Systems Addressing Frail Elders (SAFE) Care is a geriatric model of care that identifies high-risk hospitalized older adults, and provides targeted interprofessional interventions for risk factors associated with frailty. This post, mixed methods study sought to evaluate SAFE Care implementation retrospectively at one public academic medical center and describe practical “real-world” considerations for implementation using the Consolidated Framework for Implementation Research (CFIR). In addition to barriers and facilitators, hidden characteristics to consider for implementation include initiating conditions, skills and experiences of implementers, interpersonal challenges, unique facilitators and barriers, surprising conditions, and threats to and requirements for sustainability. Implementation of SAFE Care demonstrated effective adoption and implementation, but faced multiple threats that led to failed sustainability. The public sharing of these successes and failures will help implementers understand and make progress in adapting such important geriatric programs and quality improvement initiatives.Copyright © 2020 Elsevier Inc. All rights reserved.
About The Expert
Nestor Neil A Peig
Lianna Ansryan
Fotine Mamais
Renee Appleby
Katrina Dela Cruz
Erica Caffarini
Judy Yoo
Kimberly Holden
John Brasel
Eileen Gorman
Tracy Guy
Bryant Duong
Meg Furukawa
Kevin Chhan
Cathy Ward
Pamela S Miller
References
PubMed