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Journal of gerontological nursing. 2013 Mar;39(3):34-40. doi: 10.3928/00989134-20130131-03 Q41.12024

Appraisal of the quality of care of older adults with cognitive impairment in the emergency department

急诊科认知障碍老年人护理质量评价 翻译改进

Linda M Schnitker  1, Melinda Martin-Khan, Ellen Burkett, Elizabeth R A Beattie, Leonard C Gray

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  • 1 University of Queenland, The Centre for Research in Geriatric Medicine, Brisbane, Australia. l.schnitker@uq.edu.au
  • DOI: 10.3928/00989134-20130131-03 PMID: 23394489

    摘要 Ai翻译

    The medical records of 273 patients 75 years and older were reviewed to evaluate quality of emergency department (ED) care through the use of quality indicators. One hundred fifty records contained evidence of an attempt to carry out a cognitive assessment. Documented evidence of cognitive impairment (CI) was reported in 54 cases. Of these patients, 30 had no documented evidence of an acute change in cognitive function from baseline; of 26 patients discharged home with preexisting CI (i.e., no acute change from baseline), 15 had no documented evidence of previous consideration of this issue by a health care provider; and 12 of 21 discharged patients who screened positive for cognitive issues for the first time were not referred for outpatient evaluation. These findings suggest that the majority of older adults in the ED are not receiving a formal cognitive assessment, and more than half with CI do not receive quality of care according to the quality indicators for geriatric emergency care. Recommendations for improvement are discussed.

    Keywords:quality of care

    Copyright © Journal of gerontological nursing. 中文内容为AI机器翻译,仅供参考!

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    期刊名:Journal of gerontological nursing

    缩写:J GERONTOL NURS

    ISSN:0098-9134

    e-ISSN:1938-243X

    IF/分区:1.1/Q4

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