Quality indicators in the care of older persons in the emergency department: a systematic review of the literature

Burkett, Ellen, Martin-Khan, Melinda G. and Gray, Leonard C. (2017) Quality indicators in the care of older persons in the emergency department: a systematic review of the literature. Australasian Journal on Ageing, 36 4: 286-298. doi:10.1111/ajag.12451

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Author Burkett, Ellen
Martin-Khan, Melinda G.
Gray, Leonard C.
Title Quality indicators in the care of older persons in the emergency department: a systematic review of the literature
Journal name Australasian Journal on Ageing   Check publisher's open access policy
ISSN 1741-6612
1440-6381
Publication date 2017-07-31
Year available 2017
Sub-type Article (original research)
DOI 10.1111/ajag.12451
Open Access Status File (Author Post-print)
Volume 36
Issue 4
Start page 286
End page 298
Total pages 13
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 2905 Community and Home Care
2717 Geriatrics and Gerontology
Abstract ObjectiveA systematic review of the literature was undertaken to assess the methodological quality of existing quality indicators (QIs) for the emergency department (ED) care of older persons.
Formatted abstract
Objective

A systematic review of the literature was undertaken to assess the methodological quality of existing quality indicators (QIs) for the emergency department (ED) care of older persons.

Methods

MEDLINE, CINAHL, EMBASE and grey literature were searched. Articles were included if they addressed ED care of persons aged ≥65 years and defined a QI amenable to influence by ED providers. The methodological quality of QIs was assessed using relevant items from the Appraisal of Indicators through Research and Evaluation and the QUALIFY tools.

Results

Sixty-one articles were included in the review, with identification of 50 QIs meeting predefined inclusion criteria. Thirty-six of fifty ED QIs for older persons were process indicators. The appraisal instruments’ total ratings ranged from 39 to 67%, with only 18 QIs scoring 50% or more for all five domains.

Conclusion

There is a need for a balanced, methodologically robust set of QIs for care of older persons in the ED.
Keyword Emergency medical services
Geriatrics
Healthcare
Quality indicators
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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