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Background <p>Older patients with frailty and complex needs require patient-centered care. This may challenge non-geriatric staff lacking the expertise to care for these patients. Geriatric Task Force (GTF) is a Quality Improvement initiative developed to integrate geriatric principles into non-geriatric departments through interdisciplinary workplace-based learning, using Comprehensive Geriatric Assessment (CGA) as a cornerstone for the intervention.</p> Objective <p>To evaluate the implementation of the GTF initiative in a vascular surgical department (VSD).</p> Methods <p>The intervention utilized the Model of Improvement and followed premises for workplace-based learning to implement a structured four-phase model: preparation, analysis and planning, implementation, and evaluation during a one-year period. Staff received CGA principles training through e-learning and supervision. Identified focus areas included identification of frailty using Clinical Frailty Scale (CFS), registration of treatment plan for resuscitation and intensive care, and the use of early discharge checklists. Evaluation measures included frequency and quality of Standardized Field Input (SFI), medical record audits, surveys, and semi-structured interviews.</p> Results <p>CFS was integrated into daily routines in the ward. Registered treatment plan for resuscitation and intensive care was well implemented, with 83% of SFIs rated as high quality, whereas the preparation of discharge checklists achieved moderate adoption, 44% rating as high quality. Staff and management reported improved frailty recognition and advanced holistic care approach.</p> Conclusion <p>The GTF initiative embedded geriatric principles into VSD, improving patient-centered care for older patients with frailty. While challenges remain, the intervention demonstrates potential for sustainable improvements in non-geriatric departments. Tailored approaches and strong collaboration are essential for successful implementation.</p>

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Advancing a patient-centered and holistic approach for older patients with frailty in a vascular surgical department: a quality improvement initiative

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月28日

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  • Ane Borgbjerg Verholt,
  • Catherine Hauerslev Foss,
  • Lajla Malene Hinrichsen,
  • Line Hauschildt Madsen,
  • Caroline S. N. Odderskov,
  • Lene Holst Andersen,
  • Lone Winther Lietzen

摘要

Background

Older patients with frailty and complex needs require patient-centered care. This may challenge non-geriatric staff lacking the expertise to care for these patients. Geriatric Task Force (GTF) is a Quality Improvement initiative developed to integrate geriatric principles into non-geriatric departments through interdisciplinary workplace-based learning, using Comprehensive Geriatric Assessment (CGA) as a cornerstone for the intervention.

Objective

To evaluate the implementation of the GTF initiative in a vascular surgical department (VSD).

Methods

The intervention utilized the Model of Improvement and followed premises for workplace-based learning to implement a structured four-phase model: preparation, analysis and planning, implementation, and evaluation during a one-year period. Staff received CGA principles training through e-learning and supervision. Identified focus areas included identification of frailty using Clinical Frailty Scale (CFS), registration of treatment plan for resuscitation and intensive care, and the use of early discharge checklists. Evaluation measures included frequency and quality of Standardized Field Input (SFI), medical record audits, surveys, and semi-structured interviews.

Results

CFS was integrated into daily routines in the ward. Registered treatment plan for resuscitation and intensive care was well implemented, with 83% of SFIs rated as high quality, whereas the preparation of discharge checklists achieved moderate adoption, 44% rating as high quality. Staff and management reported improved frailty recognition and advanced holistic care approach.

Conclusion

The GTF initiative embedded geriatric principles into VSD, improving patient-centered care for older patients with frailty. While challenges remain, the intervention demonstrates potential for sustainable improvements in non-geriatric departments. Tailored approaches and strong collaboration are essential for successful implementation.