Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 317

Improving the safety of a clinical system requires action at many different levels, combining a focus on generic issues with attention to specific clinical problems. In this section, we first briefly address three issues that are relevant to all healthcare sectors but particularly critical in the care of older people: the education and training of practitioners, improving systems of care, and the potential of design and technology to enhance safety. We then consider how specific clinical issues can be tackled, addressing interventions for geriatric syndromes, hospital‐acquired infections, and medication safety. A systematic review by Zegers, et al.⁵⁷ showed that certain interventions were effective. The relevant effective interventions in older people were multicomponent interventions for delirium prevention, medications reviews by pharmacists, and multidisciplinary measures to prevent falls and infections.