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For residential aged care, indicator prevalence and variation were highest for antibiotic use (prevalence: 64.5% [95% CI, 64.3\u201364.7%]; 13.9% of facilities beyond upper 95% CI bound), high sedative load (prevalence: 45.2%, [95% CI, 45.0\u201345.4%]; 12.4% beyond upper 95% CI bound), and ED presentations (prevalence: 37.8% [95% CI, 37.6\u201338.0%]; 19.3% beyond upper 95% CI bound). For home care services, indicator prevalence and variation were highest for waiting time longer than six months (prevalence: 81.8% [95% CI, 81.4\u201382.1%]; 17.5% of services beyond upper 95% CI bound), ED presentations (prevalence: 43.2% [95% CI, 43.0\u201343.5%]; 14.7% beyond upper 95% CI bound), chronic disease management plans (prevalence: 43.2% [95% CI, 42.9\u201343.5%]; 12.9% below lower 95% CI bound), and home medicines reviews (prevalence: 3.2% [95% CI, 3.1\u20133.3%]; 28.9% below lower 95% CI bound). The proportions of home care recipients were larger than for facility residents for hospitalisations with delirium\/dementia (home care, 10.5% [95% CI, 10.1\u201310.9%]; residents, 4.3% [95% CI, 4.2\u20134.4%]), weight loss\/malnutrition (home care, 5.5% [95% CI, 5.3\u20135.6%]; residents, 2.5% [95% CI, 2.4\u20132.6%]), or medication\u2010related events (home care, 4.6% [95% CI, 4.5\u20134.7%]; residents, 2.4% [95% CI, 2.3\u20132.5%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The marked national variations by residential or home aged care provider in antibiotic use, ED presentations, high sedative load, longer waiting times for home care services, home medicines reviews, and chronic disease management plans suggest these areas could benefit from targeted quality improvement strategies.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52709","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T01:19:29Z","timestamp":1750814369000},"page":"189-196","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The prevalence of and variation in indicators of the quality and safety of long term aged care in Australia, 2019: a cross\u2010sectional population\u2010based study"],"prefix":"10.5694","volume":"223","author":[{"given":"Tesfahun C","family":"Eshetie","sequence":"first","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health and Medical Research Institute  Adelaide SA"},{"name":"Caring Futures Institute, Flinders University  Adelaide SA"},{"name":"University of South Australia  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian 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SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renuka","family":"Visvanathan","sequence":"additional","affiliation":[{"name":"Adelaide Geriatrics Training and Research with Aged Care Centre University of Adelaide  Adelaide SA"},{"name":"Central Adelaide Local Health Network, SA Health  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Southern Adelaide Local Health Network, SA Health  Adelaide SA"},{"name":"Flinders University  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Evans","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health and Medical Research Institute  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9059-5209","authenticated-orcid":false,"given":"Janet K","family":"Sluggett","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health and Medical Research Institute  Adelaide SA"},{"name":"University of South Australia  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1012-2119","authenticated-orcid":false,"given":"Jyoti","family":"Khadka","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health and Medical Research Institute  Adelaide SA"},{"name":"Caring Futures Institute, Flinders University  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Dawkins","sequence":"additional","affiliation":[{"name":"ECH Inc  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Williams","sequence":"additional","affiliation":[{"name":"SilverChain Group Limited  Adelaide 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