To examine the reliability and validity of Aggressive Behavior Scale (ABS), derived from Minimum Data Set (MDS 2.0). DESIGN: Retrospective analysis MDS 2.0 Cohen Mansfield Agitation Inventory (CMAI) data. SETTING: Ontario nursing homes (NHs) complex continuing care (CCC) hospitals units. PARTICIPANTS: Two hundred fourteen patients a CCC hospital, 652 residents four NH facilities who adopted before its mandatory implementation, 124,259 assessed with between July 1996 October 2006....

Population ageing, the emergence of chronic illness, and shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem setting specific.From 2002, interRAI research collaborative undertook development a suite tools support planning persons with frailty, disability, or mental health problems across settings. The constitutes an early example "third generation" system.The rationale strategy for is described, together description...

Institutionalization of the Elderly in Canada suggested that efforts to address underlying causes age-related declines health might negate need for nursing homes. However, prevalence chronic disease has increased, and conditions like dementia mean homes are likely remain important features Canadian care system. A fundamental problem limiting ability understand how may change better meet needs an aging population was lack person-level clinical information. The introduction interRAI assessment...

Abstract Objectives This study compares inter‐ and intra‐country differences in the prevalence of physical restraints antipsychotic medications nursing homes, examines aggregated resident conditions organizational characteristics correlated with these treatments. Methods Population‐based, cross‐sectional data were collected using a standardized Resident Assessment Instrument (RAI) from 14,504 long‐term care facilities providing home level services five countries participating interRAI...

Objectives To identify the prevalence of geriatric syndromes in premorbid for all except falls (preadmission), admission, and discharge assessment periods incidence new significant worsening existing at admission discharge. Design Prospective cohort study. Setting Three acute care hospitals Brisbane, Australia. Participants Five hundred seventy-seven general medical patients aged 70 older admitted to hospital. Measurements Prevalence (or preadmission falls), periods; discharge; Results The...

Acute hospital discharge delays are a pressing concern for many health care administrators. In Canada, delayed is defined by the alternate level of (ALC) construct and has been target provincial strategies. Little known on patient characteristics that influence acute ALC length stay. This study examines which drive stay those awaiting nursing home admission. Population-level administrative assessment data were used to examine 17,111 admissions designated as from large Canadian region. Case...

There is a growing need for an integrated health information system to be used in community, institutional and hospital based settings. For example, changes the structure, process venues of service delivery mean that individuals with similar needs may cared variety different Moreover, as people make transitions from one sector healthcare another, there comparable ensure continuity care reduced assessment burden. The RAI/MDS series instruments comprise because they have consistent...

BACKGROUND: There is little information available on the rates of pain in institutionalized elderly persons, and this particularly true for Canada. OBJECTIVES: To provide about prevalence clinical correlates a sample Canadian nursing homes, to determine whether residents with cognitive impairment experience lower health conditions associated (eg, arthritis) than without associations (ie, odds ratios) such vary as function status. DESIGN: The study based secondary analysis data collected...

The objectives of this prospective study were to calculate incidence rates for fall-related hospitalization, compare the effect risk factors among benzodiazepine (BZD) users and unexposed controls, examine variations in risks according length time following a BZD prescription. Data derived from Saskatchewan Health linked data bases, leading information on 468 hospitalizations injury due falls population 321422. Incidence per 10000 within 28 days prescription fill date 26.2, 12.1 9.0 sedative...

Purpose: This study aimed to develop home care quality indicators (HCQIs) be used by a variety of audiences including consumers, agencies, regulators, and policy makers support evidence-based decision making related the services. Design Methods: Data from 3,041 Canadian 11,252 U.S. clients assessed with Minimum Set—Home Care (MDS-HC) were evaluate series suggested international experts focus groups conducted in Canada United States. Risk adjustment methods derived validated using data...

Despite the plethora of information concerning risk factors for falls, limited research efforts have focused on issue differences in falls based fall status, or more specifically one-time versus chronic/recurrent fallers. Given that multiple been found to be associated with negative outcomes, such as an increased institutionalization, this area is warranted.The purpose investigation was determine nonfallers fallers (1+ falls), and nonfallers/one-time recurrent (2+ falls). All participants (N...

Abstract Background The objective of this study was to examine the Minimum Data Set (MDS) and Geriatric Depression Scale (GDS) as measures depression among nursing home residents. Methods data for were baseline, pre-intervention assessment from a research involving nine homes 704 residents in Massachusetts. Trained nurses assessed using MDS GDS 15-item version. Demographic, psychiatric, cognitive obtained MDS. Level operationalized as: (1) sum items; (2) Rating Scale; (3) GDS; (4) five-item...

Home care plays a vital role in many health systems, but there is evidence that appropriate targeting strategies must be used to allocate limited home resources effectively. The aim of the present study was develop and validate methodology for prioritizing access community facility-based services clients. Canadian international data based on Resident Assessment Instrument – Care (RAI-HC) were analyzed identify predictors nursing placement, caregiver distress being rated as requiring...