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Tytuł:
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Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study.
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Autorzy:
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Hibbert PD; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, North Terrace, Adelaide, SA 5000, Australia.; South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA 5000, Australia.
Molloy CJ; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, North Terrace, Adelaide, SA 5000, Australia.; South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA 5000, Australia.
Wiles LK; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, North Terrace, Adelaide, SA 5000, Australia.; South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA 5000, Australia.
Cameron ID; John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Reserve Rd St Leonards, NSW 2065, Australia.
Gray LC; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Princess Alexandra Hospital campus, Woolloongabba, QLD 4102, Australia.
Reed RL; Discipline of General Practice, College of Medicine and Public Health, Flinders University, Sturt Rd, Bedford Park, SA 5042, Australia.
Kitson A; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Sturt Rd, Bedford Park, SA 5042, Australia.
Georgiou A; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
Gordon SJ; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Sturt Rd, Bedford Park, SA 5042, Australia.
Westbrook J; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
Arnolda G; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
Mitchell RJ; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
Rapport F; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
Estabrooks C; Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, AB T6G 1C9 , Canada.
Alexander GL; Sinclair School of Nursing, University of Missouri, 810 E. Rollins St Columbia, MO 65211 USA.
Vincent C; Department of Experimental Psychology, Radcliffe Observatory, University of Oxford, Woodstock Road, Oxford OX2 6GG, England, UK.
Edwards A; PRIME Centre Wales & Division of Population Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS, Wales, UK.
Carson-Stevens A; PRIME Centre Wales & Division of Population Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS, Wales, UK.
Wagner C; Netherlands Institute for Health Services Research, Otterstraat 118, Utrecht 3513 CR, The Netherlands.
Mccormack B; School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh EH21 6UU, UK.
Braithwaite J; Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia.
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Źródło:
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International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2022 May 09; Vol. 34 (2).
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Oxford : Oxford University Press
Original Publication: Kidlington, Oxford, UK ; Tarrytown, NY : Pergamon, c1994-
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MeSH Terms:
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Homes for the Aged*
Quality of Life*
Accreditation ; Aged ; Australia ; Consensus ; Humans ; Quality Indicators, Health Care
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Grant Information:
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APP1143223 National Health and Medical Research Council
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Contributed Indexing:
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Keywords: aged care; clinical practice guidelines; indicators; quality of care
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Entry Date(s):
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Date Created: 20220421 Date Completed: 20220510 Latest Revision: 20220510
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Update Code:
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20240104
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DOI:
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10.1093/intqhc/mzac033
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PMID:
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35445264
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Background: People who live in aged care homes have high rates of illness and frailty. Providing evidence-based care to this population is vital to ensure the highest possible quality of life.
Objective: In this study (CareTrack Aged, CT Aged), we aimed to develop a comprehensive set of clinical indicators for guideline-adherent, appropriate care of commonly managed conditions and processes in aged care.
Methods: Indicators were formulated from recommendations found through systematic searches of Australian and international clinical practice guidelines (CPGs). Experts reviewed the indicators using a multiround modified Delphi process to develop a consensus on what constitutes appropriate care.
Results: From 139 CPGs, 5609 recommendations were used to draft 630 indicators. Clinical experts (n = 41) reviewed the indicators over two rounds. A final set of 236 indicators resulted, mapped to 16 conditions and processes of care. The conditions and processes were admission assessment; bladder and bowel problems; cognitive impairment; depression; dysphagia and aspiration; end of life/palliative care; hearing and vision; infection; medication; mobility and falls; nutrition and hydration; oral and dental care; pain; restraint use; skin integrity and sleep.
Conclusions: The suite of CT Aged clinical indicators can be used for research and assessment of the quality of care in individual facilities and across organizations to guide improvement and to supplement regulation or accreditation of the aged care sector. They are a step forward for Australian and international aged care sectors, helping to improve transparency so that the level of care delivered to aged care consumers can be rigorously monitored and continuously improved.
(© The Author(s) 2022. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
