Geriatric nursing (New York, N.Y.) · 2025
Implementation of an age-friendly care initiative in an acute care setting: Overcoming challenges and measuring outcomes.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cooper Lise, Sharma Keerti, Daley Brittney, Kim Byol, Fitzpatrick Krystal, Robayo Marilynn, Fetherman Brandee A, Kowalski Mildred Ortu
Аннотация
BACKGROUND: The aging U.S. population requires innovative care approaches. Our medical center implemented the Age-Friendly Health Systems "4Ms" framework-what Matters, Medication, Mentation, and Mobility-using a Plan-Do-Study-Act quality improvement approach.
METHODS: Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.
RESULTS: Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.
CONCLUSIONS: The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.
METHODS: Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.
RESULTS: Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.
CONCLUSIONS: The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.