Building the Geriatric Emergency care Applied Research (GEAR) network

项目摘要： 需要建立老年急救护理的研究基础设施，以开发和测试老年急救护理的最佳实践。 艾德设置，解决老年患者的医疗，健康和心理社会需求。尽管进化 跨学科的老年急诊科（GED）指南和快速增长和传播的自我- 尽管GED被宣布为GED，但有有限的证据表明，更好的老年急诊护理包括什么，甚至 关于这种护理可能对患者结果的影响，人们知之甚少。因此，必须 推动跨学科老年急救医学研究。该提案将利用初步工作 来自9家医院和卫生系统实施老年急诊的早期学习合作， 医学倡议和早期平台临床数据登记，以创建跨学科研究 基础设施演进 这项建议的目标是启动老年急救应用研究（GEAR） 网络和促进框架和支持跨学科的研究基础设施的建设 老龄化研究集中在老年急救医学上。具体而言，该网络将：1。建立 研究重点和标准化数据的方法和措施，为共同的老年人紧急护理 综合征，2.建立一个经过验证的数据库，以支持开展老年急诊护理的机会 研究，3。促进未来多中心的建议和应用，以进行实用的试验、传播和 实施研究和其他跨学科项目，将进一步推动最佳做法 老年急救护理。 在第一个框架阶段（2年R21），将召集一个跨学科研究工作队， 老年病医生、急诊医生、护士、社会工作者、9家医院协作组织的代表， 数据信息学专家、方法学家、实用的临床试验专家，以及传播和 执行科学家。按照结构化的研究实践共识建设格式，这项任务 警队会就常见的老人病综合症及病症提出优先次序及标准化措施 四个核心将组织在研究，测量，数据和信息学， 传播和实施，以支持3年R33阶段。在第二个构建阶段， 该银行将根据工作队提出的措施建立。多中心评价将标准化， 验证和测试这些措施的可行性。在R33的后期阶段，将有 公开征集为期一年的试点提案。试点资金将优先支持老年医学领域的新生研究者 急诊医学，提出跨学科合作，并使用数据驱动的方法，从 GEAR基础设施。从这些研究中产生的初步数据将进一步发展和建立 未来的机会，多中心，跨学科的老龄化研究赠款提案。

PROJECT ABSTRACT: A research infrastructure in geriatric emergency care is needed to develop and test best practices in the ED setting that address the medical, health, and psychosocial needs of older patients. Despite evolution of interdisciplinary geriatric emergency department (GED) guidelines and the rapid growth and spread of self- declared GEDs, there is limited evidence of what better quality geriatric emergency care consists of and even less is known about the impact such care may have on patient outcomes. Thus, there is an imperative to advance interdisciplinary geriatric emergency medicine research. This proposal will leverage preliminary work from an early learning collaborative of 9 hospitals and health systems implementing geriatric emergency medicine initiatives and an early platform clinical data registry to create an interdisciplinary research infrastructure. The goal of this proposal is to launch the Geriatric Emergency care Applied Research (GEAR) Network and facilitate the framing and building of a research infrastructure supporting interdisciplinary aging studies focused on geriatric emergency medicine. Specifically, this network will: 1. establish research priorities and standardized data approaches and measures for common geriatric emergency care syndromes, 2. build a validated data bank to support opportunities to conduct geriatric emergency care research, and 3. facilitate future multicenter proposals and applications for pragmatic trials, dissemination and implementation studies, and other interdisciplinary projects that will further the advancement of best practices in geriatric emergency care. During the first framing phase (2-year R21) an interdisciplinary research task force will be convened of geriatricians, emergency physicians, nurses, social workers, representatives of the 9 hospital collaborative, data informatics experts, methodologists, pragmatic clinical trials experts, and dissemination and implementation scientists. Following a structured research-to-practice consensus building format, this task force will propose priorities and standardized measures for common geriatric syndromes and conditions encountered in the ED. Four cores will be organized in research, measurement, data and informatics and dissemination and implementation to support the 3-year R33 phase. During the second building phase, a data bank will be created from measures proposed by the task force. A multicenter evaluation will standardize, validate and test these measures for feasibility of implementation. In the latter phase of the R33, there will be an open call for 1-year pilot proposals. Pilot funding will preferentially support nascent investigators in geriatric emergency medicine that propose interdisciplinary collaborations and use data driven approaches from the GEAR infrastructure. The generation of preliminary data from these studies will further develop and build future opportunities for multicenter, interdisciplinary aging study grant proposals.