A computerized total quality management model was used to implement an
incontinence system in eight nursing homes. Research staff measured r
esident wetness for one month, provided training in the implementation
of the program in less than five days, and measured resident wetness
for six months after implementation. Seven of the eight nursing homes
significantly improved resident dryness for a six-month period. Howeve
r, extensive monitoring of the nursing home computers by modem and tel
ephone feedback from the research staff was necessary to produce succe
ssful maintenance.