ABSTRACT

Hospital emergency departments (EDs) lack the tools and processes required to facilitate consistent screening and intervention in cases of elder abuse and neglect. To address this need, the National Collaboratory to Address Elder Mistreatment has developed a clinical care model that ED’s can implement to improve screening, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. To gauge ED readiness to change and facilitate adoption of the care model, we developed an organizational assessment tool, the Elder Mistreatment Emergency Department Assessment Profile (EM-EDAP). Development included a phased approach in which we reviewed evidence on best practice; consulted with multidisciplinary experts; and sought input from ED staff. Based on this formative research, we developed a tool that can be used to guide EDs in focusing on practice improvements for addressing elder mistreatment that are most responsive to local needs and opportunities.

摘要

医院急诊科 (ED) 缺乏促进对虐待和忽视老人案件进行一致筛查和干预所需的工具和流程。为满足这一需求，解决虐待老人问题国家合作实验室开发了一种临床护理模型，急诊部可以实施该模型，以改善筛查、转诊以及与面临虐待风险的老年人的协调护理和支持服务的联系。为了衡量 ED 是否准备好改变并促进护理模式的采用，我们开发了一个组织评估工具，即虐待老人急诊科评估概况 (EM-EDAP)。发展包括分阶段的方法，我们审查了最佳实践的证据；咨询多学科专家；并征求 ED 工作人员的意见。基于这项形成性研究，