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

Autor: Burkett E; Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia.; School of Medicine, University of Queensland, Brisbane, Queensland, Australia., Martin-Khan MG; Centre for Research in Geriatric Medicine, University of Queensland, Brisbane, Queensland, Australia.; Centre for Online Health, School of Medicine, University of Queensland, Brisbane, Queensland, Australia., Gray LC; Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia.; Centre for Research in Geriatric Medicine, University of Queensland, Brisbane, Queensland, Australia.; Centre for Online Health, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Jazyk: angličtina
Zdroj: Australasian journal on ageing [Australas J Ageing] 2017 Dec; Vol. 36 (4), pp. 286-298. Date of Electronic Publication: 2017 Jul 31.
DOI: 10.1111/ajag.12451
Abstrakt: 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.
(© 2017 AJA Inc.)
Databáze: MEDLINE
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