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Chris Carpenter - One of the best experts on this subject based on the ideXlab platform.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Academic Emergency Medicine, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L Lyons, Timothy F PlattsmillsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Journal of the American Geriatrics Society, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L LyonsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.
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a profile of acute care in an aging america snowball sample identification and characterization of united states geriatric emergency departments in 2013
Academic Emergency Medicine, 2014Co-Authors: Teresita M Hogan, Tolulope Oyeyemi Olade, Chris CarpenterAbstract:Background The aging of America poses a challenge to emergency departments (EDs). Studies show that elderly patients have poor outcomes despite increased testing, prolonged periods of observation, and higher admission rates. In response, emergency medicine (EM) leaders have implemented strategies for improved ED elder care, enhancing expertise, equipment, policies, and protocols. One example is the development of geriatric EDs gaining in popularity nationwide. To the authors’ knowledge, this is the first research to systematically identify and qualitatively characterize the existence, locations, and features of geriatric EDs across the United States. Objectives The primary objective was to determine the number, distribution, and characteristics of geriatric EDs in the United States in 2013. Methods This was a survey with potential respondents identified via a snowball sampling of known geriatric EDs, EM professional organizations’ geriatric interest groups, and a structured search of the Internet using multiple search engines. Sites were contacted by telephone, and those confirming geriatric EDs presence received the survey via e-mail. Category questions included date of opening, location, volumes, staffing, physical plant changes, screening tools, policies, and protocols. Categories were reported based on general interest to those seeking to understand components of a geriatric ED. Results Thirty-six hospitals confirmed geriatric ED existence and received surveys. Thirty (83%) responded to the survey and confirmed presence or plans for geriatric EDs: 24 (80%) had existing geriatric EDs, and six (20%) were planning to open geriatric EDs by 2014. The majority of geriatric EDs are located in the Midwest (46%) and Northeast (30%) regions of the United States. Eighty percent serve from 5,000 to 20,000 elder patients annually. Seventy percent of geriatric EDs are attached to the main ED, and 66% have from one to 10 geriatric beds. Physical plant changes include modifications to beds (96%), lighting (90%), flooring (83%), visual aids (73%), and sound level (70%). Seventy-seven percent have staff overlapping with the nongeriatric portion of their ED, and 80% require geriatric staff didactics. Sixty-seven percent of geriatric EDs report discharge planning for geriatric ED patients, and 90% of geriatric EDs had direct follow-up through patient callbacks. Conclusions The snowball sample identification of U.S. geriatric EDs resulted in 30 confirmed respondents. There is significant variation in the components constituting a geriatric ED. The United States should consider external validation of self-identified geriatric EDs to standardize the quality and type of care patients can expect from an institution with an identified geriatric ED. Resumen Introduccion El envejecimiento de Estados Unidos plantea una oportunidad para los servicios de urgencias (SU). Los estudios muestran que los pacientes ancianos tienen peores resultados a pesar de un mayor numero de pruebas diagnosticas, periodos de observacion prolongados y mayores porcentajes de ingreso. En respuesta, las maximas autoridades de la Medicina de Urgencias y Emergencias (MUE) han implementado estrategias para mejorar la atencion del paciente anciano en los SU, mediante un incremento de los expertos, el equipamiento, las politicas y los protocolos. Un ejemplo es el desarrollo de SU geriatricos que ganan en popularidad en toda la nacion. Segun el conocimiento de los autores, esta es la primera revision que identifica de forma sistematica y caracteriza cualitativamente la existencia, la localizacion y las caracteristicas de los SU geriatricos en Estados Unidos. Objetivos El objetivo principal fue determinar el numero, la distribucion y las caracteristicas de los SU geriatricos en Estados Unidos en 2013. Metodologia Se realizo una encuesta cuyos potenciales respondedores se identificaron mediante un muestreo de bola de nieve de los SU geriatricos conocidos, los grupos de interes geriatricos de las organizaciones profesionales de MUE y una busqueda estructurada en internet mediante multiples motores de busqueda. Se contacto con los lugares mediante una llamada telefonica, y aquellos que confirmaron la presencia de SU geriatricos recibieron la encuesta via correo electronico. Las preguntas categorizadas incluyeron fecha de apertura, localizacion, volumenes, personal, cambios fisicos de la planta, herramientas de despistaje, politicas y protocolos. Las categorias se documentaron en base a un interes general de aquellos que buscaban comprender los componentes de un SU geriatrico. Resultados Treinta y seis hospitales confirmaron la existencia de un SU geriatrico y recibieron la encuesta. Treinta (80%) respondieron la encuesta y confirmaron la presencia de planes para el SU geriatrico: 24 (80%) tenian un SU geriatrico y seis (20%) estaban planeando abrirlo en 2014. La mayoria de los SU geriatricos estan localizados en las regiones del medioeste (46%) y noreste (30%) de Estados Unidos. El 80% atiende de 5.000 a 20.000 ancianos anualmente; el 70% esta junto al SU principal; y el 66% tiene de una a diez camas geriatricas. Los cambios fisicos de la planta incluyen modificacion de las camas (96%), iluminacion (90%), suelos (83%) y recursos visuales (73%) y nivel de sonido (70%). El 77% tiene profesionales sanitarios entremezclados con una parte no geriatrica de su SU, y el 80% necesita personal geriatrico formado. EL 77% documento planes de alta para los pacientes del SU geriatrico y un 90% tuvo seguimiento directo a traves de llamadas a los pacientes. Conclusiones La identificacion de los SU geriatricos a traves de una muestra de bola de nieve resulto en 30 respuestas confirmatorias. Existe una variacion significativa en los componentes que constituyen los SU geriatricos. Estados Unidos deberia considerar una validacion externa de los SU geriatricos propiamente identificados para estandarizar la calidad y el tipo de atencion que los pacientes pueden esperar de una institucion con un SU geriatrico identificado.
William L Lyons - One of the best experts on this subject based on the ideXlab platform.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Academic Emergency Medicine, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L Lyons, Timothy F PlattsmillsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Journal of the American Geriatrics Society, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L LyonsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.
Lowell W Gerson - One of the best experts on this subject based on the ideXlab platform.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Academic Emergency Medicine, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L Lyons, Timothy F PlattsmillsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Journal of the American Geriatrics Society, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L LyonsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.
Timothy F Plattsmills - One of the best experts on this subject based on the ideXlab platform.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Academic Emergency Medicine, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L Lyons, Timothy F PlattsmillsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing.
Marilyn Bromley - One of the best experts on this subject based on the ideXlab platform.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Academic Emergency Medicine, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L Lyons, Timothy F PlattsmillsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing.
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optimal older adult emergency care introducing multidisciplinary geriatric emergency department guidelines from the american college of emergency physicians american Geriatrics society emergency nurses association and society for academic emergency m
Journal of the American Geriatrics Society, 2014Co-Authors: Chris Carpenter, Audrey Chun, Marilyn Bromley, Jeffrey M Caterino, Lowell W Gerson, Jason Greenspan, Ula Hwang, David P John, William L LyonsAbstract:In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.