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. 2024 Jan 12;14(1):86-92.
doi: 10.55729/2000-9666.1285. eCollection 2024.

Pilot Study on SAFE Score - A Novel Quantitative Metric for Evaluation of Patient Well-being in Crawfurd Hospital Transitional Care Facility (CFH TCF)

Lee J W Desmond  1 , Kweh R H Clement  1 , Chan T T Kevin  1 , Sng Z Ben  1 , Chong C C Wilson  1
Affiliations

Pilot Study on SAFE Score - A Novel Quantitative Metric for Evaluation of Patient Well-being in Crawfurd Hospital Transitional Care Facility (CFH TCF)

Lee J W Desmond et al. J Community Hosp Intern Med Perspect. .

Abstract

Crawfurd Hospital (CFH) set up a Transitional Care Facility (TCF) in November 2022 as an interim holding facility for medically stable patients awaiting a long-term discharge disposition. The team invented the SAFE score, to monitor 4 main domains commonly impacted in long-term stays - namely Skin, Action (Behaviour), Function and Emotion. A sample size of 50 patients met the inclusion criteria and were scored by the nurses on day 7, day 14, and monthly thereafter during their TCF stay, and once more within 72 h prior to their discharge. There was no significant improvement or worsening noted across all 4 domains in this pilot study, suggesting that the TCF has achieved its goal of maintaining its patients in all these domains. The scores at the various time points were also useful for the team to immediately identify changes in individual patient scores and act on these findings to ensure optimal patient care. Through this pilot study, we identified further minor improvements which can be made to the and the score, and such a scoring system may further be applicable to various intermediate to long-term care homes to oversee these domains of care.

Keywords: Long-term; Metric; Patient well-being; Scoring; Transitional care.

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Figures

Fig. 1
Fig. 1
Functional independence measure.
Fig. 2
Fig. 2
Comparison of SAFE median scores.
Fig. 3
Fig. 3
Comparison of SAFE mean scores.
See this image and copyright information in PMC

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