Systems Addressing Frail Elders (SAFE) Care Implementation
NCT02854826 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 330
Last updated 2018-08-31
Summary
Systems Addressing Frail Elders (SAFE) Care is a nurse-led interprofessional team model to rapidly identify and provide safe and effective inpatient care to high risk older adults and help support their successful transition back to the community. Developed and demonstrated to be effective in one hospital - the model is now being disseminated and studied in three additional hospitals (multiple organizational case study).
Conditions
- Frail Older Adutls
Interventions
- OTHER
-
SAFE Care model of care
SAFE Care Model Site Intervention: 1. Endorse best practices for frail patients; 2. Identify frail patients promptly using multi-dimensional screening and assessments; 3. Employ interprofessional unit-based care team approach to frailty risk reduction during inpatient stay and create post-acute care transitions (PACT) plan recommendations; 4. Develop electronic health record templates for patient-centered interprofessional frailty notes; 5. Communicate PACT plans to primary care providers to promote safe transitions to the ambulatory setting and across the continuum of care. 6. Increase awareness, improve management of frailty, and improve overall health and well-being for adults who are frail or at risk of becoming frail.
Sponsors & Collaborators
-
UniHealth Foundation
collaborator UNKNOWN -
Ronald Reagan Medical Center
collaborator UNKNOWN -
Huntington Hospital
collaborator OTHER_GOV -
Torrance Memorial
collaborator UNKNOWN -
Cedars-Sinai Medical Center
lead OTHER
Principal Investigators
-
Lianna Z Ansryan, MSN · Cedars Sinai
Eligibility
- Min Age
- 18 Years
- Max Age
- 110 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-07-01
- Primary Completion
- 2018-07-27
- Completion
- 2018-07-27
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