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De AWBZ internationaal bekeken - Rvz

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Bijlage 3<br />

Dimensies en aspecten van kwaliteit in langdurige zorg<br />

Quality of structure: examples - Quality and safety of buildings (fire hazards, sanitation)<br />

- Amenity of housing environment<br />

- Size of rooms<br />

- Staff ratios; mix of staff qualification<br />

Quality of process: examples - Mechanisms to protect resident rights<br />

- Well-functioning transfer and discharge management<br />

- Procedures of resident assessments used for care planning<br />

- Availability of services needed to attain and maintain<br />

residents highest practicable level of functioning<br />

- Availability of sufficiently qualified staff around the clock<br />

seven days a week<br />

- Well-balanced diet<br />

- Availability of and/or access to ancillary services<br />

(e.g., rehabilitation, pharmacy, infection control)<br />

- Requirements for clinical records and process<br />

of care documentation<br />

- Maintaining a quality assurance committee<br />

Quality of outcomes: examples - Prevalence of pressure scores<br />

- Prevalence of malnutrition (including dehydration);<br />

adequacy of tube feeding<br />

- Preventable decline of ADL and IADL functioning<br />

- Residents with poorly managed pain<br />

- Restraints uses (physical and pharmalogical)<br />

- Residents with infections<br />

- Prevalence of anti-psychotic drug use<br />

- Prevalence of tube feeding<br />

- Number of falls; falls prevention<br />

- Prevalence of faecal incontinence<br />

- Social engagement and privacy protection<br />

Bron: OECD, 2005.<br />

RVZ<br />

<strong>De</strong> <strong>AWBZ</strong> <strong>internationaal</strong> <strong>bekeken</strong>: langdurige zorg in het buitenland 197

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