The prototype of a frailty learning health system: The <scp>HARMONY</scp> Model

Parker, Kirsten J.; Hickman, Louise D.; McDonagh, Julee; Lindley, Richard I.; Ferguson, Caleb

doi:10.1002/lrh2.10401

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…Recently, the HARMONY model (acHieving dAta-dRiven quality iMprovement to enhance frailty Outcomes using a learNing health sYstem), a new frailty learning health system model of implementation science and practice improvement was applied to the Western Sydney Frailty Clinical Frailty Registry (20).…”

Section: Clinical Implications and Future Directionsmentioning

confidence: 99%

Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.

McDonagh,

Lindley,

Byth

et al. 2024

Preprint

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Objectives To report the baseline profile, clinical management, all-cause rehospitalisation, and mortality at 12 months of adults enrolled into the Western Sydney Clinical Frailty Registry. Design: Prospective observational cohort study Setting and Participants: 592 adults admitted to an acute geriatric medicine service in NSW, Australia, were included in this study. Methods The Western Sydney Clinical Frailty Registry is a study of adults admitted to acute geriatric wards in a 570-bed two-site district general hospital in Western Sydney NSW, Australia. Recruitment began in April 2020 and is ongoing. Each participant is recruited while an inpatient and followed up for 12 months including baseline visits and three-, six- and 12-month follow-ups via telephone interviews. The primary outcome of this study was rehospitalisation and/or mortality at 12 months. Results Median age 82 years; half the cohort were classified as mild-moderately frail and 21% were classified as severely frail. A total of 134 participants died (22.6%) within the 12-month follow-up period. Increased cumulative incidence of first rehospitalisation and/or death during the first 12 months post-discharge was significantly associated with higher modified Charlson comorbidity (p < 0.001) and Clinical Frailty Scale (CFS) scores (p < 0.001). Compared to the ‘non-frail’ group (CFS 1–4), those who were severely frail (CFS 7–9) had an 85% increased risk of rehospitalisation and/or death, and those who were mild-moderately frail (CFS 5–6) had a 52% increased risk after adjusting for effects of the other variables. Conclusions Frailty is very common in older adults admitted to acute geriatric services. Assessing frailty using the CFS is feasible and is independently predictive of rehospitalisation and mortality. Our findings suggest that integrating frailty assessment into clinical practice goes beyond simple risk stratification, offering valuable insights for tailored clinical management strategies.

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Section: Clinical Implications and Future Directionsmentioning

confidence: 99%

Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.

McDonagh,

Lindley,

Byth

et al. 2024

Preprint

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“…Model protoype ini memiliki beberapa tahapan, yaitu analisis kebutuhan, desain, implementasi dan pemeliharaan [12], [13]. Adapun gambaran proses pengembangan system informasi administrasi pendisiplinan siswa dapat digambarkan dalam kerangka penelitian pada Gambar 1.…”

Section: Metodologi Penelitianunclassified

Model Prototype pada Pengembangan Sistem Informasi Admininistrasi Pendisiplinan Siswa (Studi Kasus: SMA Negeri 8 Kota Bengkulu)

Niska Ramadani,

Amdhi Yul,

Prasetyo

2023

komtekinfo

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Development of Information System for Student Disciplinary Administration (SIPS) is a system used to manage student disciplinary data, so that it can facilitate officers in recording students who commit violations and follow up on student violations. The student disciplinary information system is built using the PHP Programming Language with CodeIgniter and MySql database, the problem analysis method used is the PIECES method, in developing the system using the Prototype model. From the results of the study it is known that the data collection of student violations at SMA Negeri 8 Bengkulu City which is currently being carried out by recording student data in the book, and for follow-up violations only written on memo paper, and there is no reporting for student discipline, therefore it is necessary to build a Student Disciplinary Information System (SIPS) at SMAN 8 Bengkulu City to provide information about student violation data, which can be stored in the database.

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A practical guide to living evidence: reducing the knowledge-to-practice gap

Allida,

Hackett,

Lindley

et al. 2024

European Journal of Cardiovascular Nursing

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Living evidence involves continuous evidence surveillance to incorporate new relevant evidence into systematic reviews and clinical practice guideline recommendations as soon as it becomes available. Thus, living evidence may improve the timeliness of recommendation updates and reduce the knowledge-to-practice gap. When considering a living evidence model, several processes and practical aspects need to be explored. Some of these include identifying the need for a living evidence model, funding, governance structure, time, team skills and capabilities, frequency of updates, approval and endorsement and publication and dissemination.

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The prototype of a frailty learning health system: The HARMONY Model

Cited by 3 publications

References 42 publications

Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.

Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.

Model Prototype pada Pengembangan Sistem Informasi Admininistrasi Pendisiplinan Siswa (Studi Kasus: SMA Negeri 8 Kota Bengkulu)

A practical guide to living evidence: reducing the knowledge-to-practice gap

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