Wagner Laura M, McDonald Shawna M, Castle Nicholas G
Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, CA 94143, USA.
Rehabil Nurs. 2013 Jul-Aug;38(4):167-77. doi: 10.1002/rnj.94. Epub 2013 May 17.
To examine accreditation from nursing homes accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and whether this is associated with improved rehabilitation care.
Cross-sectional association of CARF accreditation and quality.
Comparison of the short-stay quality measures (influenza and pneumococcal vaccination; pain; delirium; pressures sores; five-star quality and health inspection scores) between the sample of 246 CARF-accredited homes compared with the 15,393 nursing homes in the 2010 On-Line Survey Certification of Automated Records (OSCAR).
CARF-accredited nursing homes demonstrate better quality with regard to the short-stay quality measures.
Approaches beyond traditional regulation and governmental inspections are necessary to improve the quality of care in nursing homes.
During a patient's rehabilitation stay, minimizing iatrogenic complications is paramount. Given the findings of this study, it is unfortunate that very few nursing homes are CARF accredited.
研究经康复设施认证委员会（CARF）认证的疗养院的认证情况，以及这是否与改善康复护理相关。
CARF认证与质量的横断面关联研究。
将246家获得CARF认证的疗养院样本与2010年在线调查自动记录认证（OSCAR）中的15393家疗养院的短期质量指标（流感和肺炎球菌疫苗接种；疼痛；谵妄；压疮；五星级质量和健康检查评分）进行比较。
获得CARF认证的疗养院在短期质量指标方面表现出更好的质量。
除了传统监管和政府检查之外，还需要采取其他方法来提高疗养院的护理质量。
在患者康复期间，尽量减少医源性并发症至关重要。鉴于本研究的结果，很遗憾获得CARF认证的疗养院非常少。
