Intervention
ADVERSE EVENTS
The PACE-IT project augmented the pre-existing nurse-led ED ACE Model of Care (MOC) (Supplementary File 1- The essential elements of ACE [Within 24 h of a VTC, where the resident did not attend the ED, a follow up phone call was conducted to monitor potential adverse events. Follow-up callers asked RACF staff questions regarding the current condition of the resident, receipt of the summary plan, which was agreed upon during the VTC, ease of understanding and continuing the summary plan, and any concerns regarding the treatment plan or the resident.Specific education about the intervention and its implementation was developed for each RACF facility and ED and there was the option of more than one session available to ensure nurses who would be responsible for undertaking a VTC from the RACF/ED could access the education during a rostered day. The education sessions were flexible and were mostly facilitated person to person in RACFs. However, due to the impact of COVID-19 and the associated social distancing requirements, two education sessions were held via video conferencing and four were held at an offsite venue external to the RACFs. The implementation education encompassed a range of activities such as a structured communication framework that is used in the LHD for clinical handover (ISBAR) outlines the following; Introduction, Situation, Background, Assessment and Recommendations (ISBAR) [