Feasibility of Implementing a Focused Nursing Assessment for Geriatric Patients in the Emergency Department

Dresden, Scott M.; Aldeen, A.; Courtney, D. Mark; Gravenor, Stephanie J.; Malik, Sanjeev; Adams, James G.

doi:10.1016/j.annemergmed.2013.07.434

Cited by 4 publications

(2 citation statements)

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“…32,35,43,49,59 Seven studies were excluded because of insufficient data. [40][41][42]48,50,52,53 Five of these were abstracts. We attempted but were unsuccessful in getting more information from the authors; therefore, the studies were excluded.…”

Section: Study Selectionmentioning

confidence: 99%

Mobility assessments of geriatric emergency department patients: A systematic review

Eagles

Yadav

Perry

et al. 2017

CJEM

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Section: Study Selectionmentioning

confidence: 99%

Mobility assessments of geriatric emergency department patients: A systematic review

Eagles

Yadav

Perry

et al. 2017

CJEM

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“…GEDI WISE takes an integrated approach to improving care for geriatric patients via ED facility design, workforce education, and multidisciplinary care. 21 The structural enhancements include a dedicated geriatric ED with non-slip, non-glare floors and ambulation-assist handrails to decrease risk of falls; diurnal lighting and noise reduction rooms to decrease risk of delirium; and thicker mattress pads to decrease risk of pressure ulcers. The workforce education and training program focuses on the needs of geriatric patients with an interdisciplinary, geriatric-centered, ED-based approach.…”

Section: Introductionmentioning

confidence: 99%

Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications

Gutteridge¹,

Genes²,

Hwang³

et al. 2014

eGEMs

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Purpose:In a health care system where patients often have numerous providers and multiple chronic medical conditions, interoperability of health information technology (HIT) is of paramount importance. Regional health information organizations (RHIO) often provide a health information exchange (HIE) as a solution, which gives stakeholders access to clinical data that they otherwise would not otherwise have. A secondary use of preexisting HIE infrastructure is clinical event notification (CEN) services, which send automated notifications to stakeholders. This paper describes the development and implementation of a CEN service enabled by a RHIO in the New York metropolitan area to improve care coordination for patients enrolled in a geriatric emergency department care coordination program.Innovation:This operational CEN system incorporates several innovations that to our knowledge have not been implemented previously. They include the near real-time notifications and the delivery of notifications via multiple pathways: electronic health record (EHR) “in-baskets,” email, text message to internet protocol-based “zone” phones, and automated encounter entry into the EHR. Based on these alerts the geriatric care coordination team contacts the facility where the patient is being seen and offers additional information or assistance with disposition planning with the goal of decreasing potentially avoidable admissions and duplicate testing.Findings:During the nearly one-year study period, the CEN program enrolled 5722 patients and sent 497 unique notifications regarding 206 patients. Of these notifications, 219 (44%) were for emergency department (ED) visits; 121 (55%) of those notifications were received during normal business hours when the care coordination team was available to contact the ED where the patient was receiving care. Hospital admissions resulted from 45% of ED visits 17.8% of these admissions lasted 48 hours or less, suggesting some might potentially be avoidable.Conclusions and Discussion:This study demonstrates the potential of CEN systems to improve care coordination by notifying providers of the occurrence of specific events. Although it could not directly be demonstrated here, we believe that widespread use of CEN systems have potential to reduce potentially avoidable admissions and duplicate testing, likely leading to decreased costs.

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Interventions to improve the appropriate use of polypharmacy for older people

Patterson¹,

Cadogan

Kerse

et al. 2014

Cochrane Database of Systematic Reviews

413

127

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Feasibility of Implementing a Focused Nursing Assessment for Geriatric Patients in the Emergency Department

Cited by 4 publications

References 0 publications

Mobility assessments of geriatric emergency department patients: A systematic review

Mobility assessments of geriatric emergency department patients: A systematic review

Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications

Interventions to improve the appropriate use of polypharmacy for older people

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