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Table 3 Ranking and mean scores of most practice sensitive quality indicators as identified by informant group *

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

Quality indicator

Rank of quality indicator (mean score)

Total (n = 16)

Nurse informants (n = 8)

Physician informants (n = 4)

Policy maker informants (n = 4)

Pressure ulcer

1 (4.53)

3 (4.43)

1 (4.75)

2.5 (4.50)

Worsening pain

2 (4.47)

1.5 (4.71)

3 (4.25

4 (4.25)

Physical restraint use

3.5 (4.33)

5.5 (4.14)

2 (4.50)

2.5 (4.50)

Antipsychotic use without psychosis

3.5 (4.33)

1.5 (4.71)

4.5 (4.00)

5 (4.00)

Indwelling catheter

5 (4.13)

9 (3.86)

4.5 (4.00)

1 (4.75)

Delirium

6 (3.86)

8 (4.00)

6 (3.67)

6.5 (3.75)

Declining behavioral symptoms

7 (3.60)

5.5 (4.14)

7 (3.50)

12 (2.75)

Urinary tract infections

8.5 (3.47)

4 (4.29)

13 (2.25)

8.5 (3.25)

Late loss ADL decline

8.5 (3.47)

5.5 (4.14)

12 (2.50)

8.5 (3.25)

Fallen last 30 days

10( 3.20)

10.5 (3.29)

8.5 (3.00)

8.5 (3.25)

Feeding tube

11 (3.14)

13 (2.83)

8.5 (3.00)

6.5 (3.75)

Decline in mood

12.5 (3.00)

10.5(3.29)

11 (2.75)

13 (2.75)

Unexplained weight loss

12.5 (3.00)

12(3.00)

8.5 (3.00)

11 (3.00)

  1. ADL, activities of daily living.
  2. *To identify which of the quality indicators were considered most sensitive to practice, informants were provided the statement “This quality indicator is practice sensitive”. Responses ranged from 1 to 5 (1 = strongly disagree, 5 = strongly agree).
  3. Where ties occurred, the rank values are represented in decimal place form.