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Downs M, Blighe A, Carpenter R, et al. A complex intervention to reduce avoidable hospital admissions in nursing homes: a research programme including the BHiRCH-NH pilot cluster RCT. Southampton (UK): NIHR Journals Library; 2021 Feb. (Programme Grants for Applied Research, No. 9.2.)

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A complex intervention to reduce avoidable hospital admissions in nursing homes: a research programme including the BHiRCH-NH pilot cluster RCT.

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Appendix 2Care pathways identified in search

NumberHealth conditionCare pathway nameCare settingSource
1Heart failureHeart failure logic modelOutpatientDunn PL. Steps to Reducing Heart Failure Hospital Readmissions Through Improvement in Outpatient Care. Unpublished PhD thesis. Minneapolis, MN: Walden University; 2015
2Heart failureTimelineOutpatientDunn PL. Steps to Reducing Heart Failure Hospital Readmissions Through Improvement in Outpatient Care. Unpublished PhD thesis. Minneapolis, MN: Walden University; 2015
3Heart failureFlow sheetOutpatientDunn PL. Steps to Reducing Heart Failure Hospital Readmissions Through Improvement in Outpatient Care. Unpublished PhD thesis. Minneapolis, MN: Walden University; 2015
4Heart failurePathwaysOutpatientDunn PL. Steps to Reducing Heart Failure Hospital Readmissions Through Improvement in Outpatient Care. Unpublished PhD thesis. Minneapolis, MN: Walden University; 2015
5UTIFigure 1 Evaluation and management of UTINursing homeUnwin B, Porvaznik M, Spoelhof GD. Nursing home care: part II. Clinical aspects. Am Fam Physician 2010;81:1229–37
6RespiratoryFigure 2 Evaluation and management of pneumoniaNursing homeUnwin B, Porvaznik M, Spoelhof GD. Nursing home care: part II. Clinical aspects. Am Fam Physician 2010;81:1229–37
7GenericTable 5 Evaluation of fever and infection in long term care facilitiesNursing homeUnwin B, Porvaznik M, Spoelhof GD. Nursing home care: part II. Clinical aspects. Am Fam Physician 2010;81:1229–37
8RespiratoryFigure 2 Clinical pathway for treating residents of nursing homes with lower respiratory tract infection and pneumoniaNursing homeLoeb M, Carusone SC, Goeree R, Walter AD, Brazil K, Kruegar P, et al. Effect of a clinical pathway to reduce hospitalizations in nursing home residents with pneumonia: a randomized controlled trial. JAMA 2006;295:2503–10
9RespiratoryCARE PATH symptoms of lower respiratory infectionNursing homeTools: INTERACT – CARE PATH Symptoms of Lower Respiratory Infection. URL: https://interact2​.net​/docs/INTERACT%20Version%204​.0%20Tools/INTERACT​%20V%204%20Care-Path-Lower-Respiratory-Infection​_Nov%2017%202014.pdf (accessed 17 June 2015)
10UTICARE PATH symptoms of UTIsNursing homeTools: INTERACT – CARE PATH Symptoms of Urinary Tract Infection (UTI). URL: https://interact2​.net​/docs/INTERACT%20Version%204​.0%20Tools/INTERACT​%20V%204%20Care_Path_UTI​%20Nov%2017%202014.pdf (accessed 17 June 2015)
11DeliriumCARE PATH symptoms of acute mental status changeNursing homeTools: INTERACT – CARE PATH Symptoms of Acute Mental Status Change. URL: https://interact2​.net​/docs/INTERACT%20Version%204​.0%20Tools/INTERACT​%20V%204%20Care​_Path_MENTAL_STATUS_CHANGE_Nov​%2017%202014.pdf (accessed 17 June 2015)
12GenericS&WNursing homeTools: INTERACT. Stop and Watch Early Warning Tool. URL: https://interact2​.net​/docs/INTERACT%20Version%204​.0%20Tools/INTERACT​%20V%204%20Stop-and-Watch​%20Nov%2017%202014.pdf (accessed on 17 June 2015)
13Heart failureCARE PATH symptoms of congestive heart failure (CHF)Nursing homeTools: INTERACT – CARE PATH Symptoms of Congestive Heart Failure (CHF). URL: https://interact2​.net​/docs/INTERACT%20Version%204​.0%20Tools/Care​_Path_SYMPTOMS_CHF_v8.pdf (accessed 17 June 2015)
14Heart failureCHF clinical pathwayNursing homeInfusion Resource. Congestive Heart Failure Clinical Pathway Care Resource. Riverside, RI: Infusion Resource, LLC; 2015 (personal communication)
15Heart failureHeart failure careHome careBrightStar Care. Heart Failure Care. URL: www​.brightstarcare.com​/range-of-care/brightstar-clinical-pathways/heart-failure/ (accessed 22 June 2015)
16RespiratoryCOPDHome careBrightStar Care. Chronic Obstructive Pulmonary Disease (COPD) Care Program. URL: www​.brightstarcare.com​/range-of-care/brightstar-clinical-pathways​/chronic-obstructive-pulmonary-disease-copd/ (accessed 22 June 2015)
17DeliriumDelirium/dementia careHome careBrightStar Care. Delirium/Dementia Care. URL: www​.brightstarcare.com​/range-of-care/brightstar-clinical-pathways​/delirium-dementia-care-program/ (accessed 22 June 2015)
18RespiratoryPneumonia careHome careBrightStar Care. Pneumonia Care. URL: www​.brightstarcare.com​/range-of-care/brightstar-clinical-pathways/pneumonia/ (accessed 22 June 2015)
19GenericNational Early Warning Score (NEWS)GenericRoyal College of Physicians. National Early Warning Score (NEWS): Standardising the Assessment of Acute Illness Severity in the NHS. Report of a Working Party. 2012. URL: www​.rcplondon.ac.uk/sites​/default/files/documents​/national-early-warning-score-standardising-assessment-acute-illness-severity-nhs.pdf (accessed 17 June 2015)
20UTILower UTI in men care pathwayHospitalBera A, Fowler C, Boomla K. Lower Urinary Tract Infection in Men Care Pathway. London: Clinical Effectiveness Group, Centre for Primary Care and Public Health, Blizard Institute Barts and The London School of Medicine and Dentistry; 2012. URL: www​.blizard.qmul.ac.uk​/ceg-resource-library​/clinical-guidance​/care-pathways/20-lower-urinary-tract-symptoms-in-men-january-2012/file.html (accessed 17 June 2015)
21RespiratoryRespiratory tract infections – antibiotic prescribing. Prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary careNational Institute for Health and Care Excellence. Respiratory Tract Infections – Antibiotic Prescribing. Prescribing of Antibiotics for Self-limiting Respiratory Tract Infection in Adults and Children in Primary Care. 2008. URL: www​.nice.org.uk/guidance​/cg69/resources/guidance-respiratory-tract-infections-antibiotic-prescribing-pdf (accessed 17 June 2015)
22GeneralRehabilitation after critical illnessHospital and 2–3 months after dischargeNational Institute for Health and Care Excellence. Rehabilitation after Critical Illness. NICE Clinical Guideline 83. 2009. URL: www​.nice.org.uk/guidance​/cg83/resources/guidance-rehabilitation-after-critical-illness-pdf (accessed 17 June 2015)
23Heart failureChronic heart failure management of chronic heart failure in adults in primary and secondary carePrimary and secondary careNational Institute for Health and Care Excellence. Chronic Obstructive Pulmonary Disease: Management of Chronic Obstructive Pulmonary Disease in Adults in Primary and Secondary. 2010. URL: www​.nice.org.uk/guidance​/cg101/resources​/guidance-chronic-obstructive-pulmonary-disease-pdf (accessed 17 June 2015)
24RespiratoryChronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondaryPrimary and secondary careNational Institute for Health and Care Excellence. Chronic Obstructive Pulmonary Disease: Management of Chronic Obstructive Pulmonary Disease in Adults in Primary and Secondary. 2010. URL: www​.nice.org.uk/guidance​/cg101/resources​/guidance-chronic-obstructive-pulmonary-disease-pdf (accessed 17 June 2015)
25DeliriumDelirium diagnosis, prevention and managementHospital or long-term careNational Institute for Health and Care Excellence. Delirium Diagnosis, Prevention and Management: NICE Clinical Guideline 103. 2010. URL: www​.nice.org.uk/guidance​/cg103/resources​/guidance-delirium-pdf (accessed 17 June 2015)
26RespiratoryCOPD pathwayAllBritish Lung Foundation. COPD Pathway. 2013. URL: https://copdpathway​.blf.org.uk/ (accessed 17 June 2015)
27UTIPower urinary tract in femalesMap of Medicine. Lower Urinary Tract Infection (UTI). Map of Medicine. 2014. URL: https://app​.mapofmedicine​.com/mom/58/page​.pdf?department-id=4​%26specialty-id=1014​%26pathway-id=11618​%26page-id=11620%26pathway-prov-cert=​/attachments​/18177_provcert​.pdf%26history=clear%26notes=yes (accessed 17 June 2015)
28UTIMale UTI symptomsMap of Medicine. Male Lower Urinary Tract Symptoms. International View. London: Map of Medicine; 2013 (Issue 4). URL: file:​///C:/Users/cpowell2​/Downloads/maleUTIpage%20(1).pdf (accessed 17 June 2015)
29DehydrationAltered nutritional status in the long-term care settingCare homesNational Guideline Clearinghouse. Altered Nutritional Status in the Long-term Care Setting. URL: www​.guideline.gov/content​.aspx?id=32490%26search=dehydration (accessed 17 June 2015)
30UTITreatment of UTI in non-pregnant womenNational Guideline Clearinghouse. Treatment of Urinary Tract Infection in Non Pregnant Women. URL: www​.guideline.gov/content.aspx?id=12628 (accessed 17 June 2015)
31UTIUTINational Guideline Clearinghouse. Urinary Tract Infection. URL: www​.guideline.gov/content​.aspx?id=34419%26search​=urinary+tract+infection (accessed 17 June 2015)
32Heart failureManagement of chronic heart failureScottish Intercollegiate Network (SIGN). Management of Chronic Heart Failure: A National Clinical Guideline. 2007. URL: www​.sign.ac.uk/pdf/sign95.pdf (accessed 17 June 2015)
33UTIManagement of suspected bacterial urinary tract infection in adultsScottish Intercollegiate Network (SIGN). SIGN Guideline 88: Management of Chronic Heart Failure. 2013. URL: www​.sign.ac.uk/guidelines​/fulltext/88/recommendations.html (accessed 1 June 2015)
34Heart failureCHF triage algorithmsUS Department of Veterans Quality Enhancement Research Initiative (QUERI). CHF Triage Algorithms.URL: www​.queri.research.va​.gov/chf/products/hf_toolkit​/CHF-TriageAlgorithms​_MinneapolisVA.pdf (accessed 28 June 2015)
35Heart failureCHF clinical pathway inpatientUS Department of Veterans Quality Enhancement Research Initiative (QUERI). HF Toolkit for Providers: CHF Clinical Pathway Inpatient. 2010. URL: www​.queri.research.va​.gov/chf/products/hf_toolkit​/ClinicalPathways-Inpatient-Chart-DurhamVA.pdf (accessed 29 June 2015)
36Heart failureGrand Junction Veteran Affairs Medical Centre-Clinical PathwayUS Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI). HF Toolkit for Providers: Grand Junction VAMC-Clinical Pathway. 2010. URL: www​.queri.research.va​.gov/chf/products/hf_toolkit​/CHF-Pathway-GrandJunction-VA​.pdf (accessed 29 June 2015)
37DehydrationDehydration best practice in the care homeCare homeCampbell N. Dehydration: best practice in the care home. Nurs Resid Care 2012;14:21–5

COPD, chronic obstructive pulmonary disease; VAMC, Veterans Administration Medical Center.

Copyright © Queen’s Printer and Controller of HMSO 2021. This work was produced by Downs et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK568166

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