Table 3

Summary of findings of QIC studies conducted in nursing home (four studies) and prehospital paramedical care (one study)

Reference and study designTopicResults
Baier et al 41
Pain managementQIC sites improved 3 of 7 pain indicators (appropriate pain assessment 43.8% vs 3.9%, p<0.001; pain intensity scales 73.9% vs 15.6%, p<0.001; non-pharmacological treatments 81.9% vs 40.5%, p<0.001). Prevalence of pain reduced −5% versus −1.5%.
Colón-Emeric et al 44
Falls preventionNo statistical significant difference in fall rates
Arling et al 64
ITS with control sites
Falls preventionOverall 31% decline in mean rate of new falls compared with no changes in control sites
Lynn et al 66
ITS with control sites
Pressure ulcer (PU) prevention and careCompared with national control data, change in prevalence stage I–IV PU not statistically significant. Incidence of new stage III or IV lesions declined 69% from median incidence of 0.3/100 occupied beds per month to 0.0/100 beds (p<0.001). Assessments within 1 day of admission increased from 87% to 99% (p=0.002) and weekly PU documentation from 45% to 67% (p=0.004).
Siriwardena et al 18
Taljaard et al 108
Prehospital care for AMI and strokeCare bundle performance increased from 43% to 79% for AMI (OR 1.04; 1.04–1.04) and from 83% to 96% for stroke (OR 1.06; 1.05–1.07).
  • AMI, acute myocardial infarction; CBA, controlled before-after study; ITS, interrupted time series study; QIC, quality improvement collaborative.