Overview of Significant Changes in the Minimum Data Set for Nursing Homes Version 3.0
Overview of Significant Changes in the Minimum Data Set for Nursing Homes Version 3.0
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DOI：
10.1016/j.jamda.2012.06.001
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发表时间：
2012-09-01
影响因子：
7.6
通讯作者：
Buchanan, Joan
中科院分区：
文献类型：
--
作者：
Saliba, Debra;Jones, Malia;Buchanan, Joan
最低数据集 (MDS) 是一项标准化评估，针对美国 Medicare 认证疗养院入住的所有居民完成。它还针对所有入住退伍军人健康管理局社区生活中心的居民完成。其内容涉及居民健康和功能的多个领域，旨在促进更好地认识每位居民的需求。 MDS 的新版本 MDS 3.0 于 2010 年 10 月实施。本文重点介绍了 MDS 3.0 中发现的重大临床变化，包括用于评估情绪、偏好、疼痛和认知的新结构化住院医生访谈；纳入意识混乱评估方法来筛查谵妄；修订精神病和行为项目；修订了平衡和跌倒部分；修订膀胱和肠道评估项目；修订压疮评估项目；营养项目的修订；报告居民对返回社区的期望的项目；以及种族/民族项目和语言报告的更改。这些变化旨在提高这些评估项目的临床实用性。由爱思唯尔公司代表美国医疗主任协会出版。
The Minimum Data Set (MDS) is a standardized assessment that is completed on all residents admitted to Medicare certified nursing homes in the US. It is also completed on all residents admitted to Veteran Health Administration Community Living Centers. Its content addresses multiple domains of resident health and function and is intended to facilitate better recognition of each resident's needs. A new version of the MDS, MDS 3.0, was implemented in October, 2010. This article highlights significant clinical changes found in the MDS 3.0, including new structured resident interviews to assess mood, preferences, pain and cognition; inclusion of the Confusion Assessment Method to screen for delirium; revised psychosis and behavior items; revised balance and falls sections; revised bladder and bowel assessment items; revised pressure ulcer assessment items; revisions to the nutrition items; items reporting on resident expectations for return to the community; and changes to race/ethnicity item and language report. These changes aim to improve the clinical utility of these assessment items. Published by Elsevier Inc. on behalf of the American Medical Directors Association, Inc.