Table 1.

Core and adaptable components of EDDIE+ intervention

EDDIE+ component	Fixed element (core)	Flexible element (adaptable)
Advanced clinical skills education and training	Initial training mandatory for registered nurses, enrolled nurses and personal care workers	Mode of delivery
	Training on clinical management of specific conditions identified as likely to result in hospitalisation (eg, UTIs, chest pain, falls, delirium, dehydration, dyspnoea, palliative care, constipation)	Number and type of conditions covered Mode of delivery Staff involved in training
	Core set of educational materials	Additional site-specific materials
Decision support tools	Core decision support tool for management of clinical deterioration across specific conditions	Number and type of conditions covered Format of tool Observation chart (eg, track and trigger tool) Communication tool (eg, ISBAR (Introduction, Situation, Background Assessment, Recommendation))
Diagnostic equipment (bladder scanner, ECG machine, vital signs monitor, oximeter)	Each home assessed for equipment needs Provision and training in use of equipment as per home requirements	Type of equipment tailored to individual home needs
Implementation facilitation and support	Appointment of clinical facilitator	Role-sharing by two staff members
	Train-the-trainer model for clinical facilitator	Opt-in by other registered nurses
	Communication channel established for discussing concerns about resident deterioration and/or need for hospital transfer	Tailored to individual home needs

EDDIE, Early Detection of Deterioration in Elderly residents; UTI, urinary tract infection.