Abstract
Frailty is independently associated with adverse patient outcomes after surgery. The current standards of postoperative care rarely consider frailty status. There was no standardized protocol to optimize specialized postoperative care for frail patients at an academic medical center. A quasi-experimental pre-/postimplementation study design, using the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework, was utilized. A frailty-specific postoperative order set (FPOS) was developed, including tailored nursing care, activity levels, and nutritional goals. There were significant improvements in nurse's self-reported familiarity with frailty (P =.003) and FPOS awareness (P <.001). The number of orders for delirium prevention, elimination, nutrition, sleep promotion, and sensory support increased (P <.001). Implementing an FPOS showed improvements in nurse frailty knowledge, awareness, and order set utilization.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
