| Title: |
Establishing and sustaining an acute care for elders unit: An incremental journey to success |
| Authors: |
Lynch, David H.; Mournighan, Kimberly; Dale, Maureen; Spangler, Hillary B.; Gotelli, John; Davis, Ronald; Felton, Kittra; Lingley‐Brown, Kara; Busby‐Whitehead, Jan; Batsis, John A.; Hanson, Laura C. |
| Contributors: |
Duke Endowment |
| Source: |
Journal of the American Geriatrics Society ; volume 71, issue 10, page 3031-3039 ; ISSN 0002-8614 1532-5415 |
| Publisher Information: |
Wiley |
| Publication Year: |
2023 |
| Collection: |
Wiley Online Library (Open Access Articles via Crossref) |
| Description: |
Acute Care for Elders (ACE) units reduce hospital‐associated delirium, functional decline, and lengths of stay. However, establishing and sustaining such units have proven difficult. There are only 43 ACE units among the >3500 hospitals in the United States. This study describes an iterative quality improvement process, which allowed us to establish and sustain an ACE unit care model in a modern academic hospital. This continuous process was centered on implementing the key principles of the ACE unit model of care: patient‐centered care assessments, medical care review, specialized prepared environment, early mobilization, physical therapy, and early planning for discharge to home. Quality of care and patient outcomes data for older adults admitted to our ACE unit includes mortality index (observed/expected) consistently |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1111/jgs.18561 |
| Availability: |
https://doi.org/10.1111/jgs.18561 |
| Rights: |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
| Accession Number: |
edsbas.1C6FA54A |
| Database: |
BASE |