Appraisal of the quality of care of older people with cognitive impairment presenting to emergency departments
Schnitker, Linda, Martin-Khan, Melinda, Burkett, Ellen, Beattie, Elizabeth, & Gray, Len (2013) Appraisal of the quality of care of older people with cognitive impairment presenting to emergency departments. Journal of Gerontological Nursing, 39(3), pp. 34-40.
The medical records of 273 patients 75 years and older were reviewed to evaluate quality of emergency department (ED) care through the use of quality indicators. One hundred fifty records contained evidence of an attempt to carry out a cognitive assessment. Documented evidence of cognitive impairment (CI) was reported in 54 cases. Of these patients, 30 had no documented evidence of an acute change in cognitive function from baseline; of 26 patients discharged home with preexisting CI (i.e., no acute change from baseline), 15 had no documented evidence of previous consideration of this issue by a health care provider; and 12 of 21 discharged patients who screened positive for cognitive issues for the first time were not referred for outpatient evaluation. These findings suggest that the majority of older adults in the ED are not receiving a formal cognitive assessment, and more than half with CI do not receive quality of care according to the quality indicators for geriatric emergency care. Recommendations for improvement are discussed.
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|Item Type:||Journal Article|
|ISSN:||1938-243X (online) 0098-9134 (print)|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Emergency Medicine (110305)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
|Deposited On:||11 Feb 2013 00:48|
|Last Modified:||07 Jan 2014 21:14|
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