Delirium Clinical Trial
Official title:
Acute Care for Elders (ACE) Program at OHSU Hospital
The purpose of this investigation is to assess the effectiveness of a multi-disciplinary
Acute Care for Elders (ACE) program dedicated to the care of patients age 70 and older
admitted to Oregon Health & Science University's hospital medicine service. The ACE program
will aim to improve the quality of care of older patients in the investigators hospital by
implementing focused interventions and recommendations specific to geriatric needs and
syndromes, including: reduced fall rate, decreased incidence and duration of delirium, early
recognition and treatment of impaired mobility and function, careful minimization of
medication use, prevention of unnecessary catheter and restraint use, decreased hospital
readmission rates, improved transitional care following hospital discharge, and high levels
of patient and referring physician satisfaction. Additionally, the ACE program aims to
improve resident and student competence in treating geriatric syndromes, and to improve staff
and learner satisfaction with caring for older adults. ACE programs have been well studied at
other institutions, so the investigators will be implementing a program that is already
standard of care, and studying the elements that are unique to OHSU.
This will be a quality improvement project. Study participants will be a convenience sample
of OHSU faculty, staff, residents and students who are employed by or on rotation with
General Medicine Team 1 of the Medicine Teaching Service. Faculty, staff, and learners (ACE
team members) will receive the ACE training. Study personnel will conduct prospective and
retrospective chart review of patients admitted to the ACE service to determine outcomes as
noted above.
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