To read the full version of this content please select one of the options below:

Identification of seniors at risk: process evaluation of a screening and referral program for patients aged ≥75 in a community hospital emergency department

Rebecca N. Warburton (Assistant Professor, School of Public Administration, University of Victoria, Victoria, Canada)
Belinda Parke (Clinical Nurse Specialist: Older Adult Health, Research and Clinical Development, Fraser Health Authority, Chilliwack, Canada)
Wynona Church (Master of Public Administration Graduate, University of Victoria, Victoria, Canada)
Jane McCusker (Professor, Department of Epidemiology and Biostatistics, Faculty of Medicine, McGill University, Montreal, Canada)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 1 October 2004

Abstract

Reports on the authors' experience with a patient safety quality improvement program, intended to reduce the incidence and severity of adverse outcomes for emergency department (ED) patients aged ≥75. The Identification of Seniors at Risk scale was used for screening, and those at high risk were referred for appropriate intervention. The plan‐do‐study‐act improvement cycle was followed, conducting process evaluation to diagnose and correct implementation difficulties. Reports that: implementing an ED screening and referral program is deceptively difficult; process evaluation multidisciplinary working group meetings are an essential improvement tool; screening inclusion criteria had to be adapted to the subject population in order to make efficient use of staff time; the screening questions and process required ongoing assessment, revision, and local adaptation in order to be useful; and high‐risk screening in the ED is critical to a hospital system's ability to anticipate clinical problems; the plan‐do‐study‐act improvement cycle is a practical and useful tool for improving quality and systems in a real care setting.

Keywords

Citation

Warburton, R.N., Parke, B., Church, W. and McCusker, J. (2004), "Identification of seniors at risk: process evaluation of a screening and referral program for patients aged ≥75 in a community hospital emergency department", International Journal of Health Care Quality Assurance, Vol. 17 No. 6, pp. 339-348. https://doi.org/10.1108/09526860410557598

Publisher

:

Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited