Matches in SemOpenAlex for { <https://semopenalex.org/work/W1569754602> ?p ?o ?g. }
- W1569754602 endingPage "1216" @default.
- W1569754602 startingPage "1197" @default.
- W1569754602 abstract "Objective. To examine facility variation in data quality of the level of pain documented in the minimum data set (MDS) as a function of level of hospice enrollment in nursing homes (NHs). Data Source. Clinical assessments on 3,469 nonhospice residents from 178 NHs were merged with On‐line Survey Certification and Reporting data of 2000, Medicare Claims data of 2000 and the MDS of 2000–2002. Study Design. Using the same assessment protocol, NH staff and study nurses independently assessed 3,469 nonhospice residents. Study nurses' assessments being gold standard, we quantified and compared quality of NH staff's pain rating across NHs with high, medium, or low hospice use. Multilevel models were built to assess the effect of NH hospice use levels on the occurrence of false positive (FP) and false negative (FN) errors in NH‐rated “severe pain.” Principal Findings. Of 178 NHs, 25 had medium and 41 high hospice use. NHs with higher hospice use had lower sensitivities. In multilevel analysis, we found a significant facility‐level variation in the probability of FP and FN errors in facility‐rated “severe pain.” Resident characteristics only explained 4 and 0 percent of the facility variation in FP and FN, respectively; characteristics and locations (state) of NHs further explained 53 and 52 percent of the variance. After controlling for resident and NH characteristics, staff in NHs with medium or high hospice use were less likely to have FP or FN errors in their MDS documentation of pain than were staff in NHs with low or no hospice use. Conclusions. The examination of data quality of pooled MDS data from multiple NHs is insufficient. Multilevel analysis is needed to elucidate sources of heterogeneity in the quality of MDS data across NHs. Facility characteristics, e.g., hospice use or NH location, are systematically associated with overrated/underrated pain and may bias pain quality indicator (QI) comparisons. To ensure the integrity of QI comparison in the NH setting, the government may need to institute regular audits of MDS data quality." @default.
- W1569754602 created "2016-06-24" @default.
- W1569754602 creator A5003819078 @default.
- W1569754602 creator A5024056755 @default.
- W1569754602 creator A5062663993 @default.
- W1569754602 creator A5075955084 @default.
- W1569754602 creator A5084644208 @default.
- W1569754602 date "2005-04-11" @default.
- W1569754602 modified "2023-10-18" @default.
- W1569754602 title "The Quality of the Quality Indicator of Pain Derived from the Minimum Data Set" @default.
- W1569754602 cites W1576049994 @default.
- W1569754602 cites W1968295100 @default.
- W1569754602 cites W1971973091 @default.
- W1569754602 cites W1976976697 @default.
- W1569754602 cites W1998890075 @default.
- W1569754602 cites W2035637488 @default.
- W1569754602 cites W2036191769 @default.
- W1569754602 cites W2052796811 @default.
- W1569754602 cites W2069314083 @default.
- W1569754602 cites W2084117528 @default.
- W1569754602 cites W2109084462 @default.
- W1569754602 cites W2111673479 @default.
- W1569754602 cites W2119759803 @default.
- W1569754602 cites W2152164089 @default.
- W1569754602 cites W2155823288 @default.
- W1569754602 cites W2165844150 @default.
- W1569754602 cites W2322460999 @default.
- W1569754602 cites W2918943662 @default.
- W1569754602 doi "https://doi.org/10.1111/j.1475-6773.2005.00400.x" @default.
- W1569754602 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1361186" @default.
- W1569754602 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16033500" @default.
- W1569754602 hasPublicationYear "2005" @default.
- W1569754602 type Work @default.
- W1569754602 sameAs 1569754602 @default.
- W1569754602 citedByCount "40" @default.
- W1569754602 countsByYear W15697546022012 @default.
- W1569754602 countsByYear W15697546022013 @default.
- W1569754602 countsByYear W15697546022017 @default.
- W1569754602 countsByYear W15697546022018 @default.
- W1569754602 countsByYear W15697546022019 @default.
- W1569754602 countsByYear W15697546022020 @default.
- W1569754602 countsByYear W15697546022022 @default.
- W1569754602 crossrefType "journal-article" @default.
- W1569754602 hasAuthorship W1569754602A5003819078 @default.
- W1569754602 hasAuthorship W1569754602A5024056755 @default.
- W1569754602 hasAuthorship W1569754602A5062663993 @default.
- W1569754602 hasAuthorship W1569754602A5075955084 @default.
- W1569754602 hasAuthorship W1569754602A5084644208 @default.
- W1569754602 hasBestOaLocation W15697546022 @default.
- W1569754602 hasConcept C111472728 @default.
- W1569754602 hasConcept C138885662 @default.
- W1569754602 hasConcept C142724271 @default.
- W1569754602 hasConcept C159110408 @default.
- W1569754602 hasConcept C162324750 @default.
- W1569754602 hasConcept C176217482 @default.
- W1569754602 hasConcept C17744445 @default.
- W1569754602 hasConcept C199360897 @default.
- W1569754602 hasConcept C199539241 @default.
- W1569754602 hasConcept C204787440 @default.
- W1569754602 hasConcept C21547014 @default.
- W1569754602 hasConcept C24756922 @default.
- W1569754602 hasConcept C2779028819 @default.
- W1569754602 hasConcept C2779530757 @default.
- W1569754602 hasConcept C2780385302 @default.
- W1569754602 hasConcept C3019398978 @default.
- W1569754602 hasConcept C41008148 @default.
- W1569754602 hasConcept C46304622 @default.
- W1569754602 hasConcept C512399662 @default.
- W1569754602 hasConcept C56666940 @default.
- W1569754602 hasConcept C71924100 @default.
- W1569754602 hasConceptScore W1569754602C111472728 @default.
- W1569754602 hasConceptScore W1569754602C138885662 @default.
- W1569754602 hasConceptScore W1569754602C142724271 @default.
- W1569754602 hasConceptScore W1569754602C159110408 @default.
- W1569754602 hasConceptScore W1569754602C162324750 @default.
- W1569754602 hasConceptScore W1569754602C176217482 @default.
- W1569754602 hasConceptScore W1569754602C17744445 @default.
- W1569754602 hasConceptScore W1569754602C199360897 @default.
- W1569754602 hasConceptScore W1569754602C199539241 @default.
- W1569754602 hasConceptScore W1569754602C204787440 @default.
- W1569754602 hasConceptScore W1569754602C21547014 @default.
- W1569754602 hasConceptScore W1569754602C24756922 @default.
- W1569754602 hasConceptScore W1569754602C2779028819 @default.
- W1569754602 hasConceptScore W1569754602C2779530757 @default.
- W1569754602 hasConceptScore W1569754602C2780385302 @default.
- W1569754602 hasConceptScore W1569754602C3019398978 @default.
- W1569754602 hasConceptScore W1569754602C41008148 @default.
- W1569754602 hasConceptScore W1569754602C46304622 @default.
- W1569754602 hasConceptScore W1569754602C512399662 @default.
- W1569754602 hasConceptScore W1569754602C56666940 @default.
- W1569754602 hasConceptScore W1569754602C71924100 @default.
- W1569754602 hasIssue "4" @default.
- W1569754602 hasLocation W15697546021 @default.
- W1569754602 hasLocation W15697546022 @default.
- W1569754602 hasLocation W15697546023 @default.
- W1569754602 hasLocation W15697546024 @default.
- W1569754602 hasOpenAccess W1569754602 @default.
- W1569754602 hasPrimaryLocation W15697546021 @default.