ArticleAustralasian journal on ageing2026
The Impact of Initiating the Older Adult Surgical Inpatient Service on the Quantity and Quality of Goals of Patient Care Documentation.
Article in Australasian journal on ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectivesThis study evaluated the quality and quantity of Goals of Patient Care (GoPC) documentation amongst older adults admitted under General Surgery at a tertiary hospital, comparing standards before and after integration of proactive geriatric medicine input via the Older Adult Surgical Inpatient Service (OASIS).
methodsA retrospective audit was performed of older adults discharged from General Surgery over a 6-month period. Quantity was defined as total number and percentage of patients with documented GoPC. Quality was defined as time from admission to completion and rate of documentation of patient preferences. Service impact was explored via the specialty team authorising the GoPC form and the ceiling of care identified.
resultsIn total, 526 patient care episodes were included pre-OASIS and 532 post-OASIS. Of these, 50 patients (10%) had completed GoPC forms pre-OASIS, increasing to 139 patients (26%) post-OASIS (p < 0.001). Completion within 48 h of admission improved from 22 patients (44%) pre-OASIS to 97 patients (70%) post-OASIS. Inclusion of patient preferences increased from 39 (78%) to 102 (73%; p = 0.65). The Older Adult Surgical Inpatient Service completed 88 (63%) of GoPC forms in the relevant cohort, though completion by the surgical team remained unchanged (29 pre-OASIS vs. 30 post-OASIS). There was an almost twofold increase in the number of patients with GoPC 'not for CPR' (47 vs. 102).
conclusionsGoals of Patient Care document completion for older adults admitted to General Surgery are below that recommended by local hospital policy. With the initiation of OASIS, there was a significant improvement in the quantity and quality of GoPC documentation.
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