Indicators for management by inpatient geriatric co-management team | Adherence |
---|---|
Reach, n (%) | 137/151 (91%) |
Correct stratification to intervention group, n (%) | |
Low risk for functional decline | 40/44 (91%) |
High risk for functional decline | 53/60 (88%) |
Acute complication | 7/33 (21%) |
Patients in programme with follow-up by geriatrics nurse, n (%) | 42/43 (98%)a |
Median number of days to start co-management (IQR) | 2 (2) |
Start within 24 h of admission, n (%) | 16/43 (37%) |
Start within 48 h of admission, n (%) | 29/43 (67%) |
Start within 72 h of admission, n (%) | 38/43 (88%) |
Median proportion of patients with appropriate follow-up (IQR) | 0.50 (0.71) |
Patients with documented geriatric risks and complications in electronic patient record, n (%)b | 43/43 (100%) |
Median proportion of geriatric risks accurately documented in electronic patient record (IQR) | 0.80 (0.21) |
Patients receiving co-management by geriatrician, n (%) | 6/7 (86%) |
Median proportion of patients with appropriate follow-up (IQR) | 1 (0.5) |
Median proportion of complications accurately documented in electronic patient record (IQR) | 1 (1) |
Patients co-managed by geriatrician receiving medication review, n (%) | 5/7 (71%) |
Documentation of precipitating factors for complications in electronic patient record, n (%) | 6/7 (86%) |
Indicators for management of geriatric risks and complicationsc | |
Patients at risk for functional decline receiving physical therapy, n (%) | 50/60 (83%) |
Patients at risk for functional decline performing an individual exercise program, n (%) | 20/58 (35%)d |
Patients with functional impairments receiving ADL training by an occupational therapist, n (%) | 24/39 (62%) |
Patients with mobility impairments have access to an ambulatory device on the unit, n (%) | 25/29 (86%) |
Patients at risk for malnutrition receiving nutritional therapy, n (%) | 43/52 (83%) |
Median proportion of accurate documentation of nutritional intake during meals (IQR) | 0.73 (0.26) |
Patients with potential discharge problems receiving discharge planning, n (%) | 27/39 (69%) |
Patients with potential cognitive impairment receiving cognitive assessment, n (%) | 24/36 (67%) |
Median proportion of DOSS observations in patients at risk for delirium (IQR) | 0.56 (1) |
Median proportion of DOSS observations in patients with delirium (IQR) | 0.39 (0.58) |
Appropriate use of oral laxative or enema for (risk of) obstipation, n (%) | 5/6 (83%) |
Patients remaining free from a urinary catheter if no indication is present, n (%) | 54/60 (93%) |
Median proportion of appropriate use of pain medication (IQR) | 1 (0.42) |
Median proportion of appropriate re-evaluation of pain within 1 h (IQR) | 1 (0.81) |