ArticleThe Permanente journal2013
Making hospitals safer for older adults: updating quality metrics by understanding hospital-acquired delirium and its link to falls.
Article in The Permanente journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation.Nursing open · 2025Pooled it
- Effectiveness of multicomponent nonpharmacological delirium interventions: a meta-analysis.JAMA internal medicine · 2015Pooled it
- Pathway from Delirium to Death: Potential In-Hospital Mediators of Excess Mortality.Journal of the American Geriatrics Society · 2017Trial
- Glycemic Control and Utilization Risk With the Conversion of Glimepiride to Glipizide in Adults 64 Years and Older at an Integrated Health Care System.Journal of the American Geriatrics Society · 2026Article
- Factors involved in the development of hospital-acquired conditions in older patients in acute care settings: a scoping review.BMC health services research · 2025Article
- Drug Burden Index Is a Modifiable Predictor of 30-Day Hospitalization in Community-Dwelling Older Adults With Complex Care Needs: Machine Learning Analysis of InterRAI Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Development of an algorithm for assessing fall risk in a Japanese inpatient population.Scientific reports · 2021Article
- Refining the Definition of Polypharmacy and Its Link to Disability in Older Adults: Conceptualizing Necessary Polypharmacy, Unnecessary Polypharmacy, and Polypharmacy of Unclear Benefit.The Permanente journal · 2020Article
- The effect of volunteers' care and support on the health outcomes of older adults in acute care: A systematic scoping review.Journal of clinical nursing · 2019Article
- Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research.Open access Macedonian journal of medical sciences · 2019Article
- Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey.PloS one · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The medical care of hospitalized geriatric patients must differ from the care of younger adults. Because of reduced "reserve capacity," hospitalized older adults are at high risk of development of geriatric syndromes such as delirium and falls. Geriatric syndromes often lead to functional decline and dependence. Patients who experience geriatric syndromes in the hospital are more likely to have a longer length of stay, higher risk of readmissions, and worse medical outcomes. Incident delirium in hospitalized geriatric patients has been shown to be preventable by intervening in established risk factors. Prevention of hospital-related falls has not been consistently demonstrated. Analysis from Kaiser Permanente data demonstrated a correlation with delirium and hospital-related falls. We propose that age-specific quality metrics should be made to reduce the risk of the development of geriatric syndromes in hospitalized older adults. By preventing delirium, we believe that health care practitioners can reduce hospital-related falls in geriatric patients and improve the quality of care delivered to hospitalized older adults. An illustrative fictional case study is presented.
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