A new assessment for elders admitted to acute care: Reliabilityofthe MDS-AC

Carpenter, Guy; Teare, Gary; Steel, Knight; Berg, Katherine; Murphy, Katharine M.; Björnson, J.; Jónsson, Pálmi V.; Hirdes, John P.

doi:10.1007/bf03353428

Cited by 38 publications

(45 citation statements)

References 16 publications

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“…The assessment of a specific domain is usually triggered by the ‘impression’ of clinicians [4]. Second-generation geriatric assessment instruments include all geriatric domains, are setting-specific [5] and have been validated in each specific setting (e.g., MDS 2.0 [6]) [3]. While the first and the second generation of instruments allowed a systematic and standardized assessment of the patient, the items of the different instruments lacked the uniformity needed to transfer information across different settings (e.g.…”

Section: Introductionmentioning

confidence: 99%

The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting

et al. 2013

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BackgroundThe interRAI Acute Care instrument is a multidimensional geriatric assessment system intended to determine a hospitalized older persons’ medical, psychosocial and functional capacity and needs. Its objective is to develop an overall plan for treatment and long-term follow-up based on a common set of standardized items that can be used in various care settings. A Belgian web-based software system (BelRAI-software) was developed to enable clinicians to interpret the output and to communicate the patients’ data across wards and care organizations. The purpose of the study is to evaluate the (dis)advantages of the implementation of the interRAI Acute Care instrument as a comprehensive geriatric assessment instrument in an acute hospital context.MethodsIn a cross-sectional multicenter study on four geriatric wards in three acute hospitals, trained clinical staff (nurses, occupational therapists, social workers, and geriatricians) assessed 410 inpatients in routine clinical practice. The BelRAI-system was evaluated by focus groups, observations, and questionnaires. The Strengths, Weaknesses, Opportunities and Threats were mapped (SWOT-analysis) and validated by the participants.ResultsThe primary strengths of the BelRAI-system were a structured overview of the patients’ condition early after admission and the promotion of multidisciplinary assessment. Our study was a first attempt to transfer standardized data between home care organizations, nursing homes and hospitals and a way to centralize medical, allied health professionals and nursing data. With the BelRAI-software, privacy of data is guaranteed. Weaknesses are the time-consuming character of the process and the overlap with other assessment instruments or (electronic) registration forms. There is room for improving the user-friendliness and the efficiency of the software, which needs hospital-specific adaptations. Opportunities are a timely and systematic problem detection and continuity of care. An actual shortage of funding of personnel to coordinate the assessment process is the most important threat.ConclusionThe BelRAI-software allows standardized transmural information transfer and the centralization of medical, allied health professionals and nursing data. It is strictly secured and follows strict privacy regulations, allowing hospitals to optimize (transmural) communication and interaction. However, weaknesses and threats exist and must be tackled in order to promote large scale implementation.

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Section: Introductionmentioning

confidence: 99%

The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting

et al. 2013

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“…Sample B (2013-2014) consisted of patients treated after a first staff intervention, and sample C(May 2015-March 2016) was after a second intervention. In A, we used the Resident Assessment Instrument for Acute Care [11] for collecting quantitative data. This instrument aids in assessing the situation of the older patient in an acute care setting [12].…”

Section: Methodsmentioning

confidence: 99%

Clinical Practice and Evidence-based Knowledge: Reducing Urinary Tract Infection in Elderly Hip Fracture patients

Sørbye¹,

Martinsen²,

Grue³

2016

JURNOA

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“…On each occasion, patients were assessed for fluid intake dependency (the ability to drink fluids independently) using an item from the Minimum Data Set for Acute Care (MDS-AC) -a valid and reliable tool for the comprehensive assessment of older hospitalized patients. [19] The MDS-AC item assesses the functional ability to eat and drink independently, but for this study only drinking ability was assessed using this item (the ability to eat was not assessed). The item uses a scale ranging from "Independent" to "Total dependence":…”

Section: 34mentioning

confidence: 99%

Water, water everywhere: dehydration in the midst of plenty – An observational study of barriers and enablers to adequate hydration in older hospitalized patients

McCrow¹,

Morton²,

Travers

et al. 2016

Clinical Nursing Studies

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While dehydration is common in older patients and is associated with poor outcomes, it has been infrequently studied in the hospital setting. Thus, the aim of this study was to identify potential barriers and enablers to the maintenance of adequate hydration in older patients in an acute hospital environment. An observational study, involving patients aged 60 years and older admitted to an acute care hospital in Queensland, Australia, was undertaken. Forty-four patients were observed during mealtimes, and chart and room audits were performed to identify hydration management strategies, weight records and the presence or absence of fluid balance charts. Results revealed a number of system and practice-related barriers including patient difficulties with opening fluid containers and low levels of documentation of hydration management strategies. Addressing these issues is an important first step towards improving the management of hydration in medically ill older hospital patients.

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A new assessment for elders admitted to acute care: Reliabilityofthe MDS-AC

Cited by 38 publications

References 16 publications

The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting

The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting

Clinical Practice and Evidence-based Knowledge: Reducing Urinary Tract Infection in Elderly Hip Fracture patients

Water, water everywhere: dehydration in the midst of plenty – An observational study of barriers and enablers to adequate hydration in older hospitalized patients

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