Care for older people with frailty in hospitals

A frailty checklist was completed in only a quarter of older people at hospital admission | National Institute for Health Research (NIHR)

Frailsafe is a simple safety checklist offering the opportunity to improve safety and quality of care for frail older people while in hospital. It aims to increase key clinical assessments or practices on things like risk of falls, mobility and delirium, and to facilitate communication between staff.

Frailsafe was introduced in 12 NHS hospitals to help health professionals complete key frailty assessments and ultimately improve patient outcomes. This mixed methods study aimed to evaluate how local teams had implemented Frailsafe across the 12 participating NHS trusts and what they thought about it and its influence on patient safety and quality of care.

The study found that compliance with the items on the checklist for the whole period across the 12 sites was 24% (1,687 completed 7,201 checklists). This means only about 1 in 4 patients had evidence if receiving all the appropriate checks. Most hospitals completed the medication reviews and pressure ulcer risk assessments (around 60 to 100%). There was wide variation in the completion of delirium and dementia assessments (between 3 and 96%).

Full reference: Papoutsi C, Poots A, Clements J, et al. |  Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK | Age and Ageing | 2018

Related: National Institute for Health Research: A frailty checklist was completed in only a quarter of older people at hospital admission

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