Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA

Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relatio...
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Autor*in:	Martin-Khan, Melinda G. [verfasserIn] Gray, Leonard C. [verfasserIn] Brand, Caroline [verfasserIn] Wright, Olivia [verfasserIn] Pachana, Nancy A. [verfasserIn] Byrne, Gerard J. [verfasserIn] Chatfield, Mark D. [verfasserIn] Jones, Richard [verfasserIn] Morris, John [verfasserIn] Travers, Catherine [verfasserIn] Tropea, Joanne [verfasserIn] Xiong, Beibei [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Quality indicators Acute care Geriatrics Quality of care

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: BMC geriatrics - BioMed Central, 2001, 24(2024), 1 vom: 17. Juni
Übergeordnetes Werk:	volume:24 ; year:2024 ; number:1 ; day:17 ; month:06

Links:	Volltext

DOI / URN:	10.1186/s12877-024-04980-9

Katalog-ID:	SPR056271794

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allfields	10.1186/s12877-024-04980-9 doi (DE-627)SPR056271794 (SPR)s12877-024-04980-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Martin-Khan, Melinda G. verfasserin aut Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. Quality indicators (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Geriatrics (dpeaa)DE-He213 Quality of care (dpeaa)DE-He213 Gray, Leonard C. verfasserin aut Brand, Caroline verfasserin aut Wright, Olivia verfasserin aut Pachana, Nancy A. verfasserin aut Byrne, Gerard J. verfasserin aut Chatfield, Mark D. verfasserin aut Jones, Richard verfasserin aut Morris, John verfasserin aut Travers, Catherine verfasserin aut Tropea, Joanne verfasserin aut Xiong, Beibei verfasserin aut Enthalten in BMC geriatrics BioMed Central, 2001 24(2024), 1 vom: 17. Juni (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:24 year:2024 number:1 day:17 month:06 https://dx.doi.org/10.1186/s12877-024-04980-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 17 06
spelling	10.1186/s12877-024-04980-9 doi (DE-627)SPR056271794 (SPR)s12877-024-04980-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Martin-Khan, Melinda G. verfasserin aut Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. Quality indicators (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Geriatrics (dpeaa)DE-He213 Quality of care (dpeaa)DE-He213 Gray, Leonard C. verfasserin aut Brand, Caroline verfasserin aut Wright, Olivia verfasserin aut Pachana, Nancy A. verfasserin aut Byrne, Gerard J. verfasserin aut Chatfield, Mark D. verfasserin aut Jones, Richard verfasserin aut Morris, John verfasserin aut Travers, Catherine verfasserin aut Tropea, Joanne verfasserin aut Xiong, Beibei verfasserin aut Enthalten in BMC geriatrics BioMed Central, 2001 24(2024), 1 vom: 17. Juni (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:24 year:2024 number:1 day:17 month:06 https://dx.doi.org/10.1186/s12877-024-04980-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 17 06
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allfieldsGer	10.1186/s12877-024-04980-9 doi (DE-627)SPR056271794 (SPR)s12877-024-04980-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Martin-Khan, Melinda G. verfasserin aut Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. Quality indicators (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Geriatrics (dpeaa)DE-He213 Quality of care (dpeaa)DE-He213 Gray, Leonard C. verfasserin aut Brand, Caroline verfasserin aut Wright, Olivia verfasserin aut Pachana, Nancy A. verfasserin aut Byrne, Gerard J. verfasserin aut Chatfield, Mark D. verfasserin aut Jones, Richard verfasserin aut Morris, John verfasserin aut Travers, Catherine verfasserin aut Tropea, Joanne verfasserin aut Xiong, Beibei verfasserin aut Enthalten in BMC geriatrics BioMed Central, 2001 24(2024), 1 vom: 17. Juni (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:24 year:2024 number:1 day:17 month:06 https://dx.doi.org/10.1186/s12877-024-04980-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 17 06
allfieldsSound	10.1186/s12877-024-04980-9 doi (DE-627)SPR056271794 (SPR)s12877-024-04980-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Martin-Khan, Melinda G. verfasserin aut Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. Quality indicators (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Geriatrics (dpeaa)DE-He213 Quality of care (dpeaa)DE-He213 Gray, Leonard C. verfasserin aut Brand, Caroline verfasserin aut Wright, Olivia verfasserin aut Pachana, Nancy A. verfasserin aut Byrne, Gerard J. verfasserin aut Chatfield, Mark D. verfasserin aut Jones, Richard verfasserin aut Morris, John verfasserin aut Travers, Catherine verfasserin aut Tropea, Joanne verfasserin aut Xiong, Beibei verfasserin aut Enthalten in BMC geriatrics BioMed Central, 2001 24(2024), 1 vom: 17. Juni (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:24 year:2024 number:1 day:17 month:06 https://dx.doi.org/10.1186/s12877-024-04980-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 17 06
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Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. 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author	Martin-Khan, Melinda G.
spellingShingle	Martin-Khan, Melinda G. ddc 610 bkl 44.00 misc Quality indicators misc Acute care misc Geriatrics misc Quality of care Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA
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topic_title	610 VZ 44.00 bkl Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA Quality indicators (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Geriatrics (dpeaa)DE-He213 Quality of care (dpeaa)DE-He213
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author_browse	Martin-Khan, Melinda G. Gray, Leonard C. Brand, Caroline Wright, Olivia Pachana, Nancy A. Byrne, Gerard J. Chatfield, Mark D. Jones, Richard Morris, John Travers, Catherine Tropea, Joanne Xiong, Beibei
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title_sort	patient outcome quality indicators for older persons in acute care: original development data using interrai ac-cga
title_auth	Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA
abstract	Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. © The Author(s) 2024
abstractGer	Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. © The Author(s) 2024
abstract_unstemmed	Background A range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital. © The Author(s) 2024
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title_short	Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA
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author2	Gray, Leonard C. Brand, Caroline Wright, Olivia Pachana, Nancy A. Byrne, Gerard J. Chatfield, Mark D. Jones, Richard Morris, John Travers, Catherine Tropea, Joanne Xiong, Beibei
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This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Methods Design QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons’ outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process. Setting Data was collected in nine Australian general medical wards. Participants Patients aged 70 years and over, consented within 24 h of admission to the AC ward. Measurements The interRAI Acute Care – Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit. Results Ten outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards. Conclusion Ten outcome QIs were developed. 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Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA

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