Building the Geriatric Emergency care Applied Research (GEAR) network

项目摘要： 需要在老年急救方面建立一个研究基础设施，以开发和测试 ED设置，满足老年患者的医疗、健康和心理社会需求。尽管进化了 跨学科老年急诊科(GED)指南与自身的快速增长和传播 被宣布为GED的，关于更高质量的老年急救包括什么，甚至是 关于这种护理可能对患者结局产生的影响，人们知之甚少。因此，当务之急是 推进跨学科老年急诊医学研究。这项提案将利用前期工作 来自9家医院和卫生系统实施老年急救的早期学习协作 医学倡议和早期平台临床数据注册，以创建跨学科研究 基础设施。 这项提案的目标是启动老年急救应用研究(GEAR) 网络，并促进支持跨学科的研究基础设施的制定和建设 老龄化研究的重点是老年急救医学。具体地说，这个网络将：1.建立 常见老年急救的研究重点和标准化数据方法和措施 2.建立一个有效的数据库，以支持开展老年急救护理的机会 研究，以及3.促进未来多中心提案和应用，以进行务实的试验、传播和 执行研究和其他跨学科项目，以促进最佳做法的发展 在老年急救中心。 在第一个框架阶段(2年R21)，将召集一个跨学科研究工作组 老年医生，急诊医生，护士，社会工作者，9家医院的代表协作， 数据信息学专家、方法学家、实用临床试验专家，以及传播和 实施科学家。遵循一种从研究到实践的结构化共识建立形式，这项任务 警队将就常见的老年综合症和病症提出优先次序和标准化措施 在急诊室遇到的。将在研究、测量、数据和信息学方面组织四个核心 传播和实施以支持为期3年的R33阶段。在第二个构建阶段，数据 银行将根据特别工作组提出的措施创建。多中心评估将标准化， 验证和测试这些措施的实施可行性。在R33的后一阶段，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研究员 急诊医学建议跨学科协作并使用数据驱动的方法 装备基础设施。从这些研究中产生初步数据将进一步发展和建立 未来机会的多中心，跨学科的老龄化研究拨款建议。

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.