Table 14: Evidence of standardised tools, checklists and templates Standardised Description Evidence that tool tool has Reliability and Gaps in evidence tools, been validity of evidence checklists and implemented templates BEFORE YOU Six areas to be asked about an older At one hospital, Emergency on SBAR Needs research on ADMIT tool patient before admission: older patient department of format application within readmission within public teaching residential aged Ash et al. 2014 Polypharmacy No further 30 days reduced hospitals care facilities information about Goals of care from 22.4% to reliability and validity Delirium 14.8% Frailty Aspiration Falls BOOST (Better Series of tools that can be used during At 11 hospitals, Metropolitan Widespread Further work Outcomes for care transitions for older people: average rate of public teaching engagement with needed on how Older adults hospitals, clinicians and policy relate to 8P Risk Assessment (problem through Safe rehospitalisation in community makers tool patient movements medications, psychological, principal Transitions) BOOST units was teaching development to residential aged diagnosis, polypharmacy, poor health tools 14.7% prior to hospitals, care facilities and literacy, patient support, prior Not clear if further implementation community community Hansen et al. hospitalisation in last six months, information available and 12.7% 12 2013 palliative care) on reliability and months after hospitals validity General assessment of preparedness implementation Written discharge instructions (P = 0.010) Preparation to Address Situations Successfully (PASS) Discharge Patient Education Tool (DPET) Teach back
Table 14: Evidence of standardised tools, checklists and templates Standardised tools, checklists and templates Description Evidence that tool tool has been implemented Reliability and validity of evidence Gaps in evidence BEFORE YOU ADMIT tool Ash et al. 2014 Six areas to be asked about an older patient before admission: Polypharmacy Goals of care Delirium Frailty Aspiration Falls At one hospital, older patient readmission within 30 days reduced from 22.4% to 14.8% Emergency department of public teaching hospitals on SBAR format No further information about reliability and validity Needs research on application within residential aged care facilities BOOST (Better Outcomes for Older adults through Safe Transitions) tools Hansen et al. 2013 Series of tools that can be used during care transitions for older people: 8P Risk Assessment (problem medications, psychological, principal diagnosis, polypharmacy, poor health literacy, patient support, prior hospitalisation in last six months, palliative care) General assessment of preparedness Written discharge instructions Preparation to Address Situations Successfully (PASS) Discharge Patient Education Tool (DPET) Teach back At 11 hospitals, average rate of rehospitalisation in BOOST units was 14.7% prior to implementation and 12.7% 12 months after implementation (P = 0.010) Metropolitan public teaching hospitals, community teaching hospitals, community hospitals Widespread engagement with clinicians and policy makers tool development Not clear if further information available on reliability and validity Further work needed on how relate to patient movements to residential aged care facilities and community
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