Evaluating the impact of the dementia care in hospitals program (DCHP) on hospital-acquired complications

Study protocol

Mark Yates, Jennifer J. Watts, Kasia Bail, Mohammadreza Mohebbi, Sean Macdermott, Jessica C. Jebramek, Henry Brodaty

Research output: Contribution to journalArticle

2 Citations (Scopus)
1 Downloads (Pure)

Abstract

Despite the increasing number of older people, many with cognitive impairment (CI), in hospitals, there is yet to be an evaluation of hospital-wide interventions improving the management of those with CI. In hospitalized patients with CI, there are likely to be associations between increased complications that impact on outcomes, length of stay, and costs. This prospective study will evaluate the effectiveness of an established hospital CI support program on patient outcomes, patient quality of life, staff awareness of CI, and carer satisfaction. Using a stepped-wedge, continuous-recruitment method, the pre-intervention patient data will provide the control data for usual hospital care. The intervention, the Dementia Care in Hospitals Program, provides hospital-wide CI awareness and support education, and screening for all patients aged 65+, along with a bedside alert, the Cognitive Impairment Identifier. The primary outcome is a reduction in hospital-acquired complications: urinary tract infections, pressure injuries, pneumonia and delirium. Secondary outcome measures include cost effectiveness, patient quality of life, carer satisfaction, staff awareness of CI, and staff perceived impact of care. This large-sample study across four sites offers an opportunity for research evaluation of health service functioning at a whole-of-hospital level, which is important for sustainable change in hospital practice.

Original languageEnglish
Article number1878
Pages (from-to)1-11
Number of pages11
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number9
DOIs
Publication statusPublished - 30 Aug 2018

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Dementia
Health Services Research
Caregivers
Quality of Life
Cognitive Dysfunction
Delirium
Urinary Tract Infections
Cost-Benefit Analysis
Length of Stay
Pneumonia
Outcome Assessment (Health Care)
Prospective Studies
Education
Pressure
Costs and Cost Analysis
Wounds and Injuries

Cite this

Yates, Mark ; Watts, Jennifer J. ; Bail, Kasia ; Mohebbi, Mohammadreza ; Macdermott, Sean ; Jebramek, Jessica C. ; Brodaty, Henry. / Evaluating the impact of the dementia care in hospitals program (DCHP) on hospital-acquired complications : Study protocol. In: International Journal of Environmental Research and Public Health. 2018 ; Vol. 15, No. 9. pp. 1-11.
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Evaluating the impact of the dementia care in hospitals program (DCHP) on hospital-acquired complications : Study protocol. / Yates, Mark; Watts, Jennifer J.; Bail, Kasia; Mohebbi, Mohammadreza; Macdermott, Sean; Jebramek, Jessica C.; Brodaty, Henry.

In: International Journal of Environmental Research and Public Health, Vol. 15, No. 9, 1878, 30.08.2018, p. 1-11.

Research output: Contribution to journalArticle

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AU - Yates, Mark

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AU - Brodaty, Henry

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