Identifying Patient-Centered Fall Prevention Care Processes in Hip Fracture Rehabilitation

确定髋部骨折康复中以患者为中心的跌倒预防护理流程

• 批准号: 9292267
• 负责人: Natalie Elizabeth Leland
• 金额: $ 14.21万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-01 至 2018-01-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9292267
• 关键词: Identifying; Patient; Centered; Fall; Prevention

 DESCRIPTION (provided by applicant): Dr. Natalie Leland is an occupational therapy researcher whose goal is to become an independent investigator in rehabilitation health services research, focusing on developing stakeholder-driven evidence-based quality measures, facilitating provider performance improvement, and enhancing patient-centered outcomes. The proposed award will facilitate this goal by expanding her competencies in stakeholder engagement, quality measure development, use of electronic health records, and healthcare policy. Dr. Leland will capitalize on the wealth of assets available at the University o Southern California, including nationally recognized NIH-funded mentors in gerontology, health policy, and economics. The goal of Dr. Leland's proposed K01 research is to develop patient-centered evidence-based quality measures of rehabilitation services in the area fall prevention. Such information is expected to minimize fall rates by defining gaps in rehabilitation documentation (and presumably rehabilitation practice) and thus informing opportunities for improving the quality of rehabilitation services. Despite preventative interventions that have the potential to decrease fall risk, post-acute care patients continue to fall, resulting in poor outcomes (e.g., rehospitalization) and unnecessary healthcare costs. As a result, there is serious concern about the extent to which evidence-based treatments are provided in rehabilitation settings. The most effective strategy for improving fall rates is to ensure the delivery and subsequent documentation of fall prevention interventions that are associated with high quality care. Primary care physicians have successfully implemented a protocol for the development of fall prevention quality measures, which begins by defining minimum standards for care, and has resulted in improved physician performance, and better patient outcomes. Thus, the first step towards improving outcomes for hip fracture patients in rehabilitation is to define the minimum standards of care so deficiencies in rehabilitation care can be identified and subsequently ameliorated. To ensure the development of stakeholder-driven quality measures, Dr. Leland will integrate qualitative and quantitative approaches to define high quality hip fracture rehabilitation for fall prevention. These findings will be used as preliminary data in a later R01 proposal using electronic health records from a nationally representative sample of rehabilitation providers in a longitudinal comparative effectiveness study. That study will evaluate the extent to which receipt of prioritized fall prevention care for hip fracture patients results in improved patient-centered outcomes. Defining the minimum standards of care for rehabilitation settings is a critical first step in facilitating high quality rehabilitation that dcreases falls. The current study is directly responsive to AHRQ's mission of improving the quality, safety, efficiency, and efficacy of health care for all Americans. Further, in drawing on the diversity of the older adult rehabilitation population in urban Los Angeles, multiple AHRQ priority populations will be included such as minorities, individuals with disabilities or multiple chronic conditions, and women.

 Natalie Leland博士是一名职业Therarcher Goale Goale的目标，是成为独立的Habilitation Health Services Research，重点是制定基于循证的循证质量措施，表现良好，并提高了患者的奖励遗嘱通过扩大利益相关者参与的能力，质量衡量NT，使用电子健康政策，包括全国认可的NIH资助的老年医学，卫生政策和经济学的目标。以患者为中心的循证质量，预防该地区，以最大程度地降低了康复的差异（以及可推定的康复实践），从而改善了康复服务的质量。 ，重新寄养）和不必要的医疗费用。秋天的措施是医生的表现，并提高患者的结果，改善了髋部骨折患者的康复结果是定义康复护理中的最低护理状况将在纵向比较有效性研究中，将GS整合和定量方法用于高质量的髋部骨折康复。 inprots患者中心核心的结果。 所有美国人的效率和疗效。

项目成果

Occupational Therapy Practitioners' Perspectives on Occupation-Based Interventions for Clients With Hip Fracture.

职业治疗从业者对髋部骨折患者基于职业的干预措施的看法。

• DOI: 10.5014/ajot.2018.026492
• 发表时间: 2018
• 期刊: The American journal of occupational therapy : official publication of the American Occupational Therapy Association
• 作者: Wong,Carin;Fagan,Brenda;Leland,NatalieE
• 通讯作者: Leland,NatalieE

Clinicians' Perspectives of Patient Engagement in Post-Acute Care: A Social Ecological Approach.

临床医生对患者参与急性后护理的看法：社会生态学方法。

• DOI: 10.1080/02703181.2017.1407859
• 发表时间: 2018
• 期刊: Physical & occupational therapy in geriatrics
• 影响因子: 0.9
• 作者: Wong,Carin;Leland,NatalieE
• 通讯作者: Leland,NatalieE

Understanding Communication Between Rehabilitation Practitioners and Nurses: Implications for Post-Acute Care Quality.

• DOI: 10.1177/0733464818794148
• 发表时间: 2020-07
• 期刊: Journal of applied gerontology : the official journal of the Southern Gerontological Society
• 作者: Wong C;Martinez J;Fagan B;Leland NE
• 通讯作者: Leland NE

Optimizing Post-Acute Care Patient Safety: A Scoping Review of Multifactorial Fall Prevention Interventions for Older Adults.

优化急性后护理患者安全：老年人多因素跌倒预防干预措施的范围审查。

• DOI: 10.1177/07334648221104375
• 发表时间: 2022
• 期刊: Journal of applied gerontology : the official journal of the Southern Gerontological Society
• 作者: Leland,NatalieE;Lekovitch,Cara;Martínez,Jenny;Rouch,Stephanie;Harding,Patrick;Wong,Carin
• 通讯作者: Wong,Carin