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Implementing a Cognitive Aid for Ward Rounds for Older Patients With Frailty: Lessons Learned and Future Directions.

Lene Holst Andersen1, Rune Dall Jensen2, Mads Skipper3

  • 1Department of Medicine, Randers Regional Hospital, Randers, Denmark.

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|November 6, 2025
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Summary
This summary is machine-generated.

A study on a cognitive aid for residents managing frail older patients found it was too complex and not used in practice. Future efforts need to simplify the aid and improve feedback collection from patients and caregivers.

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Area of Science:

  • Geriatric Medicine
  • Medical Education
  • Health Services Research

Background:

  • Structured training for residents managing frail older patients is limited.
  • Ward rounds are crucial but require better tools for this population.
  • A feasibility study explored a new cognitive aid to address these gaps.

Purpose of the Study:

  • To assess the feasibility of implementing a cognitive aid for residents caring for frail older patients.
  • To evaluate resident, patient, and caregiver experiences with the cognitive aid.
  • To identify barriers and facilitators to the use of the cognitive aid in clinical practice.

Main Methods:

  • A controlled before-and-after study involving Internal Medicine residents.
  • Intervention group received training (lectures, simulation, podcasts) on the cognitive aid.
  • Resident use and acceptability were measured via self-report and blinded video ratings.
  • Patient and caregiver perspectives were collected through interviews and surveys.

Main Results:

  • Residents rated the aid moderately (5/7), with no significant difference between groups.
  • Podcast usage was low; reasons for non-use included complexity and perceived lack of need.
  • Patients were satisfied but hesitant to give direct feedback; caregivers were minimally involved.

Conclusions:

  • The cognitive aid was not adopted in practice due to complexity and lack of follow-up.
  • Patient feedback collection was hindered by deference and self-blame.
  • Future interventions require simplified aids, integrated training, and improved feedback mechanisms.