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Text
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URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2009.00382.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2009.00382.x</a>
Rights
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Pages
441-449
Issue
5
Volume
16
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Title
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Quality Indicators for Geriatric Emergency Care
Publisher
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Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
2009-05
Subject
The topic of the resource
acute pain; cognitive; department patients; elderly emergency; emergency medical services; Emergency Medicine; emergency service; geriatrics; Health care; health services for the aged; Health care; hip fracture patients; hospital; impairment; nursing-homes; of health care; of-care; older emergency; quality; quality indicators; transitional care
Creator
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Terrell K M; Hustey F M; Hwang U; Gerson L W; Wenger N S; Miller D K; Force Saem Geriatric Task
Description
An account of the resource
Emergency departments (EDs), similar to other health care environments, are concerned with improving the quality of patient care. Older patients comprise a large, growing, and particularly vulnerable subset of ED users. The project objective was to develop ED-specific quality indicators for older patients to help practitioners identify quality gaps and focus quality improvement efforts. The Society for Academic Emergency Medicine (SAEM) Geriatric Task Force, including members representing the American College of Emergency Physicians (ACEP), selected three conditions where there are quality gaps in the care of older patients: cognitive assessment, pain management, and transitional care in both directions between nursing homes and EDs. For each condition, a content expert created potential quality indicators based on a systematic review of the literature, supplemented with expert opinion when necessary. The original candidate quality indicators were modified in response to evaluation by four groups: the Task Force, the SAEM Geriatric Interest Group, and audiences at the 2007 SAEM Annual Meeting and the 2008 American Geriatrics Society Annual Meeting. The authors offer 6 quality indicators for cognitive assessment, 6 for pain management, and 11 for transitions between nursing homes and EDs. These quality indicators will help researchers and clinicians target quality improvement efforts. The next steps will be to test the feasibility of capturing the quality indicators in existing medical records and to measure the extent to which each quality indicator is successfully met in current emergency practice.
Identifier
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<a href="http://doi.org/10.1111/j.1553-2712.2009.00382.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2009.00382.x</a>
Format
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Journal Article
2009
Academic Emergency Medicine
acute pain
cognitive
Department of Family & Community Medicine
department patients
elderly emergency
Emergency Medical Services
Emergency Medicine
Emergency Service
Force Saem Geriatric Task
Geriatrics
Gerson L W
Health Care
Health Services for the Aged
hip fracture patients
Hospital
Hustey F M
Hwang U
impairment
Journal Article
Miller D K
NEOMED College of Medicine
nursing-homes
of health care
of-care
older emergency
quality
Quality Indicators
Terrell K M
Transitional Care
Wenger N S