4.5 Article

Implementation of geriatric screening in the emergency department using the Consolidated Framework for Implementation Research

Related references

Note: Only part of the references are listed.
Article Emergency Medicine

A cluster-randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program

Camille P. P. Vaughan et al.

Summary: This study evaluated the implementation of audit and feedback in a medication safety program for older adults discharged from the emergency department. The study compared the effectiveness of centralized informatics-based dashboard and academic detailing approaches for the audit and feedback component. The findings suggest that academic detailing was more effective in improving safe prescribing for older adults, although dashboard-based audit and feedback could be a reasonable strategy in resource-limited settings.

ACADEMIC EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Dissemination and implementation of age-friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals

Ula Hwang et al.

Summary: The U.S. VA National Office of Geriatrics and Extended Care and the National Emergency Medicine Program partnered to improve emergency care for older Veterans by disseminating age-friendly care models and comparing rates of geriatric emergency department (GED) screening at accredited and non-accredited VA facilities.

ACADEMIC EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Boarding in US Academic Emergency Departments During the COVID-19 Pandemic

Austin S. Kilaru et al.

Summary: This study aimed to describe the changes in emergency department (ED) boarding in US academic EDs during the COVID-19 pandemic. The study found a sustained and significant increase in boarding during the later phases of the pandemic, potentially impacting patient outcomes and clinician well-being.

ANNALS OF EMERGENCY MEDICINE (2023)

Article Geriatrics & Gerontology

Barriers and facilitators to nursing delirium screening in older emergency patients: a qualitative study using the theoretical domains framework

Debra Eagles et al.

Summary: Background delirium is common but under-recognised in older ED patients. This study identified barriers and facilitators to delirium screening by nurses in this population. The findings highlight issues related to clinical prioritisation, self-perception of knowledge, and hospital culture.

AGE AND AGEING (2022)

Article Geriatrics & Gerontology

Prevalence, management and outcomes of unrecognized delirium in a National Sample of 1,493 older emergency department patients: how many were sent home and what happened to them?

Jacques S. Lee et al.

Summary: Recognition of delirium by nurses and physicians in the emergency department is sub-optimal, at around 50%, and may be associated with increased mortality. Further research should investigate the underlying causes of unrecognized delirium and propose novel strategies to enhance delirium recognition and improve patient outcomes.

AGE AND AGEING (2022)

Article Geriatrics & Gerontology

An implementation science approach to geriatric screening in an emergency department

Lauren T. Southerland et al.

Summary: The study found that ED nurses generally believed that geriatric screening should be standard practice in all EDs, but many were unaware of national and regional practices. The survey also showed that providing more staff, infrastructure, and equipment was perceived as necessary for implementing the intervention.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2022)

Article Emergency Medicine

Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States

Maura Kennedy et al.

Summary: This study describes the reach and adoption of the Geriatric Emergency Department Accreditation (GEDA) program in the US. It found that there has been rapid growth in geriatric emergency departments, primarily in urban areas. Minimizing urinary catheter use and fall prevention are common care processes implemented at these departments.

ANNALS OF EMERGENCY MEDICINE (2022)

Review Geriatrics & Gerontology

Can we improve delirium prevention and treatment in the emergency department? A systematic review

Sangil Lee et al.

Summary: This systematic review evaluated interventions to prevent incident delirium or shorten the duration of prevalent delirium in older adults presenting to the emergency department. The findings suggest that few interventions initiated in the ED consistently reduce the incidence or duration of delirium.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2022)

Article Geriatrics & Gerontology

Balancing vision with pragmatism: The geriatric emergency department guidelines-realistic expectations from emergency medicine and geriatric medicine

Richard D. Shih et al.

Summary: The article discusses the publication and endorsement of the Geriatric Emergency Department (GED) Guidelines in 2014, the challenges in implementing the guidelines in emergency departments, and the realistic expectations for non-Geriatric ED accredited institutions.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2022)

Article Health Care Sciences & Services

Impact of workflow interruptions on baseline activities of the doctors working in the emergency department

Asyia Mobeen et al.

Summary: This study investigated the baseline activities of emergency department doctors and how interruptions affect their workflow. The findings revealed that direct communication with patients and documentation were the most frequent activities, while visual and auditory distractions as well as coworker intrusions were the most common interruptions. The study also found that more time was spent on indirect patient care compared to direct patient care. Interruptions increase the likelihood of errors and make it challenging for doctors to resume their primary tasks.

BMJ OPEN QUALITY (2022)

Article Allergy

Using the Consolidated Framework for Implementation Research (CFIR) to evaluate implementation effectiveness of a facilitated approach to an asthma shared decision making intervention

Lindsay Shade et al.

Summary: The study evaluated the implementation effectiveness of an asthma shared decision making intervention at 10 primary care practices using the CFIR framework. Practices were classified as high, medium, or low adopters based on their overall construct scores, with high adopters performing well across all domains. Although no significant correlations were found between CFIR scores and changes in clinical outcomes like ED visits or hospitalizations, practices with a higher percentage of pediatric patients showed significant improvements in overall exacerbations.

JOURNAL OF ASTHMA (2021)

Article Emergency Medicine

Universal Screening for Hepatitis C Virus in the ED Using a Best Practice Advisory

James S. Ford et al.

Summary: The study demonstrates that utilizing a universal BPA-driven screening protocol in the emergency department can substantially increase the number of patients screened for HCV and result in more new HCV diagnoses.

WESTERN JOURNAL OF EMERGENCY MEDICINE (2021)

Article Geriatrics & Gerontology

Implementation of the acutely presenting older patient (APOP) screening program in routine emergency department care A before-after study

Laura C. Blomaard et al.

Summary: Implementation of the APOP screening program in routine ED care did not negatively impact the ED process and resulted in an increase of CGA and telephone follow-up in older patients. Future studies should investigate whether sustainable changes in management and patient outcomes occur after more PDSA cycles.

ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE (2021)

Article Health Care Sciences & Services

The FRAME-IS: a framework for documenting modifications to implementation strategies in healthcare

Christopher J. Miller et al.

Summary: This paper introduces a new framework for documenting modifications to implementation strategies, including what is modified, the nature of the modification, the primary goal and rationale for the modification, timing of the modification, participants in the modification decision-making process, and how widespread the modification is. The framework is a flexible and practical tool to help illuminate the pivotal processes and mechanisms by which implementation strategies exert their effects.

IMPLEMENTATION SCIENCE (2021)

Review Medicine, General & Internal

Planning Implementation Success of Syncope Clinical Practice Guidelines in the Emergency Department Using CFIR Framework

Jing Li et al.

Summary: In the evaluation and management of syncope, overuse and inappropriate use of testing and hospital admissions are common issues. Current clinical guidelines have not significantly impacted resource utilization in emergency department evaluations of syncope. By applying implementation science principles, a research team collaborated with stakeholders to develop implementation strategies, identifying low awareness of guidelines among clinicians, communication challenges with patients, and lack of transparency in care plans and diagnostic testing as major barriers to guideline implementation.

MEDICINA-LITHUANIA (2021)

Article Nursing

Staffing Trends in Magnet and Non-Magnet Hospitals After State Legislation

Pamela B. de Cordova et al.

JOURNAL OF NURSING CARE QUALITY (2020)

Article Health Policy & Services

Abnormal Vital Sign Recognition and Provider Notification in the Pediatric Emergency Department

Katie Valentino et al.

JOURNAL OF PEDIATRIC HEALTH CARE (2020)

Review Multidisciplinary Sciences

Emergency department crowding: A systematic review of causes, consequences and solutions

Claire Morley et al.

PLOS ONE (2018)

Article Health Care Sciences & Services

Defining barriers and enablers for clinical pathway implementation in complex clinical settings

Mona Jabbour et al.

IMPLEMENTATION SCIENCE (2018)

Article Medicine, General & Internal

Standards for Reporting Implementation Studies (StaRI) Statement

Hilary Pinnock et al.

BMJ-BRITISH MEDICAL JOURNAL (2017)

Article Medicine, General & Internal

Standards for Reporting Implementation Studies (StaRI) Statement

Hilary Pinnock et al.

BMJ-BRITISH MEDICAL JOURNAL (2017)

Letter Emergency Medicine

The impact of an electronic best practice advisory on brain CT ordering in an academic ED

Donald Szlosek et al.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2017)

Article Nursing

Ratios and nurse staffing: The vexed case of emergency departments

Sarah Wise et al.

AUSTRALASIAN EMERGENCY NURSING JOURNAL (2015)

Article Emergency Medicine

Geriatric Emergency Department Guidelines

ANNALS OF EMERGENCY MEDICINE (2014)

Review Public, Environmental & Occupational Health

Bridging Research and Practice Models for Dissemination and Implementation Research

Rachel G. Tabak et al.

AMERICAN JOURNAL OF PREVENTIVE MEDICINE (2012)

Article Emergency Medicine

Emergency Department Crowding, Part 1-Concept, Causes, and Moral Consequences

John C. Moskop et al.

ANNALS OF EMERGENCY MEDICINE (2009)