Embedding Two of the 4Ms Into the Electronic Health Record: One Health System’s Journey Towards Systemwide Spread of Age-Friendly Care
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| Publicado en: | Inquiry vol. 62 (Jan 2025) |
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| Autor principal: | |
| Otros Autores: | |
| Publicado: |
SAGE PUBLICATIONS, INC.
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| Materias: | |
| Acceso en línea: | Citation/Abstract Full Text Full Text - PDF |
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| 100 | 1 | |a Anna-Rae Montano |u Hartford Hospital, CT, USA | |
| 245 | 1 | |a Embedding Two of the 4Ms Into the Electronic Health Record: One Health System’s Journey Towards Systemwide Spread of Age-Friendly Care | |
| 260 | |b SAGE PUBLICATIONS, INC. |c Jan 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a The purpose of this article is to describe 2 quality improvement projects aimed at embedding 2 of the 4Ms into the electronic health record for system-wide spread of Age-Friendly care. The 2 projects described in this case study serve as exemplars for the future implementation and sustainability of 4Ms care. Rapid-cycle quality improvement projects, via the Plan, Do, Study Act model, focused on the 4Ms were conducted by interprofessional teams to integrate clinical decision support for clinicians within the electronic health record. Project Senior Care Review for Evaluating and Eliminating Non-essential and potentially inappropriate medications (SCREEN) embedded a geriatric medication screen into the ordering panels of the top medications identified as being prescribed to older patients potentially inappropriately. Project Predictive Real-time Evaluation of Delirium in Clinical Therapy (PREDICT) embedded a delirium prediction rule in the electronic health records to guide clinicians to implement delirium mitigation interventions on patients at risk of developing or experiencing delirium. Outcomes were evaluated descriptively utilizing data and reports generated by the electronic health record. Embedding non-interruptive and actionable clinical decision support in the electronic health record supported the rapid spread of Age-Friendly care across a 7-hospital system. The 4Ms can be embedded into existing workflows through novel implementation of best practices by leveraging the electronic health record. By embedding 2 of the 4Ms into existing workflows and creating non-disruptive, actionable clinical decision support within the electronic health record, clinicians have the tools to implement Age-Friendly care within the 4Ms framework. Additional projects aimed at embedding the other Ms are underway, and long-term outcomes are being evaluated. | |
| 653 | |a Quality management | ||
| 653 | |a Morphine | ||
| 653 | |a Age | ||
| 653 | |a Quality of care | ||
| 653 | |a Medical records | ||
| 653 | |a Intervention | ||
| 653 | |a Drug stores | ||
| 653 | |a Delirium | ||
| 653 | |a Older people | ||
| 653 | |a Health | ||
| 653 | |a Computerized physician order entry | ||
| 653 | |a Health care | ||
| 653 | |a Medical personnel | ||
| 653 | |a Case studies | ||
| 653 | |a Quality improvement | ||
| 653 | |a Drugs | ||
| 653 | |a Patients | ||
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| 653 | |a Risk factors | ||
| 653 | |a Age differences | ||
| 653 | |a Best practice | ||
| 653 | |a Rules | ||
| 653 | |a Mitigation | ||
| 653 | |a Electronic health records | ||
| 653 | |a Clinical outcomes | ||
| 653 | |a Medical decision making | ||
| 653 | |a Inappropriateness | ||
| 653 | |a Clinical decision making | ||
| 653 | |a Decisions | ||
| 653 | |a Medical treatment | ||
| 653 | |a Computerized medical records | ||
| 653 | |a Interdisciplinary aspects | ||
| 653 | |a Geriatrics | ||
| 653 | |a Health records | ||
| 653 | |a Systematic review | ||
| 653 | |a Critical care | ||
| 653 | |a Computerized decision support systems | ||
| 700 | 1 | |a Waszynski, Christine |u Hartford Hospital, CT, USA | |
| 773 | 0 | |t Inquiry |g vol. 62 (Jan 2025) | |
| 786 | 0 | |d ProQuest |t ABI/INFORM Global | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3287008667/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3287008667/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3287008667/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |