Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool.
Elder abuse (EA) is common and has devastating health impacts, yet most cases go undetected limiting opportunities to intervene. Older Veterans receiving care in the Veterans Health Administration (VHA) represent a high‐risk population for EA. VHA emergency department (ED) visits provide a unique op...
| Publicado en: | Academic Emergency Medicine Vol. 30; no. 4; pp. 428 - 437 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163337899&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163337899 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10696563 Z27 jtl: Academic Emergency Medicine issn: 10696563 maglogo: Y pubinfo: dt: Apr2023 vid: 30 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 163337899 161378567 163337899 163337899 10.1111/acem.14646 163337899 ppf: 428 ppct: 9 formats: tig: atl: Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool. aug: au: Makaroun, Lena K. Halaszynski, Jaime J. Rosen, Tony Haggerty, Kristin Lees Blatnik, Jennifer K. Froberg, Ruthann Elman, Alyssa Geary, Christine A. Hagy, Dyan M. Rodriguez, Crescencio McQuown, Colleen M. affil: VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh Pennsylvania,, USA sug: subj: Elder Abuse Risk Factors Risk Assessment Multidisciplinary Care Team Quality Improvement Veterans Emergency Service Funding Source Human Male Female Psychological Tests Scales Descriptive Statistics Aged Aged, 80 and Over Pilot Studies Implementation Science Accreditation Gerontologic Care Ohio Aged: 65+ years Aged, 80 & over Male Female ab: Elder abuse (EA) is common and has devastating health impacts, yet most cases go undetected limiting opportunities to intervene. Older Veterans receiving care in the Veterans Health Administration (VHA) represent a high‐risk population for EA. VHA emergency department (ED) visits provide a unique opportunity to identify EA, as assessment for acute injury or illness may be the only time isolated older Veterans leave their home, but most VHA EDs do not have standardized EA assessment protocols. To address this, we assembled an interdisciplinary team of VHA social workers, physicians, nurses, intermediate care technicians (ICTs; former military medics and corpsmen who often conduct screenings in VHA EDs) and both VHA and non‐VHA EA subject matter experts to adapt the Elder Mistreatment Screening and Response Tool (EM‐SART) to pilot in the Louis Stokes Cleveland VA Medical Center geriatric ED (GED) program. The cornerstone of their approach is an interdisciplinary GED consultation led by ICTs and nurses who screen high‐risk older Veterans for geriatric syndromes and unmet needs. The adapted EM‐SART was integrated into the electronic health record and GED workflow in December 2020. By July 2022, a total of 251 Veterans were screened with nine (3.6%) positive on the prescreen and five (2%) positive on the comprehensive screen. Based on the first‐year pilot experience, the interdisciplinary team was expanded and convened regularly to further adapt the EM‐SART for wider use in VHA, including embedding flexibility for both licensed and nonlicensed clinicians to complete the screening tool and tailoring response options to be specific to VHA policy and resources. The national momentum for VHA EDs to improve care for older Veterans and secure GED accreditation offers unique opportunities to embed this evidence‐based approach to EA assessment in the largest integrated health system in the United States. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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