The Mount Sinai journal of medicine, New York
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Geographically based inpatient geriatric units are an increasingly common organizational approach throughout the world for the care of the hospitalized frail elderly with complex, multidisciplinary acute care needs. The unit provides comprehensive and efficient quality care to these patients by bringing together, in a geographically based unit, specialists from a multiplicity of disciplines to provide needed services in a coordinated manner. ⋯ The education of medical students, medical housestaff, and geriatrics fellows is a critical function of the unit. The unit also serves as a site for research in improving the care of the hospitalized frail elderly.
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Since The Mount Sinai Hospital in New York City began delivering care in the mid 1800s, the medical services and, shortly thereafter, the nursing service have consistently given priority to improving patient care. Through the decades of the late 19th and 20th centuries, the Department of Nursing has remained current with the evolving concept of quality improvement. A historical overview of key elements in the evolution of quality improvement in nursing is presented.