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Designing, Implementing, and Evaluating a Nurse-Led Age-Friendly Dashboard in an Academic Health System: An
Patricia M Lavin1, William Winfree2, Divya Padgaonkar2
1NYU Langone Orthopedic Hospital, Mineola, New York.
A new age-friendly dashboard (AFD) was developed to improve care for older adults by presenting patient experience scores and nursing-sensitive indicators (NSIs). This tool helped reduce falls by 51% in a pilot program.
Area of Science:
- Geriatric Nursing
- Health Informatics
- Quality Improvement
Background:
- Hospitalized older adults require specialized care, often impacted by patient experience scores and nursing-sensitive indicators (NSIs).
- Academic health systems are increasingly adopting age-friendly health systems (AFHS) models to optimize care for this population.
Purpose of the Study:
- To describe the design, development, and piloting of an age-friendly dashboard (AFD).
- To feature patient experience scores and NSIs disproportionately affecting hospitalized older adults.
- To support nursing geriatrics workgroups in academic AFHS.
Main Methods:
- A nurse-led interdisciplinary team developed an interactive dashboard.
- The AFD aggregated existing age-friendly data, allowing stratification by age, campus, unit, and NSIs.
- Pilot users included frontline leaders, program coordinators, nurse practitioners, and educators.
Main Results:
- Pilot users provided optimization feedback for the AFD.
- One campus utilized the AFD to guide a quality improvement project.
- The project resulted in a 51% reduction in falls among adults aged 65 years and older.
Conclusions:
- The AFD serves as a practical tool for enhancing age-friendly care.
- It improves data accessibility for frontline leaders, nurses, and clinicians within an AFHS.
- Leveraging NSIs and patient experience data is key to supporting older adults in healthcare settings.
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Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Nursing Evaluation
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:

