An evaluation of data quality in Canada’s Continuing Care Reporting System (CCRS): secondary analyses of Ontario data submitted between 1996 and 2011

Hirdes, John P.; Poss, Jeffrey W.; Caldarelli, Hilary; Fries, Brant E.; Morris, John N.; Teare, Gary; Reidel, Kristen; Jutan, Norma M.

doi:10.1186/1472-6947-13-27

Cited by 77 publications

(70 citation statements)

References 43 publications

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“…Facilities are then expected to correct rejected records and resubmit. Furthermore, Hirdes, Poss, Caldarelli et al (2013) recently examined the RAI data and found data quality with respect to reliability, validity, completeness, and freedom from logical coding errors to be consistently high.…”

Section: Instrumentmentioning

confidence: 98%

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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The objectives of this study were to examine the prevalence of non-suicidal self-injury (NSSI) among adolescents with mental health needs and specific factors associated with NSSI among adolescents aged 14 to 18 years who received mental health services in adult mental health facilities in Ontario, Canada. Data on 2,013 adolescents were obtained from the Ontario Mental Health Reporting System using the Resident Assessment Instrument-Mental Health (RAI-MH) and were analyzed using logistic regression. Approximately, 20.2% (407 adolescents) of the sample engaged in NSSI within the last 12 months. Results from multivariate logistic regression indicate that females were 2.19 times more likely to engage in NSSI than males. Intentional misuse of prescription medication emerged as the most important factor associated with NSSI. Other factors found to be associated with NSSI included multiple psychiatric admissions, sexual abuse, use of alcohol, mood disorders (e.g., depression), adjustment disorders, personality disorders and symptoms of depression. The article discusses the implications of the findings, with suggestions for future research.

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Section: Instrumentmentioning

confidence: 98%

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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“…12,13 Determining the prevalence of osteoarthritis can be difficult because estimates are sensitive to the case definition of osteoarthritis, the period used to estimate the period prevalence and the denominator population -specifically, the exclusion of very young ages. In 2012, a Canadian group (the CANRAD network) collaborating with international experts developed a consensus statement for using administrative data to study rheumatic disease to improve its consistency and value for arthritis research.…”

mentioning

confidence: 99%

Prevalence and management of osteoarthritis in primary care: an epidemiologic cohort study from the Canadian Primary Care Sentinel Surveillance Network

et al. 2015

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O steoarthritis is a common chronic condition affecting many older Canadians and is a considerable cause of disability.1 It is the most common form of arthritis and is frequently diagnosed and managed in primary care.2 As the Canadian population ages, the burden of this condition on our health care system will increase, and we must look at trends in risk factors, diagnosis and management.International reports on the prevalence of osteoarthritis diagnoses show an increasing number of patients with the condition.3 This is predominantly due to an increase in the number of people older than 60 years, as well as to an increase in obesity, a leading risk factor for osteoarthritis. [4][5][6][7] Previous studies have provided information about the state of osteo arthritis in Canada. [7][8][9][10][11] In British Columbia, an overall prevalence of 10.8% was found using administrative data (i.e., physician billing and hospital admissions data); by age 70-74 years, 30% of men and 40% of women had osteoarthritis. In Ontario, linked survey and administrative data showed that quality of life was 10%-25% lower among people with osteoarthritis than in the general population, and health care costs were 2-3 times higher than in the nonosteoarthritis group.10 Therefore there is a high prevalence, reduction of quality of life and a large economic burden associated with osteoarthritis in Canada.

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“…In Ontario, Canada's most populous province, these well‐validated databases have been used extensively for antibiotic research, including in long‐term care facilities . The Continuing Care Reporting System contains information captured by the Resident Assessment Instrument (RAI) Minimum Dataset version 2.0, a standardized tool designed for clinical use to support decision making and care planning in long‐term care . Full RAI assessments are completed by facility staff at the time of admission and annually or following a significant change in health status; shorter assessments occur quarterly thereafter.…”

Section: Methodsmentioning

confidence: 99%

“…Full RAI assessments are completed by facility staff at the time of admission and annually or following a significant change in health status; shorter assessments occur quarterly thereafter. The RAI assessment includes rich data on resident indicators for cognitive performance, behavior, activities of daily living, depression, pain, and clinical complexity, including medical comorbidities, and has been validated for use in long‐term care research . Only residents with a full RAI assessment were included in the study; for residents with more than one full assessment, the most recent was selected (index assessment).…”

Section: Methodsmentioning

confidence: 99%

The Association of Resident Communication Abilities and Antibiotic Use in Long‐Term Care

Saxena¹,

Bronskill²,

Brown

et al. 2019

J American Geriatrics Society

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OBJECTIVES To determine whether decreased communication ability among long‐term care residents is associated with increased antibiotic exposure. DESIGN Retrospective cohort study. SETTING All long‐term care homes in Ontario, Canada. PARTICIPANTS All adults aged 66 years or older residing in long‐term care and undergoing a full assessment between January 1 and December 31, 2016 (N = 87,947). MEASUREMENTS Data were obtained from linkable, population‐wide administrative data sets. Residents were identified, and characteristics were abstracted from the Resident Assessment Instrument Minimum Dataset version 2.0. The primary predictors of interest were residents' ability to make themselves understood and ability to understand others. The primary outcome was antibiotic days of treatment per 1000 resident days in the 90 days following assessment (obtained from the Ontario Drug Benefits Database). RESULTS Those who were sometimes/rarely/never able to make themselves understood received 50.7 antibiotic days per 1000 person‐days of follow‐up, compared to 62.1 received by those who were able to make themselves understood. Those who were sometimes/rarely/never able to understand others received 50.0 antibiotic days per 1000 person‐days of follow‐up, compared to 61.4 by those who were able to understand others. Multivariable Poisson regression, accounting for resident characteristics, confirmed that compared to those with highest levels of communication ability, those who could sometimes/rarely/never make themselves understood had significantly fewer days on antibiotics (rate ratio [RR] = 0.76; confidence interval [95% CI] = 0.73‐0.79) as did those who could sometimes/rarely/never understand others (RR = 0.76; 95% CI = 0.74‐0.79). CONCLUSION Poor resident communication ability is not a driver of antibiotic overuse in long‐term care. In fact, lower ability to understand others and/or be understood by others is associated with less antibiotic exposure. Further work is needed to optimize antibiotic use in long‐term care residents across the entire spectrum of communication skills.

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An evaluation of data quality in Canada’s Continuing Care Reporting System (CCRS): secondary analyses of Ontario data submitted between 1996 and 2011

Cited by 77 publications

References 43 publications

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Prevalence and management of osteoarthritis in primary care: an epidemiologic cohort study from the Canadian Primary Care Sentinel Surveillance Network

The Association of Resident Communication Abilities and Antibiotic Use in Long‐Term Care

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