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. 2018 Mar 16;8(3):e020617. doi: 10.1136/bmjopen-2017-020617

Table 4.

Structure indicators for geriatric co-management programmes

Indicators Median score (IQR)
All structure indicators were appropriate and feasible* Appr Feas
A geriatrician, treating physician of the ward, registered nurse or nurse practitioner with geriatric expertise, nursing staff of the ward, physical therapist, occupational therapist and social worker/discharge or case manager is a core member of the geriatric co-management programme. 7.8 (1.5)† 8 (2)
A member of the geriatrics team is available on a daily basis for patients included in the geriatric co-management programme. 8 (1) 8 (1.8)
Team meetings for reviewing the performance on indicators associated with the geriatric co-management programme are organised at least once yearly with the aim of evaluating the current performance and formulating strategic improvement plans. 8 (1) 8 (1)
An educational programme or sessions are organised or facilitated at induction of every new staff member, and at least once a year for all current hospital staff participating in a geriatric co-management programme, focusing on the identification and management of geriatric syndromes. 8 (2) 8 (2)
A validated screening tool or objective criteria to select patients for the geriatric co-management programme is available to all hospital staff. 8.5 (1) 8 (2.8)
A multidisciplinary care pathway is available detailing the roles and responsibilities of all hospital staff participating in the geriatric co-management programme. 9 (1) 8 (1.8)
Evidence-based protocols for the prevention and/or management of cognitive impairment, delirium, depression, hospital-acquired infections, pressure ulcers, incontinence, urinary retention, constipation, pain, palliative care, polypharmacy, malnutrition, falls, osteoporosis, sleep deprivation, functional impairment/mobility and frailty are available to hospital staff participating in the geriatric co-management programme. 8.3 (1.6)† 8 (1)
Standard geriatric order sets (eg, laboratories, technical investigations) are available to hospital staff participating in the geriatric co-management programme. 9 (3) 8 (1)

*Appropriateness and feasibility was determined by a disagreement index: see online appendix for all indicators that were considered not appropriate or feasible.

†Scores have been averaged for all response options (see text in italic for the different response options): see online appendix for the raw scores.

Appr, appropriateness; Feas, feasibility.