The ACOVE-3 QI set is an updated and expanded set of QIs including five new conditions: COPD, colorectal cancer, breast cancer, sleep. The original studies regarding the development of the ACOVE quality indicators ( sets 1–3), opinion papers, editorials and letters were excluded. Measuring Medical Care Provided to Vulnerable Elders: The Assessing Care of Vulnerable Elders‐3 (ACOVE‐3) Quality Indicators.

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Association between clusters of diseases and polypharmacy in hospitalized elderly patients: Only seven studies explicitly mentioned that the population consisted of vulnerable elderly patients, all of which used the Vulnerable Elders Survey VES to identify vulnerability.

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The studies were organized in a conceptual model containing five main categories providing a better understanding of where and how ACOVE quality indicators have been applied since Related articles in Web of Science Google Scholar. The association between quality of care and the following factors were studied: High quality of care did not imply increased hospital spending— nationwide cohort study among hip fracture patients.

To get insight into the nature of these studies, we describe the most important findings per category. Address reprint requests to: Each QI afove a care process that should, at minimum, be performed in virtually every eligible patient, and that if not performed indicates a deficiency in care quality.

Suboptimal physician adherence to quality indicators for the management of gout and asymptomatic hyperuricaemia: From the papers, 50 were selected for full text screening. Measuring medical care provided to vulnerable elders: In recent years afove studies have been dedicated to the care of elderly patients.

Sign In or Create an Account. The majority of the studies did not assess the reliability of the medical record review; however, most of them reported the inter-rator reliability of assessing the pass rates of quality indicators. Our results suggest that the ACOVE framework has mainly been used to assess care, rather than to achieve the ultimate goal of the quality indicators, that of improving the quality of care, although it is possible that such initiatives are not always published.


Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set.

Three studies assessed the quality of care using only medical records [ 373845 ]. In the cases when the reviewers were unable to reach consensus a acovd reviewer was involved to make a final decision.

Two studies had mixed settings [ 2124 afove. To update and increase the comprehensiveness of the Assessing Care of Vulnerable Elders ACOVE set of process-of-care quality indicators QIs for the medical care provided to vulnerable elders and to keep up with the constantly changing medical literature, the QIs were revised and expanded. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide.

Our results showed that the concept of using ACOVE-like quality indicator has been extrapolated qcove to a limited extent to other patient populations than the elderly. A comparison of quality of care indicators in urban acute care hospitals and rural critical access aocve in the United States. Quality indicators for the management of medical conditions in nursing home residents.

Incidence and types of preventable adverse events in elderly patients: The studies are described in a thematic conceptual model meant to understand the different ways in which the ACOVE quality indicators have been used and to expose areas of promising future research. Your username and password are the same that you use to log onto MyAGS.

Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set.

Predictors of successful prompted voiding among incontinent nursing home residents. Two studies in this category explicitly mentioned the inclusion of patients aged 50 years or older.


Studies have shown that elderly patients often do not receive care appropriate to their age and conditions [ 58 ]. Acoove indicators were used in a wide range of applications with two main foci: The Acoove appear at the conclusion of each relevant GRS chapter addressing one or more of the conditions.

From the selected studies, the two reviewers independently used a structured form for abstraction to obtain the study characteristics, objectives, methods, affiliation of the authors and research group, and the number and focus of the quality indicators. All authors participated in the design of the paper, the regular discussions, and read and approved the final manuscript.

Comparison of administrative data and medical records to measure the quality of medical care provided to vulnerable older patients.

Racial disparities in the quality of medication use in older adults: This category contains two studies. Receive exclusive offers and updates from Oxford Academic. Most research originated from the ACOVE group itself but there are some translational efforts to other countries. Assessing medication appropriateness in the elderly: A future study is needed to report on the formal quality of the included studies, and the overall quality of care as assessed using the ACOVE quality indicators.

We foresee an important role for application of indicators that proactively help health-care professionals to deliver the right care at the right time, for example by resorting to decision support systems.