Screening for elder mistreatment in emergency departments: current progress and recommendations for next steps.
Screening for elder mistreatment in emergency departments: current progress and recommendations for next steps.
复制标题
DOI：
10.1080/08946566.2020.1768997
复制
发表时间：
2020-06
影响因子：
1.9
通讯作者：
Fulmer T
中科院分区：
文献类型：
--
作者：
Rosen T;Platts-Mills TF;Fulmer T
急诊科 (ED) 就诊提供了一个重要但很少意识到的机会来识别老年人虐待行为。存在许多筛查工具，包括一些简短且可能有效的工具，但很少有专门为急诊室设计或在急诊室中进行测试的。除了缺乏经过验证的工具之外，实施急诊室老年人虐待筛查的其他挑战还包括难以将超过几个问题的问题整合到繁忙的临床中，以及对阳性筛查做出反应所需的资源。电子健康记录 (EHR) 提供了一个重要工具，可通过所需的数据输入以及对合规性和结果的实时监控来促进老年人虐待筛查。我们描述了该领域当前的工作并建议后续步骤，包括：设计和测试两步筛查流程、加速采用的实施研究、针对阳性病例制定基于急诊室的干预措施和转诊方案，以及考虑院前提供者在病例识别中的重要作用。
Emergency Department (ED) visits provide an important but seldom realized opportunity to identify elder mistreatment. Many screening tools exist, including several that are brief and may be effective, but few have been specifically designed for or tested in EDs. In addition to the absence of validated tools, other challenges with implementing ED elder mistreatment screening include difficulty integrating anything longer than a few questions into a busy clinical encounter and resources required to respond to positive screens. The Electronic Health Record (EHR) offers a critical tool to facilitate elder mistreatment screening through required data entry and real-time monitoring of compliance and results. We describe current work in the field and recommend next steps including: design and testing of a two-step screening process, implementation research to accelerate adoption, development of ED-based interventions and referral protocols for positive cases, and consideration of the important role of pre-hospital providers in case identification.
登录
查看更多内容
影响因子：
5.7
作者：
Conrad, Kendon J.;Iris, Madelyn;Wilber, Kathleen H.
通讯作者：
Wilber, Kathleen H.
影响因子：
6.3
作者：
Evans, Christopher S.;Hunold, Katherine M.;Platts-Mills, Timothy F.
通讯作者：
Platts-Mills, Timothy F.
影响因子：
2.2
作者：
Auerbach, Charles;Mason, Susan E.
通讯作者：
Mason, Susan E.
影响因子：
12.7
作者：
Acierno, Ron;Hernandez, Melba A.;Kilpatrick, Dean G.
通讯作者：
Kilpatrick, Dean G.
影响因子：
4.4
作者：
Carpenter, Christopher R.;Bromley, Marilyn;Wilber, Scott
通讯作者：
Wilber, Scott