SAEM Geriatric Task Force members are listed in Appendix A.
Quality Indicators for Geriatric Emergency Care
Article first published online: 30 MAR 2009
© 2009 by the Society for Academic Emergency Medicine
Academic Emergency Medicine
Volume 16, Issue 5, pages 441–449, May 2009
How to Cite
Terrell, K. M., Hustey, F. M., Hwang, U., Gerson, L. W., Wenger, N. S., Miller, D. K. and on behalf of the Society for Academic Emergency Medicine (SAEM) Geriatric Task Force (2009), Quality Indicators for Geriatric Emergency Care. Academic Emergency Medicine, 16: 441–449. doi: 10.1111/j.1553-2712.2009.00382.x
This project was funded by an award from the American Geriatrics Society (AGS) as part of the Geriatrics for Specialists Initiative, which is supported by the John A. Hartford Foundation. Drs. Terrell, Hustey, and Hwang are supported by Dennis W. Jahnigen Career Development Awards, which are funded by the AGS, the John A. Hartford Foundation, and Atlantic Philanthropies.
This SAEM Geriatric Task Force Report was approved by the SAEM Board of Directors in September 2008.
A related commentary appears on page 436.
- Issue published online: 27 APR 2009
- Article first published online: 30 MAR 2009
- Received September 3, 2008; revisions received November 10 and November 25, 2008; accepted November 26, 2008.
- emergency medical services;
- emergency service;
- health services for the aged;
- quality indicators;
- health care;
- quality of health care
Objectives: Emergency departments (EDs), similar to other health care environments, are concerned with improving the quality of patient care. Older patients comprise a large, growing, and particularly vulnerable subset of ED users. The project objective was to develop ED-specific quality indicators for older patients to help practitioners identify quality gaps and focus quality improvement efforts.
Methods: The Society for Academic Emergency Medicine (SAEM) Geriatric Task Force, including members representing the American College of Emergency Physicians (ACEP), selected three conditions where there are quality gaps in the care of older patients: cognitive assessment, pain management, and transitional care in both directions between nursing homes and EDs. For each condition, a content expert created potential quality indicators based on a systematic review of the literature, supplemented with expert opinion when necessary. The original candidate quality indicators were modified in response to evaluation by four groups: the Task Force, the SAEM Geriatric Interest Group, and audiences at the 2007 SAEM Annual Meeting and the 2008 American Geriatrics Society Annual Meeting.
Results: The authors offer 6 quality indicators for cognitive assessment, 6 for pain management, and 11 for transitions between nursing homes and EDs.
Conclusions: These quality indicators will help researchers and clinicians target quality improvement efforts. The next steps will be to test the feasibility of capturing the quality indicators in existing medical records and to measure the extent to which each quality indicator is successfully met in current emergency practice.