Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement

Bristol, Alycia A.; Gladney, Micaela N.; Seidenfeld, Justine; Hastings, S. Nicole; Bellolio, M.F.; Biese, Kevin; Binkley, Christine; Bott, Nicholas T.; Brody, Abraham A.; Carpenter, Christopher S.; Clark, Sunday; Dresden, M. Scott; Forrester, Savannah; Gerson, Lowell W.; Gettel, Cameron J.; Goldberg, Elizabeth M.; Greenberg, Allyson; Hammouda, Nada; Han, Jin H.; Hastings, Susan; Hogan, Teresita M.; Hung, William; Hwang, Ula; Kayser, Jay; Kennedy, Maura; Ko, Kelly J.; Lesser, Adriane; Linton, Elizabeth A.; Liu, Shan; Malsch, Aaron; Matlock, Daniel D.; McFarland, Frances; Melady, Don; Morano, Carmen; Morrow‐Howell, Nancy; Nassisi, Denise; Nerbonne, Lori; Nyamu, Sylvie; Ohuabunwa, Ugochi; Platts‐Mills, Timothy F.; Ragsdale, Luna; Richardson, Lynne D.; Ringer, Thom; Rosen, Anthony; Rosenberg, Mark; Shah, Manish N.; Skains, Rachel M.; Skees, Stephanie; Souffront, Kimberly; Stabler, Laura; Sullivan, Connor; Suyama, Joe; Vargas, Samuel; Vaughan, Emily; Voils, Corrine I.; Wei, Daniel; Wexler, Nancy S.

doi:10.1111/acem.14360

Cited by 18 publications

(27 citation statements)

References 85 publications

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“…This work is the first review to address ED-to-community care transitions for older adults with cognitive impairment and their care partners from a patient-centered perspective. This work expands upon prior reviews addressing ED-to-home, 19 hospital-to-home, 44 and nursing home-to-hospital 45 care transitions for cognitively intact older adults. Available reviews including cognitively impaired older adults and their care partners have focused on qualitative studies addressing care transitions from home-to-institutional settings or more broadly across the health system.…”

Section: Discussionmentioning

confidence: 69%

Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Christensen

Aggarawal²,

Allore³

et al. 2022

Journal of the American Medical Directors Association

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Section: Discussionmentioning

confidence: 69%

Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Christensen

Aggarawal²,

Allore³

et al. 2022

Journal of the American Medical Directors Association

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“…The original GEAR project (hereafter referred to simply as GEAR) is dedicated to improving ED care of the older adult and focused on the priority topics of: care transitions, cognitive impairment—delirium, medication safety, elder abuse and falls. Four of the five GEAR research priorities have already been published using this approach 13–16. GEAR 2.0 ADC is focused on optimising emergency care for PLWD and their care partners in the priority areas of: ED practices, ED care transitions, detection and communication and shared decision-making.…”

Section: Introductionmentioning

confidence: 99%

The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department

et al. 2022

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IntroductionIncreasingly, older adults are turning to emergency departments (EDs) to address healthcare needs. To achieve these research demands, infrastructure is needed to both generate evidence of intervention impact and advance the development of implementation science, pragmatic trials evaluation and dissemination of findings from studies addressing the emergency care needs of older adults. The Geriatric Emergency Care Applied Research Network (https://gearnetwork.org) has been created in response to these scientific needs—to build a transdisciplinary infrastructure to support the research that will optimise emergency care for older adults and persons living with dementia.Methods and analysisIn this paper, we describe our approach to developing the GEAR Network infrastructure, the scoping reviews to identify research and clinical gaps and its use of consensus-driven research priorities with a transdisciplinary taskforce of stakeholders that includes patients and care partners. We describe how priority topic areas are ascertained, the process of conducting scoping reviews with integrated academic librarians performing standardised searches and providing quality control on reviews, input and support from the taskforce and conducting a large-scale consensus workshop to prioritise future research topics. The GEAR Network approach provides a framework and systematic approach to develop a research agenda and support research in geriatric emergency care.Ethics and disseminationThis is a systematic review of previously conducted research; accordingly, it does not constitute human subjects research needing ethics review. These reviews will be prepared as manuscripts and submitted for publication to peer-reviewed journals, and the results will be presented at conferences.Open Science Framework registered DOI: 10.17605/OSF.IO/6QRYX, 10.17605/OSF.IO/AKVZ8, 10.17605/OSF.IO/EPVR5, 10.17605/OSF.IO/VXPRS.

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“…GEAR looks to identify research gaps in geriatric emergency care and to support research and evaluation in these areas. GEAR has published three other manuscripts: Delirium prevention, detection, and treatment in emergency medicine settings 6 Care transitions and social needs 7 Research priorities for elder abuse screening and intervention 8 …”

Section: Introductionmentioning

confidence: 99%

Hot off the press: Stop fallin’—Geriatric fall prevention in the emergency department

Challen

Westafer

Milne

2022

Academic Emergency Medicine

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Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement

Abstract: Portions of this research were selected for poster presentation at the 2020 Society for Academic Emergency Medicine annual meeting. However, this meeting was canceled due to public health concerns.

Cited by 18 publications

References 85 publications

Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department

Hot off the press: Stop fallin’—Geriatric fall prevention in the emergency department

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