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Nurs Adm Q. 2018 Oct/Dec;42(4):350-356. doi: 10.1097/NAQ.0000000000000317.

Systems Addressing Frail Elders (SAFE) Care: Description of Successful Partnerships Across Hospitals.

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Cedars-Sinai Health System, Los Angeles, California (Mss Ansryan and Haus and Drs Aronow, Coleman, and Bolton); Ronald Reagan UCLA Medical Center, Los Angeles, California (Dr Ward); Huntington Memorial Hospital, Pasadena, California (Ms Sanchez-Rico); and Torrance Memorial Medical Center, Torrance, California (Mss Berwald and LeQuire).


Systems Addressing Frail Elders (SAFE) Care is an interprofessional team-based program, which was developed and evaluated in a cluster randomized controlled trial. Results of this trial included reduced length of stay and complications for patients. This article describes a successful partnership across 4 Magnet hospitals in the dissemination of the model. A 2-year sequential implementation process was completed, with an approach of adoption, adaptation, and abandonment. The model was successfully implemented at each participating Magnet hospital. Implementation included capacity building, organizational change, and process implementation.

[Indexed for MEDLINE]

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