Methodology for developing quality indicators for the care of older people in the Emergency Department

Martin-Khan, Melinda, Burkett, Ellen, Schnitker, Linda, Jones, Richard N and Gray, Leonard C (2013) Methodology for developing quality indicators for the care of older people in the Emergency Department. BMC Emergency Medicine, 13 1: 23.1-23.11. doi:10.1186/1471-227X-13-23

Author Martin-Khan, Melinda
Burkett, Ellen
Schnitker, Linda
Jones, Richard N
Gray, Leonard C
Title Methodology for developing quality indicators for the care of older people in the Emergency Department
Journal name BMC Emergency Medicine   Check publisher's open access policy
ISSN 1471-227X
Publication date 2013-12
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-227X-13-23
Open Access Status DOI
Volume 13
Issue 1
Start page 23.1
End page 23.11
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2014
Formatted abstract
Background: Compared with younger people, older people have a higher risk of adverse health outcomes when presenting to emergency departments. As the population ages, older people will make up an increasing proportion of the emergency department population. Therefore it is timely that consideration be given to the quality of care received by older persons in emergency departments, and to consideration of those older people with special needs. Particular attention will be focused on important groups of older people, such as patients with cognitive impairment, residents of long term care and patients with palliative care needs. This project will develop a suite of quality indicators focused on the care of older persons in the emergency department.

Methods/design: Following input from an expert panel, an initial set of structural, process, and outcome indicators will be developed based on thorough systematic search in the scientific literature. All initial indicators will be tested in eight emergency departments for their validity and feasibility. Results of the data from the field studies will be presented to the expert panel at a second meeting. A suite of Quality Indicators for the older emergency department population will be finalised following a formal voting process.

Discussion: The predicted burgeoning in the number of older persons presenting to emergency departments combined with the recognised quality deficiencies in emergency department care delivery to this population, highlight the need for a quality framework for the care of older persons in emergency departments. Additionally, high quality of care is associated with improved survival & health outcomes of elderly patients. The development of well-selected, validated and economical quality indicators will allow appropriate targeting of resources (financial, education or quality management) to improve quality in areas with maximum potential for improvement.
Keyword Cognitive impairment
Emergency service
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
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Created: Tue, 31 Dec 2013, 00:42:51 EST by System User on behalf of School of Medicine