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Interventions to Reduce Acute Care Transfers (INTERACT)
A quality improvement intervention that includes a set of tools and strategies designed to assist NH staff in early identification, assessment, communication, and documentation about changes in resident status
Indications:
- minimize unnecessary hospitalization of nursing home residents
Procedure:
- tools include
- Stop and Watch Checklist
- Situation Background Assessment Recommendation (SBAR)
- nursing home-specific guidelines
- educating families about capabilities within the facility & limitations of hospitalization helps to promote realistic expectations [4]
Related
complicated transition; hospital readmission; bounce back
References
- Tena-Nelson R et al
Reducing potentially preventable hospital transfers: results
from a thirty nursing home collaborative.
J Am Med Dir Assoc. 2012 Sep;13(7):651-6
PMID: 22835484
- Lamb G et al
Avoidability of hospital transfers of nursing home residents:
perspectives of frontline staff.
J Am Geriatr Soc. 2011 Sep;59(9):1665-72
PMID: 21883105
- Ouslander JG et al
Interventions to reduce hospitalizations from nursing homes:
evaluation of the INTERACT II collaborative quality improvement
project.
J Am Geriatr Soc. 2011 Apr;59(4):745-53
PMID: 21410447
- Ouslander JG, Bonner A, Herndon L, Shutes J.
The Interventions to Reduce Acute Care Transfers (INTERACT)
quality improvement program: an overview for medical directors
and primary care clinicians in long term care.
J Am Med Dir Assoc. 2014 Mar;15(3):162-70. Review.
PMID: 24513226 Free PMC Article
- Geriatric Review Syllabus, 9th edition (GRS9)
Medinal-Walpole A, Pacala JT, Porter JF (eds)
American Geriatrics Society, 2016
- Interventions to Reduce Acute Care Transfers
http://interact2.net/