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Table 1 RAI-MDS codes and definitions of practice sensitive quality indicators

From: Practice sensitive quality indicators in RAI-MDS 2.0 nursing home data

Quality indicator RAI-MDS 2.0 assessment items Definition
Antipsychotic use without psychosis O4a – Number of days during last 7 days receiving antipsychotic medication Percent of residents on antipsychotics without a diagnosis of psychosis
Decline in mood E1a – Negative statements Percent of residents who decline in mood from symptoms of depression
E1d – Persistent anger with self or others
E1f – Expressions of unrealistic fears
E1h – Repetitive health complaints
E1i – Repetitive anxious non-health complaints or concerns
E1l – Sad pained or worried facial expressions
E1m – Crying, tearfulness
Declining behavioral symptoms E4a – Wandering Percent of residents who have declining behaviour symptoms. Where 1 or more of the indicators are greater at the target assessment than the prior assessment
E4b – Verbally abusive
E4c – Physically abusive
E4d – Socially inappropriate behaviour
Fallen last 30 days J4a – Resident has fallen in the last 30 days Percent of residents who have fallen in the last 30 days
Feeding tube K5b – Feeding tube Percent of residents with a feeding tube
Indwelling catheter H3d – Indwelling catheter Percent of residents with indwelling catheter
Late loss ADL decline G1a – Bed mobility Percent of residents with loss in 1 or more of the ADL late loss self-performance categories
G1b – Transfer
G1h – Eating
G1i – Toilet use
Physical restraint use P4c – Trunk restraint Percent of residents in physical restraints on a daily basis
P4d – Limb restraint
P4e – Chair prevents rising
Pressure ulcer M2a – Stage of pressure ulcer (0 for none) Percent of residents who have a stage 2 to 4 pressure ulcer
Symptoms of delirium B5a – Easily distracted Percent of residents with symptoms of delirium
B5b – Periods of altered perception or awareness of surroundings
B5c – Episodes of disorganized speech
B5d – Periods of restlessness
B5e – Periods of lethargy
B5f – Mental function varies over the course of the day
Unexplained weight loss K3a – Weight loss Percent of residents who have unexplained weight loss
Urinary tract infections I2j – Urinary tract infection Percent of residents with urinary tract infections
Quality indicator RAI-MDS 2.0 assessment items Definition
Worsening pain J2a – Frequency of pain Residents with greater pain at target assessment relative to prior assessment
J2b – Intensity of pain
  1. ADL, activities of daily living.