title: Impact of a continence training program on patient safety and quality.
abstract: OBJECTIVE
  The purpose of this study is to examine the impact of an evidence-based training program on patient outcomes of continence, falls, and discharge disposition in the rehab population.
  
  
  METHODS
  Criteria for inclusion required new onset of two or more episodes of urinary incontinence. Sixty-six subjects were enrolled with 33 subjects receiving evidence-based interventions.
  
  
  RESULTS
  The intervention group showed improvement in continence (p = .020), with no difference between groups on discharge disposition (p = .744). Results showed an unexpected higher occurrence of falls in the treatment group (p = .000). DISCUSSION AND CLINICAL RELEVANCE: This study supports existing literature indicating that continence is not an independent predictor of nursing home admission and offers new evidence that use of an evidence-based intervention bundle can significantly improve patient continence including those patients with mild to moderate cognitive impairment.
authors: Community Health Network, Indianapolis, IN, USA. mgrandstaff@ecommunity.com
authors: Marcia
authors: M
authors: Grandstaff
authors: Deborah
authors: D
authors: Lyons
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D015397:Program Evaluation; D011787:Quality of Health Care; D019145:Rehabilitation Nursing / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D017751:Safety Management / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D014549:Urinary Incontinence / Q000451:nursing* / Q000534:rehabilitation*