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Hospital-ADL study

The Hospital-ADL study aims to unravel the mechanism behind hospitalization-associated disability (defined as the loss of ability to perform one or more of the basic ADLs). In order to achieve this, we will investigate the cognitive, physical, psychological, biological and social factors that are associated with hospitalization-associated disability from hospital admission to three months post-discharge in acutely hospitalized older patients. The Hospital-ADL study is a multicenter, observational, prospective cohort study aiming to recruit 400 acutely hospitalized patients aged 70 years and above from the Department of Internal Medicine or geriatrics, from 6 hospitals in the Netherlands: 1] Academic Medical Center (AMC), 2] Isala, 3] Tergooi hospital Blaricum, 4] Medical Center Slotervraat, 5] BovenIJ hospital, and 6] Meander Medical Center.

The Transfer Intervention Procedure 

This study is set to implement the Transfer Intervention Procedure (TIP), which provides the foundation for a safe and reliable discharge process. We aim for a patient handover that is accurate and timely and also transparent to the patient. The Transfer Intervention Procedure (TIP); a discharge bundle to improve discharge care on an organizational level. We aim for a one hundred percent of medical, medication and nursing handovers being sent within 24 hours to the next health care provider. Yet at the same time, professionals should be aware that this does not come at the expense of the content of the patient handovers. To our knowledge this is the first study that investigates the implementation of such a discharge bundle on a large, national-scale, in eight different Dutch hospitals. This study is embedded in the context of a larger working group of the Dutch Ministry of Health, Welfare and Sport: ‘Addressing Waste in Health Care’. If effective, nationwide implementation of the discharge bundle may result from this study protocol.