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[P3–509]: CONCEPTUALIZING THE INFLUENCES ON DECISION‐MAKING REGARDING THE PRESCRIPTION OF ANTIPSYCHOTICS TO NURSING HOME RESIDENTS WITH DEMENTIA: A META‐ETHNOGRAPHY STUDY
Author(s) -
Walsh Kieran A.,
Dennehy Rebecca,
Sinnott Carol,
Browne John P.,
Byrne Stephen,
McSharry Jennifer,
Coughlan Eoin,
Timmons Suzanne
Publication year - 2017
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2017.06.1728
Subject(s) - critical appraisal , qualitative research , dementia , nursing , psychological intervention , medical prescription , medicine , antipsychotic , psychology , psychiatry , alternative medicine , sociology , schizophrenia (object oriented programming) , disease , pathology , social science
domain, and Institute of Medicine (IOM) Domains of Quality. Results: From 10,487 unique records screened, 41 met inclusion criteria. We digitally searched the grey literature for organization websites that generated reports of quality indicators, yielding an additional 12 reports. Overall, 326 QIs (n1⁄4 266 established and n1⁄4 60 developing) were identified, including 35 (11%) structure, 212 (65%) process, and 79 (25%) outcome indicators. This included indicators categorized into Timeliness (25%), Safety (21%), Effectiveness (n1⁄424%), Patient-centeredness (19%), Efficiency (10%) and Equity (<1%). These indicators will be evaluated in two rounds of electronic surveys for relevance, feasibility, and scientific soundness using a Delphi process. This will allow expert panellists to categorize indicators into “maintain”, “consider” or “discard” groups. Conclusions:QIs provide benchmarks for monitoring and decision-making on quality improvement in healthcare systems. By identifying indicators and knowledge gaps that exist in quality measurement, policy makers, knowledge-users and researchers can collaborate to improve care for vulnerable older persons across settings.