Implementing SAFE™ care: Evaluation of a geriatric model of care for real-world practice

Peig, Nestor Neil A; Ansryan, Lianna Z; Mamais, Fotine; Appleby, Renee; Cruz, Katrina dela; Caffarini, E; Yoo, Judy; Holden, Kimberly; Brasel, John; Gorman, Eileen; Guy, Tracy; Duong, Bryant; Furukawa, Meg; Chhan, Kevin; Ward, Cathy Rodgers; Miller, Pamela S.

doi:10.1016/j.gerinurse.2020.09.009

Cited by 1 publication

(4 citation statements)

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“…Compared to the general population, older inpatients were more vulnerable to high readmission rates within1 month, long hospital stays and adverse events (Huckfeldt et al., 2019; Peig et al., 2021). A meta‐analysis involving 590 million inpatients reported that the incidence of adverse events was 8.6 per 100 hospital admissions, and the occurrence of adverse events increased with patient age (Sauro et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Keeping inpatients free from accidental or preventable harm was a vital responsibility of healthcare professionals and caregivers. An extensive body of literature supported the importance of safe care practice and reported the implementation effects of gerontology care models in local environments (Hundial, 2020; Peig et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

“…The successful practice of this framework demonstrated the importance of critical thinking and communication in safe care. In addition, a quasi‐experimental trial was conducted to validate the implementation effects of Systems Addressing Frail Elders (SAFE™) Care (Peig et al., 2021). SAFE™ Care was a gerontology care model to cope with the healthcare risks of older inpatients by quickly identifying high‐risk older adults and intervening with inter‐professional teams (Peig et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, a quasi‐experimental trial was conducted to validate the implementation effects of Systems Addressing Frail Elders (SAFE™) Care (Peig et al., 2021). SAFE™ Care was a gerontology care model to cope with the healthcare risks of older inpatients by quickly identifying high‐risk older adults and intervening with inter‐professional teams (Peig et al., 2021). SAFE™ Care provided a valuable tool for healthcare professionals to identify high‐risk patients and perform multidisciplinary teamwork in safe care.…”

Section: Introductionmentioning

confidence: 99%

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A balance of unsafe care incidents and interactive cooperative care: A constructivist grounded theory study of safe care ecosystem for older inpatients

Yan,

Wu,

Liu

et al. 2024

Journal of Clinical Nursing

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AimsTo explore older inpatients and their caregivers' care experience and how this relates to the gerontology care practice.BackgroundResearch interest in the conceptualization of safe care for older inpatients was growing, and these studies were predominantly reported from a single or healthcare perspective. There is a shortage of literature on how patients and their caregivers conceptualise safe care.DesignConstructivist grounded theory.MethodsStage 1 included semi‐structured interviews with inpatients. Stage 2 included semi‐structured interviews with caregivers and six field notes. Purposive and theoretical sampling were used to recruit 61 participants across six healthcare institutions. Data analysis included initial coding, focused coding, and theoretical coding using constant comparative, field notes and memo writing.ResultsThe substantive theory to emerge from the data was A balance of unsafe care incidents and interactive cooperative care. This core concept was informed by four categories: unsafe care incidents, interactive cooperative care, person‐centred care, contextual conditions, and one care outcome. The relationships between these categories constituted a balance in which patient‐centred care was the core, unsafe care incidents were the barriers, interactive cooperative care was the facilitator, and the result of the balance was the care outcome. The balance constituted a safe care ecosystem under the interaction of contextual conditions.ConclusionsInteractive cooperative care is vital in enabling care stakeholders to reduce unsafe care incidents, which facilitates them in achieving safe care and further constructing a healthy care ecosystem.Relevance to Clinical PracticeThis theory identifies barriers and facilitators encountered by care stakeholders to cope with everyday problems and guides them in developing personalised care plans to ensure patient safety.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%