Journal of the American Geriatrics Society. 2025 Jun 14. doi: 10.1111/jgs.19578 Q14.52025

NOTICE-ED: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department

通知-ED：急诊科护士或技术人员的认知评估见解翻译改进

Sarah J Nessen¹, Anita N Chary^{2 3 4}, Annika R Bhananker⁴, K Jane Muir^{5 6 7}, Lauren T Southerland⁸, Kyra O'Brien⁹, Ari B Friedman^{6 7}

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¹ Perelman School of Medicine, Penn Center for Emergency Care and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

² Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA.

³ Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

⁴ Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.

⁵ Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.

⁶ Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania, USA.

⁷ Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

⁸ Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

⁹ Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

DOI: 10.1111/jgs.19578 PMID: 40515731

摘要中英对照阅读

Background: Several strategies have been proposed to increase chronic cognitive impairment (CI) screening in the emergency department (ED). Our goal was to assess the feasibility and acceptability of implementing specific CI screening tools and strategies in the ED from an ED registered nurse and technician perspective. Methods: We performed... ...点击完成人机验证后继续浏览

背景：为了增加急诊科（ED）中慢性认知障碍（CI）筛查的实施，已经提出了几种策略。我们的目标是从急诊注册护士和技师的角度评估在急诊科实施特定CI筛查工具和策略的可行性和可接受性。

方法：我们进行了一项定性研究，使用半结构化访谈的方式与急诊科护士和技术员（EDT）中的目的样本进行了交流。参与者在一个城市教学医院工作，并于2023年11月至2024年3月期间接受了采访。访谈评估了受访者对CI筛查的可行性和可接受性的看法，以及使用机器学习（ML）工具识别高风险患者进行针对性CI筛查、平板电脑上的筛选和两项经过验证的CI筛查方法——渥太华三年记忆测试(O3DY)和简短的贝利斯测试(SBT)的看法。我们根据实施研究综合框架(CFIR)制定了访谈指南，并进行了基于CFIR结构概念的快速分析，包括演绎法和归纳法编码。

结果：与CI筛查工具相关的四个主要主题浮现出来：（1）CI筛查的好处；（2）将筛查工具整合到现有工作流程中的可行性；（3）专业角色限制；以及（4）实施要求。参与者认为，进行CI筛查对于分配有限的急诊科资源很重要。较短、更不具体的测试，如O3DY，在分诊过程中被认为是可行的，而较长且更具针对性的测试，如SBT，则被认为在有床位的护理区更加可行。无论是ED护士还是EDT都指出了需要电子健康记录工具和专门筛查团队来促进实施。

结论：如果可以优化筛查技术和临床团队以使工作流程变得可行的话，急诊科护士和技术员支持进行慢性CI筛查。

关键词：认知障碍；急诊医学；机器学习；定性研究；筛查。

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期刊名：Journal of the american geriatrics society

缩写：J AM GERIATR SOC

ISSN：0002-8614

e-ISSN：1532-5415

IF/分区：4.5/Q1

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NOTICE-ED: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department

通知-ED：急诊科护士或技术人员的认知评估见解翻译改进

Designing an intervention to improve cognitive evaluations in primary care

改善初级保健中认知评估的干预措施的设计

Assessment of the pulmonary embolism rule-out criteria rule for evaluation of suspected pulmonary embolism in the emergency department

肺栓塞排除标准用于评估急诊科疑似肺栓塞患者的评价研究

Emergency department presentation following falls: development of a routine falls surveillance system

跌倒后的急诊科就诊：建立常规的跌倒监测系统

Emergency department care: It really is in the name

急诊护理：其名副其实

Development and implementation of autoverification standardization in the adult and pediatric emergency department

成人及儿科急诊科自动核查标准化的制定与实施

[Analysis of 895 consultations for hematuria in the emergency department in an urology unit]

泌尿外科急诊895例血尿分析

Comparison of drug administration logistics between prothrombin complex concentrates and plasma in the emergency department

急救室中凝血酶原复合物浓缩剂与新鲜冰冻血浆给药物流对比研究

[A pacemaker inserted at an emergency department rescued a patient with heart arrest]

[急诊植入起搏器救治了一例心脏骤停患者]

NOTICE-ED: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department

通知-ED：急诊科护士或技术人员的认知评估见解 翻译改进

Designing an intervention to improve cognitive evaluations in primary care

改善初级保健中认知评估的干预措施的设计

Assessment of the pulmonary embolism rule-out criteria rule for evaluation of suspected pulmonary embolism in the emergency department

肺栓塞排除标准用于评估急诊科疑似肺栓塞患者的评价研究

Emergency department presentation following falls: development of a routine falls surveillance system

跌倒后的急诊科就诊：建立常规的跌倒监测系统

Emergency department care: It really is in the name

急诊护理：其名副其实

Development and implementation of autoverification standardization in the adult and pediatric emergency department

成人及儿科急诊科自动核查标准化的制定与实施

[Analysis of 895 consultations for hematuria in the emergency department in an urology unit]

泌尿外科急诊895例血尿分析

Comparison of drug administration logistics between prothrombin complex concentrates and plasma in the emergency department

急救室中凝血酶原复合物浓缩剂与新鲜冰冻血浆给药物流对比研究

[A pacemaker inserted at an emergency department rescued a patient with heart arrest]

[急诊植入起搏器救治了一例心脏骤停患者]

通知-ED：急诊科护士或技术人员的认知评估见解翻译改进