Impact of place of residence, frailty and other factors on rehabilitation outcomes post hip fracture.

Background: Following hip fracture surgery, patients from residential care are frequently excluded from inpatient rehabilitation. We aimed to assess the impact of place of residence and other factors such as frailty on rehabilitation outcomes after hip fracture surgery.

Methods: Retrospective cohort study.

Pharmacist-Physician Collaboration to Improve the Accuracy of Medication Information in Electronic Medical Discharge Summaries: Effectiveness and Sustainability.

Inaccurate or missing medication information in medical discharge summaries is a widespread and intractable problem. This study evaluated the effectiveness and sustainability of an intervention in which ward-based hospital pharmacists reviewed, contributed and verified medication information in electronic discharge summaries (EDSs) in collaboration with physicians. Retrospective audits of randomly selected EDSs were conducted on seven wards at a major public hospital before and after implementation of the intervention and repeated two years later on four wards where the intervention was incorporated into usual pharmacist care.

An audit of the accuracy of medication information in electronic medical discharge summaries linked to an electronic prescribing system.

Background: Poor communication of medication information to general practitioners when patients are discharged from hospital is a widely recognised problem. There has been little research exploring the accuracy of medication information in electronic discharge summaries (EDS) linked to hospital e-prescribing systems.

Objective: To evaluate the accuracy of medication lists and medication change information in EDS produced using an integrated e-prescribing and EDS system (where EDS discharge medication lists were imported from discharge e-prescription records, medication change information was manually entered, and medications were dispensed from paper copies of the patients' e-prescriptions).

A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments.

Objectives: To investigate the effect of a referral-based targeted multifactorial falls prevention intervention on the occurrence of recurrent falls and injuries in older people presenting to an emergency department (ED) after a fall and discharged directly home from the ED.

Design: Randomized controlled trial. Assessors of outcomes were unaware of group allocation.

Physical activity by elderly patients undergoing inpatient rehabilitation is low: an observational study.

Question: Are there differences in physical activity between older adults undergoing inpatient rehabilitation and those living in the community? Are there differences in physical activity within and between these two groups on weekdays compared to weekends? Are there differences in physical activity within and between these two groups over the day?

Design: An observational study.

Participants: Twenty-five elderly patients (aged 81 years) undergoing rehabilitation and 25 age- and gender-matched community-dwelling people (aged 80 years).

Outcome Measures: The Positional Activity Logger was used to measure the frequency and duration of time spent upright (uptime), over three consecutive days, including a weekend day.

Effectiveness of falls clinics: an evaluation of outcomes and client adherence to recommended interventions.

Objectives: To evaluate outcomes associated with falls clinic programs.

Design: Longitudinal.

Setting: Thirteen outpatient falls clinics in Victoria, Australia.

Unassigned Geriatric Evaluation and Management program: preventing sub-acute hospital admissions.

The purpose of this study was to describe and evaluate the Unassigned Geriatric Evaluation and Management (UGEM) program recently developed at Bundoora Extended Care Centre (BECC). The UGEM program resembles a bed substitution service and aims to prevent hospital admissions by providing community case management services to clients who would otherwise require inpatient admission. Data was collected on 36 clients who had received UGEM services.