Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Linda SchnitkerResearch Collaboration for Quality Care of Older Persons: Emergency Care Panel

Abstract

The purpose of this study was to identify the structural quality of care domains and to establish a set of structural quality indicators (SQIs) for the assessment of care of older people with cognitive impairment in emergency departments (EDs). A structured approach to SQI development was undertaken including: 1) a comprehensive search of peer-reviewed and gray literature focusing on identification of evidence-based interventions targeting structure of care of older patients with cognitive impairment and existing SQIs; 2) a consultative process engaging experts in the care of older people and epidemiologic methods (i.e., advisory panel) leading to development of a draft set of SQIs; 3) field testing of drafted SQIs in eight EDs, leading to refinement of the SQI set; and 4) an independent voting process among the panelists for SQI inclusion in a final set, using preestablished inclusion and exclusion criteria. At the conclusion of the process, five SQIs targeting the management of older ED patients with cognitive impairment were developed: 1) the ED has a policy outlining the management of older people with cognitive impairment during the ED episode of care; 2) the ED has a policy outlining issues relevant to carers of older peo...Continue Reading

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Mar 11, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Linda M SchnitkerUNKNOWN Research Collaboration for Quality Care of Older Persons: Emergency Care Panel
Mar 11, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Linda M SchnitkerUNKNOWN Research Collaboration for Quality Care of Older Persons: Emergency Care Panel

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Citations

Feb 13, 2016·Lancet·Elsa DentKenneth Hillman
Mar 11, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Linda M SchnitkerUNKNOWN Research Collaboration for Quality Care of Older Persons: Emergency Care Panel
Feb 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Don Melady, Jay Banerjee
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Jul 28, 2016·Emergency Medicine Australasia : EMA·Guruprasad NagarajGlenn Arendts
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Sep 21, 2017·Healthcare Management Forum·Belinda Parke, Kathleen F Hunter
Mar 11, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Linda M SchnitkerUNKNOWN Research Collaboration for Quality Care of Older Persons: Emergency Care Panel
Nov 3, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R CarpenterUNKNOWN GEAR Network

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