Quality Indicators for a geriatric emergency care (GeriQ-ED) – an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department
Quality Indicators for a geriatric emergency care (GeriQ-ED) – an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department
Introduction
In emergency care, geriatric requirements and risks are often not taken sufficiently into account. In addition, there are neither evidence-based recommendations nor scientifically developed quality indicators (QI) for geriatric emergency care in German emergency departments. As part of the GeriQ-ED© research project, quality indicators for geriatric emergency medicine in Germany have been developed using the QUALIFY-instruments.
Methods
Using a triangulation methodology, a) clinical experience-based quality aspects were identified and verified, b) research-based quality statements were formulated and assessed for relevance, and c) preliminary quality indicators were operationalized and evaluated in order to recommend a feasible set of final quality indicators.
Results
Initially, 41 quality statements were identified and assessed as relevant. Sixty-seven QI (33 process, 29 structure and 5 outcome indicators) were extrapolated and operationalised. In order to facilitate implementation into daily practice, the following five quality statements were defined as the GeriQ-ED© TOP 5: screening for delirium, taking a full medications history including an assessment of the indications, education of geriatric knowledge and skills to emergency staff, screening for patients with geriatric needs, and identification of patients with risk of falls/ recurrent falls.
Discussion
QIs are regarded as gold standard to measure, benchmark and improve emergency care. GeriQ-ED© QI focused on clinical experience- and research-based recommendations and describe for the first time a standard for geriatric emergency care in Germany. GeriQ-ED© TOP 5 should be implemented as a minimum standard in geriatric emergency care.
1-10
Schuster, Susanne
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Singler, Katrin
08e0b9b1-0830-4c2f-b6fb-f801f5c1f13a
Lim, Stephen
dd2bfbd7-7f74-4365-b77e-9989f6408ddc
Machner, Mareen
2cdbe05d-2972-4a77-bf8c-1f6b95d8af0e
Dobler, Klaus
f54f1583-6638-43a6-ad73-9b18ad6b4e34
Dormann, Harald
ae567bcb-9499-4f74-af0e-f44d11bac6f7
16 July 2020
Schuster, Susanne
f4d43326-26af-4c2f-99e4-96ab676fbf7f
Singler, Katrin
08e0b9b1-0830-4c2f-b6fb-f801f5c1f13a
Lim, Stephen
dd2bfbd7-7f74-4365-b77e-9989f6408ddc
Machner, Mareen
2cdbe05d-2972-4a77-bf8c-1f6b95d8af0e
Dobler, Klaus
f54f1583-6638-43a6-ad73-9b18ad6b4e34
Dormann, Harald
ae567bcb-9499-4f74-af0e-f44d11bac6f7
Schuster, Susanne, Singler, Katrin, Lim, Stephen, Machner, Mareen, Dobler, Klaus and Dormann, Harald
(2020)
Quality Indicators for a geriatric emergency care (GeriQ-ED) – an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department.
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 28 (1), , [68].
(doi:10.1186/s13049-020-00756-3).
Abstract
Introduction
In emergency care, geriatric requirements and risks are often not taken sufficiently into account. In addition, there are neither evidence-based recommendations nor scientifically developed quality indicators (QI) for geriatric emergency care in German emergency departments. As part of the GeriQ-ED© research project, quality indicators for geriatric emergency medicine in Germany have been developed using the QUALIFY-instruments.
Methods
Using a triangulation methodology, a) clinical experience-based quality aspects were identified and verified, b) research-based quality statements were formulated and assessed for relevance, and c) preliminary quality indicators were operationalized and evaluated in order to recommend a feasible set of final quality indicators.
Results
Initially, 41 quality statements were identified and assessed as relevant. Sixty-seven QI (33 process, 29 structure and 5 outcome indicators) were extrapolated and operationalised. In order to facilitate implementation into daily practice, the following five quality statements were defined as the GeriQ-ED© TOP 5: screening for delirium, taking a full medications history including an assessment of the indications, education of geriatric knowledge and skills to emergency staff, screening for patients with geriatric needs, and identification of patients with risk of falls/ recurrent falls.
Discussion
QIs are regarded as gold standard to measure, benchmark and improve emergency care. GeriQ-ED© QI focused on clinical experience- and research-based recommendations and describe for the first time a standard for geriatric emergency care in Germany. GeriQ-ED© TOP 5 should be implemented as a minimum standard in geriatric emergency care.
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s13049-020-00756-3
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More information
Accepted/In Press date: 22 June 2020
e-pub ahead of print date: 16 July 2020
Published date: 16 July 2020
Additional Information:
Publisher Copyright:
© research project, quality indicators for geriatric emergency medicine in Germany have been developed using the QUALIFY-instruments. Methods: Using a triangulation methodology, a) clinical experience-based quality aspects were identified and verified, b) research-based quality statements were formulated and assessed for relevance, and c) preliminary quality indicators were operationalized and evaluated in order to recommend a feasible set of final quality indicators. Results: Initially, 41 quality statements were identified and assessed as relevant. Sixty-seven QI (33 process, 29 structure and 5 outcome indicators) were extrapolated and operationalised. In order to facilitate implementation into daily practice, the following five quality statements were defined as the GeriQ-ED
Identifiers
Local EPrints ID: 442228
URI: http://eprints.soton.ac.uk/id/eprint/442228
ISSN: 1757-7241
PURE UUID: 572487b5-4945-47d5-bac1-004d6490b330
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Date deposited: 09 Jul 2020 16:31
Last modified: 17 Mar 2024 05:43
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Contributors
Author:
Susanne Schuster
Author:
Katrin Singler
Author:
Mareen Machner
Author:
Klaus Dobler
Author:
Harald Dormann
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