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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Related articles in Web of Science Google Scholar. The remaining studies adapted and validated quality indicators within the same country to another health-care setting, to other patient populations or to other conditions. Receive exclusive offers and updates from Oxford Academic.

Developing quality indicators for general practice care for vulnerable elders; transfer from US to The Netherlands. Based on the ACOVE project’s intended adove [ 9 ], the studies were provisionally organized into two main themes: Some studies had two or more goals, and could therefore be assigned to more than one category.

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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.

ACOVE-3 contains a set of QIs to comprehensively measure the care provided to vulnerable older persons at the level of the health system, health plan, or medical group. Two studies had mixed settings [ 2124 ]. We believe that by decoupling acovf from improvement, crucial opportunities to improve care at the right time and the right place may be missed.


The Clinical Committee evaluated the coherence of the complete set acpve QIs that the expert panels rated as valid. This assessment takes place after care has been delivered and often forms a painstaking, costly process typically requiring the examination of patient charts and interviewing patients or health-care workers. Acovr this study 18 quality indicators were used for the assessment of the quality of care. A standardized quality assessment system to evaluate incontinence care in the nursing home.

The first round consisted of critically reading the title, keywords and abstract. Close mobile search navigation Article navigation.

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

In the second round both reviewers independently assessed the full text of the articles selected in the first round. A total of 41 articles met our selection criteria. Most research originated from the ACOVE group itself but acive are some translational efforts to other countries. A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States.

Association between clusters of diseases and polypharmacy in hospitalized elderly patients: The quality of care provided to vulnerable older community-based patients with urinary incontinence. The quality of medical care provided acoce vulnerable community-dwelling older patients.

To get insight into the nature of these studies, we describe the most important findings per category. To improve care for elderly patients there is a need to know where, when and for which conditions deficits exist, calling for reliable and acoge methods for the assessment of quality of care that considers both medical and geriatric conditions [ 10—12 ].


Three studies assessed the quality of care using only medical records [ 373845 ]. Your username and password are the same that you use to log onto MyAGS. Although our conceptual model for categorizing studies was based on the original goals of the ACOVE initiative and on a bottom-up analysis of the articles that were found, it is possible that other researchers in a comparable process would define other categories.

For each condition, a content expert created potential QIs and, based on systematic reviews, developed a peer-reviewed monograph detailing each QI and its supporting evidence. Developing quality indicators for elderly patients undergoing abdominal operations.

To identify and uniformly describe studies employing the Assessing Care Of Vulnerable Elders ACOVE quality indicators within a comprehensive thematic model that reflects how the indicators were used. A standardized quality assessment system to evaluate pain detection and management in the nursing home. Our systematic literature search was designed to give a complete overview of the studies pertaining to the ACOVE quality indicators.

Translation between the USA and other countries has been shown to be possible, which theoretically facilitates the comparison of results between different countries [ 495455 ].

Potential pitfalls of disease-specific guidelines for patients with multiple conditions. Relationship between quality of care and functional decline in hospitalized vulnerable elders. The future of health systems to