Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments.
Acad Emerg Med
; 22(3): 273-84, 2015 Mar.
Article
en En
| MEDLINE
| ID: mdl-25754936
ABSTRACT
OBJECTIVES:
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).METHODS:
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.RESULTS:
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 people with cognitive impairment, encompassing the need to include the (family) carer in the ED episode of care; 3) the ED has a policy outlining the assessment and management of behavioral symptoms, with specific reference to older people with cognitive impairment; 4) the ED has a policy outlining delirium prevention strategies, including the assessment of patients' delirium risk factors; and 5) the ED has a policy outlining pain assessment and management for older people with cognitive impairment.CONCLUSIONS:
This article presents a set of SQIs for the evaluation of performance in caring for older people with cognitive impairment in EDs.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trastornos del Conocimiento
/
Indicadores de Calidad de la Atención de Salud
/
Delirio
/
Servicio de Urgencia en Hospital
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Humans
Idioma:
En
Revista:
Acad Emerg Med
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Australia