Quality Indicators for Geriatric Emergency Care

Title

Quality Indicators for Geriatric Emergency Care

Creator

Terrell K M; Hustey F M; Hwang U; Gerson L W; Wenger N S; Miller D K; Force Saem Geriatric Task

Publisher

Academic Emergency Medicine

Date

2009
2009-05

Description

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.

Subject

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

Format

Journal Article

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

441-449

Issue

5

Volume

16

Citation

Terrell K M; Hustey F M; Hwang U; Gerson L W; Wenger N S; Miller D K; Force Saem Geriatric Task, “Quality Indicators for Geriatric Emergency Care,” NEOMED Bibliography Database, accessed April 27, 2024, https://neomed.omeka.net/items/show/7308.