Frailsafe collaborative

This is the Frailsafe members' area where you will be able to discuss research and statistics from the programme. If you believe you should have access but don't, please get in touch via the contact page.

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The Problem

The ‘oldest old’ of our patients are disproportionately affected by Patient Safety Incidents (PSIs) causing severe harm and death. People aged over 85 years make up 8.3% of admissions but 21% of PSIs.

Over the past forty years in healthcare, knowledge and technology have dramatically transformed the complexity of care delivery.

The hazards identified in Frailsafe were initially defined by a literature search undertaken for evidence in two areas; harm to older patients in the acute setting and best care to avoid the harm. This literature review was then discussed with experts in patient safety and geriatric medicine across the USA and UK, including the British Geriatrics Society and the American Geriatrics Society.

The Frailsafe project has identified the most common and highest impact issues which can result in harm to patients in the first few days of acute care.

By iterative design the highest impact evidence based interventions to prevent these potential harms were incorporated into Frailsafe.

The harms which have a clear evidence base for effective management are:

  • Confusion (identifying delirium and underlying dementia)
  • Equipment related
  • Reduced mobility 
  • Falls
  • Pressure ulcers
  • Poor advanced care planning
  • Medication: adverse drug reactions