Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study

Author:

Hibbert Peter D123ORCID,Molloy Charlotte J123,Wiles Louise K123,Cameron Ian D4,Gray Leonard C5,Reed Richard L6,Kitson Alison7,Georgiou Andrew1ORCID,Gordon Susan J7,Westbrook Johanna1ORCID,Arnolda Gaston1,Mitchell Rebecca J1,Rapport Frances1,Estabrooks Carole8,Alexander Gregory L9ORCID,Vincent Charles10,Edwards Adrian11,Carson-Stevens Andrew11,Wagner Cordula12,Mccormack Brendan13,Braithwaite Jeffrey1ORCID

Affiliation:

1. Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, NSW 2109, Australia

2. IIMPACT in Health, Allied Health and Human Performance, University of South Australia, North Terrace, Adelaide, SA 5000, Australia

3. South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA 5000, Australia

4. John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Reserve Rd St Leonards, NSW 2065, Australia

5. Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Princess Alexandra Hospital campus, Woolloongabba, QLD 4102, Australia

6. Discipline of General Practice, College of Medicine and Public Health, Flinders University, Sturt Rd, Bedford Park, SA 5042, Australia

7. Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Sturt Rd, Bedford Park, SA 5042, Australia

8. Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, AB T6G 1C9 , Canada

9. Sinclair School of Nursing, University of Missouri, 810 E. Rollins St Columbia, MO 65211 USA

10. Department of Experimental Psychology, Radcliffe Observatory, University of Oxford, Woodstock Road, Oxford OX2 6GG, England, UK

11. PRIME Centre Wales & Division of Population Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS, Wales, UK

12. Netherlands Institute for Health Services Research, Otterstraat 118, Utrecht 3513 CR, The Netherlands

13. School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh EH21 6UU, UK

Abstract

Abstract 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.

Funder

National Health and Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

Reference33 articles.

1. Effectiveness of the Aged Care Quality Assessment and accreditation framework for protecting residents from abuse and poor practices, and ensuring proper clinical and medical care standards are maintained and practised: final Report;The Senate Community Affairs References Committee,2019

2. The Oakden report;Groves,2017

3. Interim report: neglect;Royal Commission into Aged Care Quality and Safety,2019

4. Caring for Older Australians, inquiry report No.53;Productivity Commission,2011

5. Report on the inquiry into the quality of care in residential aged care facilities in Australia;House of Representatives Standing Committee on Health Aged Care and Sport,2018

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3