JAMDA
Volume 8, Issue 3, Supplement , Pages S6-S11 , March 2007

Quality Improvement Initiatives for Urinary Incontinence in Nursing Homes

  • Joseph G. Ouslander, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Joseph G. Ouslander, MD, Emory University & Birmingham/Atlanta VA GRECC, 1841 Clifton Rd., NE, Atlanta, GA 30329.

References 

  1. Watson N, Brink C, Zimmer J. Use of the AHCPR Urinary Incontinence Guideline in Nursing Homes. J Am Geriatr Soc. 2003;51:1779–1786
  2. Schnelle J, Cadogan M, Grbic D. A standardized quality assessment system to evaluate incontinence care in the nursing home. J Am Geriatr Soc. 2003;51:1754–1761
  3. Palmer M, Johnson T. Quality of incontinence management in US nursing homes: A failing grade. J Am Geriatr Soc. 2003;51(12):1810–1812
  4. Ouslander JG, Johnson TM. Continence care for frail older adults: It is time to go beyond assessing quality. J Am Med Dir Assoc. 2004;5(3):213–216
  5. American Medical Directors Association. Urinary Incontinence. Columbia, MD: American Medical Directors Association; 2006;
  6. Johnson TM, Ouslander JG. The newly revised F-Tag 315 and surveyor guidance for urinary incontinence in long-term care. J Am Med Dir Assoc. 2006;7:594–600
  7. Lekan-Rutledge D. The new F-Tag 315. J Am Med Dir Assoc. 2006;7:607–610
  8. Saliba D, Solomon D, Rubenstein L, et al. Quality indicators for the management of medical conditions in nursing home residents. J Am Med Dir Assoc. 2004;5:297–309
  9. Ouslander JG, Schnelle JF. Incontinence in the nursing home. Ann Intern Med. 1995;122(6):438–449
  10. Fonda D, DuBeau CE, Harari MD, Ouslander J, Palmer MH, Roe B. Incontinence in the frail elderly. In:  Abrams P,  Cardozo L,  Khoury S,  Wein A editor. Incontinence. Paris, France: Health Publications Ltd; 2005;p. 1165–1239
  11. Ouslander J, Schapira M, Schnelle J, et al. Does eradicating bacteriuria affect the severity of chronic urinary incontinence among nursing home residents?. Ann Int Med. 1995;122:749–754
  12. Loeb M, Bentley D, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference. Infect Control Hosp Epidemiol. 2001;22(2):120–124
  13. Nicolle L. Urinary tract infection in long-term-care facility residents. Clin Infect Dis. 2000;31(3):757–761
  14. Schnelle J, Ouslander J, Osterweil D, Blumenthal S. Total Quality management: Administrative and clinical application in nursing homes. J Am Geriatr Soc. 1993;41:1259–1266
  15. Schnelle J, Ouslander J, Cruise P. Policy without technology: A barrier to improving nursing home care. Gerontologist. 1997;37:527–532
  16. Schnelle JF, Cruise PA, Rahman A, Ouslander JG. Developing rehabilitative behavioral interventions for long-term care: Technology transfer, acceptance, and maintenance issues. J Am Geriatr Soc. 1998;46(6):771–777
  17. Schnelle J, McNees P, Crooks V, Ouslander J. The use of a computer-based model to implement an incontinence management program. Gerontologist. 1995;35:656–665
  18. Ouslander JG, Maloney C, Grasela TH, et al. Implementation of a nursing home urinary incontinence management program with and without tolterodine. J Am Med Dir Assoc. 2001;2:207–214
  19. Lekan-Rutledge D, Palmer MH, Belyea M. In their own words: Nursing assistants’ perceptions of barriers to implementation of prompted voiding in long-term care. Gerontologist. 1998;38(3):370–378
  20. Schnelle JF, Traughber B, Sowell VA, Newman DR, Petrilli CO, Ory M. Prompted voiding treatment of urinary incontinence in nursing home patients (A behavior management approach for nursing home staff). J Am Geriatr Soc. 1989;37(11):1051–1057
  21. Ouslander JG, Schnelle JF, Uman G, et al. Predictors of successful prompted voiding among incontinent nursing home residents. JAMA. 1995;273(17):1366–1370
  22. Schnelle J, Alessi C, Simmons S, Al-Samarrai N, Beck J, Ouslander J. Translating clinical research into practice: A randomized controlled trial of exercise and incontinence care in nursing home residents. J Am Geriatr Soc. 2002;50:1476–1483
  23. Ouslander JG, Griffiths PC, McConnell E, Riolo L, Kutner M, Schnelle J. Functional incidental training: A randomized, controlled, crossover trial in Veterans Affairs nursing homes. J Am Geriatr Soc. 2005;53(7):1091–1100
  24. Schnelle JF, Ouslander JG, Simmons SF, Alessi CA, Gravel M. The nighttime environment, incontinence care and sleep disruption in nursing homes. J Am Geriatr Soc. 1993;41:910–914
  25. Schnelle JF, Cruise PA, Ludlow K, Al-Samarrai NR, Ouslander JG. Sleep hygiene in physically dependent nursing home residents: Behavioral and environmental intervention implications. Sleep. 1998;21(5):515–523
  26. Ouslander JG, Ai-Samarrai N, Schnelle JF. Prompted voiding for nighttime incontinence in nursing homes: Is it effective?. J Am Geriatr Soc. 2001;49(6):706–709
  27. Schnelle J, Cruise P, Alessi C, Al-Samarrai N, Ouslander J. Individualizing nighttime incontinence care. Nurs Res. 1998;47:197–204
  28. Ouslander JG, Schnelle JF, Uman G, et al. Does oxybutynin add to the effectiveness of prompted voiding for urinary incontinence among nursing home residents? (A placebo-controlled trial). J Am Geriatr Soc. 1995;43(6):610–617
  29. Zarowitz B, Ouslander JG. The application of evidence-based principles of care in older persons (Issue 6): Urinary incontinence. J Am Med Dir Assoc. 2007;8(1):35–45In press
  30. Johnson TM, Ouslander JG, Uman GC, Schnelle JF. Urinary incontinence treatment preferences in long-term care. J Am Geriatr Soc. 2001;49(6):710–718

PII: S1525-8610(06)00609-8

doi: 10.1016/j.jamda.2006.12.020

JAMDA
Volume 8, Issue 3, Supplement , Pages S6-S11 , March 2007

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