Table 1.
Description of the six Swiss quality indicators.
| Theme | Definition | Numerator | Denominator | Items Measured | Exclusion Criteria |
|---|---|---|---|---|---|
| Polypharmacy | Percentage of residents who took 9 or more active ingredients in the last 7 days | All residents who had taken 9 or more active ingredients in the last 7 days | All long-term care residents | Number of active ingredients in the last 7 days | No exclusion criteria |
| Self-reported pain | Percentage of residents with daily moderate or higher pain intensity or residents with nondaily very strong pain intensity in the last 7 days | All residents who reported the following pain in the last 7 days:
|
All long-term care residents, excluding those who did not give a valid answer regarding frequency or intensity of self-reported pain | Frequency and intensity of self-reported pain in the last 7 days | No valid answer to questions on frequency OR intensity of self-reported pain |
| Observed pain | Percentage of residents who showed daily moderate or higher pain intensity or residents who showed nondaily very strong pain intensity in the last 7 days | All residents where the following pain was observed in the last 7 days:
|
All long-term care residents | Frequency and intensity of observed pain in the last 7 days | No exclusion criteria |
| Physical restraint, trunk fixation or seating that prevents the resident from rising | Percentage of residents with daily fixation of the trunk or with seating that prevented the resident from rising in the last 7 days | All residents who had daily in the last 7 days:
|
All long-term residents, excluding those who wanted or agreed to the use of this measure | Frequency of use in the last 7 days and context of the measure | Residents capable of judgment who either requested or agreed to the measure |
| Physical restraint, bedrails | Percentage of residents with daily use of bedrails or other devices on all open sides of the bed that did not allow the resident to leave the bed independently in the last 7 days | Residents with daily application of bedrails or other devices on all open sides of the bed, which does not allow the resident to leave the bed independently | All long-term residents, excluding those who requested or agreed to the use of this measure | Frequency of use in the last 7 days and context of the measure | Residents capable of judgment who either requested or agreed to this measure |
| Weight loss | Percentage of residents with weight loss of 5% or more in the last 30 days or of 10% or more in the last 180 days | Residents with a weight loss of 5% or more in the last 30 days or 10% or more in the last 180 days | All residents, excluding those with a life expectancy estimated by the staff as lower than 6 months or residents who were last assessed at admission to the nursing home | Weight loss of 5% or more in the last 30 days or of 10% or more in last 180 days | Residents with:
|