ArticleJAMIA open2023
Use of the electronic medical record to screen for high-risk geriatric patients in the emergency department.
Article in JAMIA open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Targeted Delirium Screening in At-risk Older Adults in the Emergency Department Improves Screening Rates.Journal of the American College of Emergency Physicians open · 2026Article
- Development of a Predictive Model for Identifying High-Risk Older Adults for Geriatric Emergency Department Screening.Journal of the American College of Emergency Physicians open · 2026Article
- Implementation of a best practice advisory alert for inpatient frailty screening and intervention: A pilot quality improvement program.The Journal of frailty & aging · 2026Article
- Rapid clinical identification of vulnerable older adults in acute and emergency care: narrative review of short geriatric screening tools.Frontiers in medicine · 2026Review
- Outcome centred process mapping in healthcare using random forest and process mining.Scientific reports · 2025Article
- Emergency Nurses' Perspectives on Adopting Geriatric Screenings for Cognitive Impairment: A Qualitative Study.Journal of emergency nursing · 2025Article
- Novel algorithms & blood-based biomarkers: Dementia detection and care transitions for persons living with dementia in the emergency department.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- Pragmatism and feasibility: A qualitative study of experiences implementing and upgrading care in geriatric emergency departments.Journal of the American College of Emergency Physicians open · 2024Article
- Impact of Geriatric Consult Evaluations on Hospital Admission Rates for Older Adults.The western journal of emergency medicine · 2024Article
- Prioritizing Care of Older Adults in Times of Emergency Department Overcrowding.Journal of geriatric emergency medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Older adults with multimorbidities have the highest rate of emergency department (ED) usage. These patients are typically on numerous medications, may have underlying dementia, and often present with falls and delirium. Identifying these high-risk older adults for possible intervention is challenging in the ED setting since available screening methods are manual and resource-intensive. The objective is to study the electronic medical record (EMR) use for identifying high-risk older adults in ED. This feasibility study is conducted in an academic ED with 67 000 total and 24% geriatric (age ≥ 65 years) annual visits, American College of Emergency Physician (ACEP) accredited Level 1 Geriatric Emergency Department with an ED-based geriatric consultation program by incorporating criteria from existing manual geriatric screening instruments and the 4M framework into an automated EMR screen to identify high-risk geriatric patients. ED providers are then alerted by an EMR Best Practice Alert (BPA) if high-risk status is identified. Initial development and impact on geriatric ED consults are reported. During the study period, 7450 patient encounters occurred; 1836 (24.6%) encounters involved patients who were 65 years or older. A total of 1398 (76.1%) high-risk ED encounters resulted in BPA alerts using the EMR automated screen. BPA alerts resulted in 82 (5.9%) geriatric evaluations. We conclude that using the EMR to automate screening for older adults for high-risk geriatric conditions in the ED is feasible. An automated EMR screen with a BPA to ED providers identified a well-defined cohort of older patients appropriate for further ED geriatric evaluation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.