Elder‐Friendly Emergency Department: Development and Validation of a Quality Assessment Tool

Objectives To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. Design Four‐step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal com...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2018-02, Vol.66 (2), p.394-400
Hauptverfasser: McCusker, Jane, Minh Vu, T. T., Veillette, Nathalie, Cossette, Sylvie, Vadeboncoeur, Alain, Ciampi, Antonio, Cetin‐Sahin, Deniz, Belzile, Eric
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container_end_page 400
container_issue 2
container_start_page 394
container_title Journal of the American Geriatrics Society (JAGS)
container_volume 66
creator McCusker, Jane
Minh Vu, T. T.
Veillette, Nathalie
Cossette, Sylvie
Vadeboncoeur, Alain
Ciampi, Antonio
Cetin‐Sahin, Deniz
Belzile, Eric
description Objectives To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. Design Four‐step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal component analysis and clinical judgment, (4) reliability and validity assessment. Setting Province of Quebec, Canada. Participants Lead ED nurses and physicians at 76 Quebec EDs who participated in a 2013/14 survey (66% of 116 adult nonpsychiatric EDs in the province). Measurements Geriatric care items (n = 62) grouped into seven preliminary content areas (screening and assessment, clinical protocols, discharge planning, staffing, physical environment, continuing education, quality assessment), lead nurse and physician perceptions of the quality of ED geriatric care, institutional prioritization of geriatric care, and ED type. Results Thirteen subscales were developed; most were associated with ED type and quality indicators. Conclusion Thirteen subscales for geriatric ED services are proposed for evaluation in various ED settings.
doi_str_mv 10.1111/jgs.15137
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T. ; Veillette, Nathalie ; Cossette, Sylvie ; Vadeboncoeur, Alain ; Ciampi, Antonio ; Cetin‐Sahin, Deniz ; Belzile, Eric</creator><creatorcontrib>McCusker, Jane ; Minh Vu, T. T. ; Veillette, Nathalie ; Cossette, Sylvie ; Vadeboncoeur, Alain ; Ciampi, Antonio ; Cetin‐Sahin, Deniz ; Belzile, Eric</creatorcontrib><description>Objectives To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. Design Four‐step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal component analysis and clinical judgment, (4) reliability and validity assessment. Setting Province of Quebec, Canada. Participants Lead ED nurses and physicians at 76 Quebec EDs who participated in a 2013/14 survey (66% of 116 adult nonpsychiatric EDs in the province). Measurements Geriatric care items (n = 62) grouped into seven preliminary content areas (screening and assessment, clinical protocols, discharge planning, staffing, physical environment, continuing education, quality assessment), lead nurse and physician perceptions of the quality of ED geriatric care, institutional prioritization of geriatric care, and ED type. Results Thirteen subscales were developed; most were associated with ED type and quality indicators. Conclusion Thirteen subscales for geriatric ED services are proposed for evaluation in various ED settings.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.15137</identifier><identifier>PMID: 28960240</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; emergency department ; Emergency Service, Hospital - statistics &amp; numerical data ; geriatric ; Geriatrics ; Health Services for the Aged - standards ; Humans ; Length of Stay ; Nursing Staff, Hospital ; Patient Discharge ; Physicians ; Quality ; quality assessment ; Quality Assurance, Health Care - methods ; Quality Assurance, Health Care - organization &amp; administration ; Quality control ; Quebec ; Reproducibility of Results ; Surveys and Questionnaires - standards</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2018-02, Vol.66 (2), p.394-400</ispartof><rights>2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society</rights><rights>2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.</rights><rights>2018 American Geriatrics Society and Wiley Periodicals, Inc</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-169b3ba1a15b576beacba99f1f3635ec97960bbb29c3e9bc8910e51b234834ae3</citedby><cites>FETCH-LOGICAL-c3537-169b3ba1a15b576beacba99f1f3635ec97960bbb29c3e9bc8910e51b234834ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.15137$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.15137$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28960240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McCusker, Jane</creatorcontrib><creatorcontrib>Minh Vu, T. T.</creatorcontrib><creatorcontrib>Veillette, Nathalie</creatorcontrib><creatorcontrib>Cossette, Sylvie</creatorcontrib><creatorcontrib>Vadeboncoeur, Alain</creatorcontrib><creatorcontrib>Ciampi, Antonio</creatorcontrib><creatorcontrib>Cetin‐Sahin, Deniz</creatorcontrib><creatorcontrib>Belzile, Eric</creatorcontrib><title>Elder‐Friendly Emergency Department: Development and Validation of a Quality Assessment Tool</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. Design Four‐step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal component analysis and clinical judgment, (4) reliability and validity assessment. Setting Province of Quebec, Canada. Participants Lead ED nurses and physicians at 76 Quebec EDs who participated in a 2013/14 survey (66% of 116 adult nonpsychiatric EDs in the province). Measurements Geriatric care items (n = 62) grouped into seven preliminary content areas (screening and assessment, clinical protocols, discharge planning, staffing, physical environment, continuing education, quality assessment), lead nurse and physician perceptions of the quality of ED geriatric care, institutional prioritization of geriatric care, and ED type. Results Thirteen subscales were developed; most were associated with ED type and quality indicators. 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subjects Aged
emergency department
Emergency Service, Hospital - statistics & numerical data
geriatric
Geriatrics
Health Services for the Aged - standards
Humans
Length of Stay
Nursing Staff, Hospital
Patient Discharge
Physicians
Quality
quality assessment
Quality Assurance, Health Care - methods
Quality Assurance, Health Care - organization & administration
Quality control
Quebec
Reproducibility of Results
Surveys and Questionnaires - standards
title Elder‐Friendly Emergency Department: Development and Validation of a Quality Assessment Tool
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