Willingness and Ability of Older Adults in the Emergency Department to Provide Clinical Information Using a Tablet Computer.
*aged; *Attitude to Computers; *Computers; *data collection; *elderly; *emergency department; *Emergency Service; 80 and over; 80 and Over; ACADEMIC medical centers; Academic Medical Centers – North Carolina; Aged; Computers; Confidence Intervals; CONFIDENCE intervals; Convenience Sample; Cross Sectional Studies; CROSS-sectional method; Cross-Sectional Studies; Descriptive Statistics; DESCRIPTIVE statistics; Emergency Care – In Old Age; EMERGENCY medical services; Emergency Service; Female; Handheld; Hospital; HOSPITAL emergency services; Human; Humans; LONGITUDINAL method; Male; Mass Screening/*instrumentation; MEDICAL cooperation; Multicenter Studies; New Jersey; NEW Jersey; North Carolina; NORTH Carolina; OLD age; Patient Attitudes – Evaluation – In Old Age; PATIENTS' attitudes; Portable – Utilization – In Old Age; PORTABLE computers; Prospective Studies; RESEARCH; SCALE analysis (Psychology); Scales; STATISTICAL sampling; Summated Rating Scaling; Surveys and Questionnaires; United States; User-Computer Interface
OBJECTIVES: To estimate the proportion of older adults in the emergency department (ED) who are willing and able to use a tablet computer to answer questions. DESIGN: Prospective, ED-based cross-sectional study. SETTING: Two U.S. academic EDs. PARTICIPANTS: Individuals aged 65 and older. MEASUREMENTS: As part of screening for another study, potential study participants were asked whether they would be willing to use a tablet computer to answer eight questions instead of answering questions orally. A custom user interface optimized for older adults was used. Trained research assistants observed study participants as they used the tablets. Ability to use the tablet was assessed based on need for assistance and number of questions answered correctly. RESULTS: Of 365 individuals approached, 248 (68%) were willing to answer screening questions, 121 of these (49%) were willing to use a tablet computer; of these, 91 (75%) were able to answer at least six questions correctly, and 35 (29%) did not require assistance. Only 14 (12%) were able to answer all eight questions correctly without assistance. Individuals aged 65 to 74 and those reporting use of a touchscreen device at least weekly were more likely to be willing and able to use the tablet computer. Of individuals with no or mild cognitive impairment, the percentage willing to use the tablet was 45%, and the percentage answering all questions correctly was 32%. CONCLUSION: Approximately half of this sample of older adults in the ED was willing to provide information using a tablet computer, but only a small minority of these were able to enter all information correctly without assistance. Tablet computers may provide an efficient means of collecting clinical information from some older adults in the ED, but at present, it will be ineffective for a significant portion of this population.
Brahmandam Sruti; Holland Wesley C; Mangipudi Sowmya A; Braz Valerie A; Medlin Richard P; Hunold Katherine M; Jones Christopher W; Platts-Mills Timothy F
Journal of the American Geriatrics Society
2016
2016-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/jgs.14366" target="_blank" rel="noreferrer noopener">10.1111/jgs.14366</a>
Optimal older adult emergency care: Introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine.
*Practice Guidelines as Topic; Aged; AMERICAN College of Emergency Physicians; AMERICAN Geriatrics Society; ELDER care; EMERGENCY medical services; EMERGENCY medical services – Standards; EMERGENCY medicine; Emergency Medicine – Standards; Emergency Medicine/*standards; EMERGENCY Nurses Association; Emergency Service; Emergency Service – Standards; GERIATRICS; Geriatrics – Standards; Geriatrics/*standards; HEALTH care teams; Hospital/standards; Humans; Interdisciplinary Communication; Interprofessional Relations; Medical; Medical Organizations; MEDICAL protocols; OLD age; PATIENTS; Practice Guidelines; QUALITY assurance; Societies; SOCIETY for Academic Emergency Medicine (U.S.); United States
Carpenter Christopher R; Bromley Marilyn; Caterino Jeffrey M; Chun Audrey; Gerson Lowell W; Greenspan Jason; Hwang Ula; John David P; Lyons William L; Platts-Mills Timothy F; Mortensen Betty; Ragsdale Luna; Rosenberg Mark; Wilber Scott T
Annals of emergency medicine
2014
2014-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.annemergmed.2014.03.002" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2014.03.002</a>
Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic...
Aged; Quality Improvement; Practice Guidelines; Emergency Patients; Multidisciplinary Care Team; American College of Emergency Physicians; American Geriatrics Society; Emergency Nurses Association; Society for Academic Emergency Medicine; Emergency Medicine – Standards; Geriatrics – Standards; Emergency Care – Standards – In Old Age; Gerontologic Care – Standards
In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments ( EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.
Carpenter Christopher R; Bromley Marilyn; Caterino Jeffrey M; Chun Audrey; Gerson Lowell W; Greenspan Jason; Hwang Ula; John David P; Lyons William L; Platts-Mills Timothy F; Mortensen Betty; Ragsdale Luna; Rosenberg Mark; Wilber Scott T
Journal of the American Geriatrics Society
2014
2014-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/jgs.12883" target="_blank" rel="noreferrer noopener">10.1111/jgs.12883</a>
Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic...
Age Factors; Physicians; Emergency Medicine; Practice Guidelines; Medical Organizations; Multidisciplinary Care Team; Emergency Nurses Association; Geriatrics; Emergency; Patient Care – Methods; Emergency Care – Methods
Carpenter Christopher R; Bromley Marilyn; Caterino Jeffrey M; Chun Audrey; Gerson Lowell W; Greenspan Jason; Hwang Ula; John David P; Lyons William L; Platts-Mills Timothy F; Mortensen Betty; Ragsdale Luna; Rosenberg Mark; Wilber Scott T
Academic Emergency Medicine
2014
2014-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/acem.12415" target="_blank" rel="noreferrer noopener">10.1111/acem.12415</a>