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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.