Resource Manual For Quality Indicators In - Department of Health
Resource Manual For Quality Indicators In - Department of Health
Resource Manual For Quality Indicators In - Department of Health
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<strong>In</strong>dicator 5: Prevalence <strong>of</strong> unplanned weight loss<br />
Data Recording Sheet<br />
Name <strong>of</strong> service:<br />
Reporting quarter end<br />
date:<br />
Table: Number <strong>of</strong> residents who experienced unplanned weight loss<br />
Number <strong>of</strong> residents<br />
whose weight was monitored<br />
Number <strong>of</strong> residents who experienced a<br />
significant total unplanned weight loss (ie<br />
equal to or greater than 3 kg)<br />
Number <strong>of</strong> residents<br />
whose weight was monitored<br />
Number <strong>of</strong> residents who experienced an<br />
unplanned weight loss over three<br />
consecutive months<br />
Comments:<br />
• REQUIRED if applicable - Explain any difference between total residents and<br />
number <strong>of</strong> residents whose weight was monitored<br />
for example, 2 residents died, 1 in hospital on 2 weigh day<br />
• REQUIRED if applicable - <strong>In</strong>dicate number <strong>of</strong> residents who appeared in both<br />
parts <strong>of</strong> the indicator, ie they lost more than 3kg and lost weight for 3<br />
consecutive months<br />
for example, 4 residents lost more than 3kg AND lost weight every month<br />
• OPTIONAL – any other comments<br />
20