The Elder‐Friendly Emergency Department Assessment Tool: Development of a Quality Assessment Tool for Emergency Department–Based Geriatric Care

McCusker, Jane; Verdon, Josée; Vadeboncœur, Alain; Lévesque, Jean Frédéric; Sinha, Samir K.; Kim, Katherine Y.; Belzile, Éric

doi:10.1111/j.1532-5415.2012.04058.x

Cited by 32 publications

(34 citation statements)

References 26 publications

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“…The consensus as to incorporating a satisfaction evaluation of the elderly in the care provided by the ES is consistent with other studies (10,14) . Satisfaction is an indicator of the quality of the care and, for elderly people, this is related to better results in planning the discharge.…”

Section: Agreement With the Statement: It Is Necessary To Establish Psupporting

confidence: 73%

“…The questionnaire was divided into two parts. The first had questions related to information about the participants, and the second part was prepared considering national and international recommendations and criteria necessary for improving the care for the elderly in the ES (5)(6)(9)(10)(11) . The questionnaire contained 35 structured questions in four sections based on the central dimensions of an Elder-Friendly Hospital (6) : social climate; policies and procedures; care systems and processes; and physical design.…”

Section: Methodsmentioning

confidence: 99%

“…Due to an atypical presentation of the symptoms and the difficulty in explaining them, many are evaluated as low risk and are submitted to long waiting periods, longer admission times, and higher risks of readmissions (5) . Studies suggest the need for a more comprehensive geriatric assessment and its implementation in the ES (10,15) . Consensus was reached regarding the implementation of geriatric assessment protocols (e.g., risk of falls, pain control, risk for pressure ulcers, etc.)…”

Section: Agreement With the Statement: It Is Necessary To Establish Pmentioning

confidence: 99%

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Elder-friendly emergency services in Brazil: necessary conditions for care

Santos

Lima

Zucatti

2016

Rev. esc. enferm. USP

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Objective:To identify and analyze the aspects necessary to provide an elder-friendly emergency service (ES) from the perspective of nurses. Method: This is a descriptive, quantitative study using the Delphi technique in three rounds. Nurses with professional experience in the ES and/or researchers with publications and/or conducting research in the study area were selected. The first round of the Delphi panel had 72 participants, the second 49, and the third 44. An online questionnaire was used based on a review of the scientific literature with questions organized into the central dimensions of elder-friendly hospitals. A five-point Likert scale was used for each question and a 70% consensus level was established. Results: There were 38 aspects identified as necessary for elderly care that were organized into central dimensions. Conclusions: The study's results are consistent with the findings in scientific literature and suggest indicators for quality of care and training for an elder-friendly ES. DESCRIPTORSAged; Health of the Elderly; Emergency Nursing; Geriatric Nursing; Emergency Service, Hospital.Elder-friendly emergency services in Brazil: necessary conditions for care* Serviços de emergência amigos do idoso no Brasil: condições necessárias para o cuidado Servicios de urgencias amigos del anciano en Brasil: condiciones necesarias para el cuidado

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Section: Agreement With the Statement: It Is Necessary To Establish Psupporting

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Section: Agreement With the Statement: It Is Necessary To Establish Pmentioning

confidence: 99%

See 1 more Smart Citation

Elder-friendly emergency services in Brazil: necessary conditions for care

Santos

Lima

Zucatti

2016

Rev. esc. enferm. USP

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“…[2][3][4][5][6][7][8][9][10][11][12] A number of these interventions have positive effects on important health outcomes, including physical and cognitive function, or reduce subsequent health care use. 7,8,[13][14][15] Broad implementation of such interventions may be a necessary step in optimizing health outcomes for older ED patients, but these efforts may not be sufficient.…”

mentioning

confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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“…Papers were selected on the basis of their relevance to developing competencies in GEM by agreement between a geriatrician and an emergency physician. A range of articles including North American initiatives to develop a GEM curriculum and recent reviews and key articles in the field were identified and used to inform the development of the domains and items [7][8][9][10][11][12][13][14][15][16][17] . The development focused upon the additional competencies over and above that which would be expected from training in either geriatric medicine or emergency medicine -so this was not simply a reproduction of how to practice emergency medicine in older people, but an attempt to develop higher level competencies that will add value to existing curriculae 7 .…”

Section: Review Of the Literaturementioning

confidence: 99%

The development of a European curriculum in Geriatric Emergency Medicine

Conroy

Nickel

Jónsdóttir³

et al. 2016

European Geriatric Medicine

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Older people represent a growing proportion of attendees in Emergency Departments across Europe. Traditionally Emergency Departments have not focused on care for older people especially those with frailty. Similarly, geriatric services have not traditionally focused upon the care of older people in Emergency Departments. This work seeks to bring together the two disciplines of Geriatric and Emergency Medicine through a defined and validated curriculum on Geriatric Emergency Medicine.Domains and items for inclusion in the curriculum were derived through a combination of literature reviewing and a nominal group workshop. The domains and items underwent validation using a Delphi technique involving the European Societies of Geriatric and Emergency Medicine.

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The Elder‐Friendly Emergency Department Assessment Tool: Development of a Quality Assessment Tool for Emergency Department–Based Geriatric Care

Cited by 32 publications

References 26 publications

Elder-friendly emergency services in Brazil: necessary conditions for care

Elder-friendly emergency services in Brazil: necessary conditions for care

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

The development of a European curriculum in Geriatric Emergency Medicine

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