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J Nurs Adm ; 48(1): 11-17, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29219905

RESUMO

OBJECTIVE: The aim of this article is to describe the Systems Addressing Frail Elder (SAFE) Care model, features of the interprofessional team and reengineered workflow, and details of the intervention. BACKGROUND: Older inpatients are vulnerable to adverse events related to frailty. SAFE Care, an interprofessional team-based program, was developed and evaluated in a cluster randomized controlled trial (C-RCT). Results found reduced length of stay and complications. The purpose of this article is to support and encourage the replication of this innovation or to help facilitate implementation of a similar process of organizational change. METHODS: This was a review of model features and intervention data abstracted from electronic health records. RESULTS: Salient features of team composition, training, and workflow are presented. The C-RCT intention-to-treat sample included 792 patients, of whom 307 received the SAFE Care huddle intervention. The most frequent problem was mobility (85.7%), and most frequent recommendation was fall precautions protocol (83.1%). CONCLUSIONS: The SAFE Care model may provide a standardized framework to approach, assess, and address the risks of hospitalized older adults.


Assuntos
Acidentes por Quedas/prevenção & controle , Idoso Fragilizado , Enfermagem Geriátrica/organização & administração , Serviços de Saúde para Idosos/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Inovação Organizacional , Equipe de Assistência ao Paciente/organização & administração , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Estados Unidos
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