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Mandatory Reporting of Nursing Home Deaths: Markers for Mistreatment, Effect on Care Quality, and Generalizability Final Report

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dc.contributor.author Brandt, Julie
dc.contributor.author Hough, Aubrey
dc.contributor.author Kruse, Robin
dc.contributor.author Lindbloom, Eric
dc.contributor.author Malcolm, Mark
dc.contributor.author Robinson, James
dc.contributor.author Zimmerman, David
dc.date.accessioned 2017-12-01T18:37:48Z
dc.date.available 2017-12-01T18:37:48Z
dc.date.issued 2007
dc.identifier.citation Brandt, Julie; Hough, Aubrey; Kruse, Robin; Lindbloom, Eric; Malcolm, Mark; Robinson, James; Zimmerman, David. (2007). Mandatory Reporting of Nursing Home Deaths: Markers for Mistreatment, Effect on Care Quality, and Generalizability Final Report. University of Missouri-Columbia, Arkansas Coroner’s Office, University of Arkansas for Medical Sciences, and University of Wisconsin-Madison, 98 pgs. en_US
dc.identifier.govdoc NCJ 221893
dc.identifier.uri https://www.ncjrs.gov/pdffiles1/nij/grants/221893.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/427
dc.description Report en_US
dc.description.abstract The study found that from 1999 through 2004, there were 3,174 nursing-home death investigations by the Pulaski County Coroner's Office. Ninety-two cases (2.9 percent of all investigations) were referred to the Attorney General or Office of Long-term Care for suspicion of mistreatment. Factors associated with these referrals were family dissatisfaction with care, being of a racial minority, tube feeding, the presence of a severe pressure sore, or a recent ostomy of some type. The current study found no differences in care-quality indicators between Pulaski County and other Arkansas counties over this time period. The coroner survey contributed to further insight into the attitudes and knowledge base regarding nursing home mistreatment, and it identified some of the significant barriers to generalizing such investigations to other locations. The diagnostic discrepancies identified in the autopsy case series show the importance of autopsies in the nursing home death investigations. Despite the lack of evidence of improvement in nursing home care as a result of the Arkansas law, this study is inconclusive because of the use of retrospective and self-reported data. This study expanded the database and analysis of Pulaski County Coroner's Office investigations, abstracting and analyzing all records from 1999 through 2004. In addition, cases from the Pulaski County Coroner's Office were matched with Minimum Data Set (MDS) data from each resident and facility to identify MDS items associated with higher suspicion for mistreatment. Coroners throughout Arkansas were surveyed to learn more about the potential generalizability of death investigations outside Pulaski County, and a case series of 20 autopsies from Pulaski County added to knowledge about pathologic findings in nursing home decedents. (NCJRS Abstract) en_US
dc.language.iso en_US en_US
dc.publisher University of Missouri-Columbia en_US
dc.subject Assisted Living Facilities en_US
dc.subject Residential Services en_US
dc.subject Housing en_US
dc.subject Research en_US
dc.subject Elder Abuse en_US
dc.subject Elder Neglect en_US
dc.subject Elder Mistreatment en_US
dc.subject Forensic Pathology en_US
dc.subject Evidence en_US
dc.subject Fatalities en_US
dc.subject Mortality en_US
dc.title Mandatory Reporting of Nursing Home Deaths: Markers for Mistreatment, Effect on Care Quality, and Generalizability Final Report en_US
dc.type Other en_US


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