Siobhan S Sharkey

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OBJECTIVES To identify resident, treatment, and facility characteristics associated with pressure ulcer (PU) development in long-term care residents. DESIGN Retrospective cohort study with convenience sampling. SETTING Ninety-five long-term care facilities participating in the National Pressure Ulcer Long-Term Care Study throughout the United States. (More)
OBJECTIVES To describe differences in frontline caregiver daily practice in two types of skilled nursing facility (SNF) settings, Green House (GH) homes and traditional SNF units, related to overall staffing (nursing and nonnursing departments), direct care and indirect care time per resident day, and staff time interacting with residents. DESIGN(More)
OBJECTIVES To describe and provide baseline data from The National Pressure Ulcer Long-Term Care Study (NPULS). DESIGN Retrospective cohort study of detailed resident characteristics, treatments, and outcomes using convenience sampling. SETTING One hundred nine long-term care facilities throughout the United States. PARTICIPANTS Two thousand four(More)
A substantial reduction in hospitalization rates has been associated with the implementation of the Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement intervention using the accompanying paper-based clinical practice tools (INTERACT II). There is significant potential to further increase the impact of INTERACT by integrating(More)
The goal of this article was to enhance understanding of the On-Time Quality Improvement for Long-term Care Program, a practical approach to embed health information technology into quality improvement in nursing homes that leverages certified nursing assistant documentation and knowledge, supports frontline clinical decision making, and establishes(More)
OBJECTIVE To design and facilitate implementation of practice-based evidence changes associated with decreases in pressure ulcer (PrU) development in long-term-care (LTC) facilities and promote these practices as part of routine care. DESIGN Pre/post observational study. SETTINGS AND PARTICIPANTS Frail older adult residents in 11 US LTC facilities. (More)
OBJECTIVES To determine those factors that are associated with nursing homes' success in implementing the On-Time quality improvement (QI) for pressure ulcer prevention program and integrating health information technology (HIT) tools into practice at the unit level. DESIGN Observational study with quantitative analysis of nursing home characteristics,(More)
OBJECTIVE This quality improvement (QI) project was initiated to understand what differentiates nursing homes (NHs) that perform well on publicly reported Centers for Medicare and Medicaid Services (CMS) Quality Measures (QMs). The intent was to assist NH staff to direct QI efforts to positively impact QM rates. A key step was to determine if any resident(More)
OBJECTIVE To use the experience from a health services research evaluation to provide guidance in team development for mixed methods research. METHODS The Research Initiative Valuing Eldercare (THRIVE) team was organized by the Robert Wood Johnson Foundation to evaluate The Green House nursing home culture change program. This article describes the(More)