@article{ref1,
title="Nursing Home Safety: Current Issues and Barriers to Improvement",
journal="Annual review of public health",
year="2008",
author="Gruneir, Andrea and Mor, Vincent",
volume="29",
number="",
pages="369-382",
abstract="The past few decades have seen increasing concern about the quality of nursing home (NH) care. As with other health care sectors, NHs have attempted to embrace a culture of safety, but the additional barriers that they face places the NH industry at a distinct disadvantage. In this review, we provide a summary of current models of NH quality and an overview of two important clinical areas for quality improvement: pressure ulcers and falls. Despite heavy regulation of the NH industry, hoped-for improvements in quality have been limited. We argue that systemic barriers, such as staffing shortages, NH organization, and an adversarial regulatory environment, preclude advances in NH quality. <p></p><p>Language: en</p>",
language="en",
issn="0163-7525",
doi="10.1146/annurev.publhealth.29.020907.090912",
url="http://dx.doi.org/10.1146/annurev.publhealth.29.020907.090912"
}