Use of consensus methods to select clinical indicators to assess activities to minimise functional decline among older hospitalised patients
Joanne Tropea, Bhasker Amatya, Caroline A Brand
Australian Health Review | CSIRO PUBLISHING | Published : 2011
OBJECTIVES: The study aimed to develop a set of clinical indicators to minimise the risk and adverse outcomes of functional decline in older hospitalised people. METHODS: Existing Australian and international clinical indicators relevant to cognition and emotional health, mobility, vigour and self care, continence, nutrition, skin integrity, person-centred care, assessment and medication management were identified by literature and electronic website review. A multidisciplinary expert advisory group used modified Delphi methods, including two anonymous voting rounds and a group discussion, to gain consensus for a prioritised set of clinical indicators. For each indicator, experts voted on a ..View full abstract
The authors thank Alexandra Gorelik and Wendy Lemaire from the Clinical Epidemiology and Health Service Evaluation Unit, Royal Melbourne Hospital; and Nicole Doran, Tania Cossich, Belinda Gilsenan, Karen Walker and Catherine Perry from the Victorian Department of Human Services for their support and assistance in the project.