Implementation evaluation of a comprehensive CARE record to reduce hospital-acquired complications: a mixed-methods pre–post study
CARE record implementation, mandated by the Australian Commission on Safety and Quality in Health Care's Standard 5, was associated with fewer pressure injuries and overall falls (though there was an increase in falls resulting in serious injury), and greater documentation of other complications. Staff and patient experiences highlighted some benefits but also documentation time challenges. Findings provide lessons for the national implementation of Standard 5 and the need to balance structured processes with clinical judgement.
Authors
- Hanife Mehmet (ORCID: https://orcid.org/0000-0003-3261-8131)
- Hazel Wei Fen Heng (ORCID: https://orcid.org/0000-0001-8662-7063)
- Mark Tacey (ORCID: https://orcid.org/0000-0002-6318-3911)
- Rebecca Jessup (ORCID: https://orcid.org/0000-0003-2211-5231)
- Jason Talevski (ORCID: https://orcid.org/0000-0001-9180-8758)
- Maree Glynn
- Donald Campbell (ORCID: https://orcid.org/0009-0006-2639-7001)
- Uyen Phan (ORCID: https://orcid.org/0009-0001-9142-740X)
- Deborah Zilm
Institutions
- Northern Health (AU)
- La Trobe University (AU)
- Austin Health (AU)
- Monash University (AU)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1136/bmjopen-2025-099973
- Primary Topic
- Clinical practice guidelines implementation
- Type
- article
- Field-Weighted Citation Impact
- 0.00