• 1
    Kizer KW. The emerging imperative for health care quality improvement. Acad Emerg Med. 2002; 9:107884.
  • 2
    Kohn KT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999.
  • 3
    Burstin H. Crossing the quality chasm in emergency medicine. Acad Emerg Med. 2002; 9:10747.
  • 4
    Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press, 2001.
  • 5
    Sanders AB. Quality in emergency medicine: an introduction. Acad Emerg Med. 2002; 9:10646.
  • 6
    Campbell SM, Braspenning J, Hutchinson A, Marshall MN. Research methods used in developing and applying quality indicators in primary care. BMJ. 2003; 326:8169.
  • 7
    Wenger NS, Roth CP, Shekelle P; ACOVE Investigators. Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set. J Am Geriatr Soc. 2007; 55(Suppl 2):S247252.
  • 8
    Brook RH, McGlynn EA, Cleary PD. Quality of health care. Part 2: measuring quality of care. N Engl J Med. 1996; 335:96670.
  • 9
    Zimmerman DR, Karon SL, Arling G, et al. Development and testing of nursing home quality indicators. Health Care Financ Rev. 1995; 16:10727.
  • 10
    Higashi T, Shekelle PG, Adams JL, et al. Quality of care is associated with survival in vulnerable older patients. Ann Intern Med. 2005; 143:27481.
  • 11
    Graff L, Stevens C, Spaite D, Foody J. Measuring and improving quality in emergency medicine. Acad Emerg Med. 2002; 9:1091107.
  • 12
    Shekelle PG, MacLean CH, Morton SC, Wenger NS. Assessing care of vulnerable elders: methods for developing quality indicators. Ann Intern Med. 2001; 135:64752.
  • 13
    Wenger NS, Shekelle PG. Assessing care of vulnerable elders: ACOVE project overview. Ann Intern Med. 2001; 135:6426.
  • 14
    U.S. Institute of Medicine Committee for Evaluating Medical Technologies in Clinical Use. Assessing Medical Technologies. Washington, DC: National Academy Press, 1985.
  • 15
    Wenger NS, Solomon DH, Roth CP, et al. The quality of medical care provided to vulnerable community-dwelling older patients. Ann Intern Med. 2003; 139:7407.
  • 16
    Gerson LW, Counsell SR, Fontanarosa PB, Smucker WD. Case finding for cognitive impairment in elderly emergency department patients. Ann Emerg Med. 1994; 23:8137.
  • 17
    Naughton BJ, Moran MB, Kadah H, Heman-Ackah Y, Longano J. Delirium and other cognitive impairment in older adults in an emergency department. Ann Emerg Med. 1995; 25:7515.
  • 18
    Hustey FM, Meldon SW. The prevalence and documentation of impaired mental status in elderly emergency department patients. Ann Emerg Med. 2002; 39:24853.
  • 19
    Hustey FM, Meldon SW, Smith MD, Lex CK. The effect of mental status screening on the care of elderly emergency department patients. Ann Emerg Med. 2003; 41:67884.
  • 20
    Elie M, Rousseau F, Cole M, Primeau F, McCusker J, Bellavance F. Prevalence and detection of delirium in elderly emergency department patients. Can Med Assoc J. 2000; 163:97781.
  • 21
    Lewis LM, Miller DK, Morley JE, Nork MJ, Lasater LC. Unrecognized delirium in ED geriatric patients. Am J Emerg Med. 1995; 13:1425.
  • 22
    Inouye SK. Delirium in older persons. N Engl J Med. 2006; 354:115765.
  • 23
    Kakuma R, Du Fort GG, Arsenault L, et al. Delirium in older emergency department patients discharged home: effect on survival. J Am Geriatr Soc. 2003; 51:44350.
  • 24
    Wilber ST, Lofgren SD, Mager TG, Blanda M, Gerson LW. An evaluation of two screening tools for cognitive impairment in older emergency department patients. Acad Emerg Med. 2005; 12:6126.
  • 25
    Sanders AB. Missed delirium in older emergency department patients: a quality-of-care problem. Ann Emerg Med. 2002; 39:33841.
  • 26
    Miller DK, Lewis LM, Nork MJ, Morley JE. Controlled trial of a geriatric case-finding and liaison service in an emergency department. J Am Geriatr Soc. 1996; 44:51320.
  • 27
    Geldmacher DS, Whitehouse PJ. Evaluation of dementia. N Engl J Med. 1996; 335:3306.
  • 28
    Veterans Health Administration. Pain as the 5th vital sign toolkit. Available at: Accessed Dec 28, 2006.
  • 29
    Lanser P, Gesell S. Pain management: the fifth vital sign. Healthc Benchmarks. 2001; 8:6870.
  • 30
    McCaig LF, Nawar EW. National hospital ambulatory medical care survey: 2004 emergency department summary. Adv Data. 2006; 372:129.
  • 31
    Burt CW, McCaig LF. Trends in hospital emergency department utilization: United States, 1992–99. Vital Health Stat. 2001; 150:134.
  • 32
    Ducharme J, Barber C. A prospective blinded study on emergency pain assessment and therapy. J Emerg Med. 1995; 13:5715.
  • 33
    Guru V, Dubinsky I. The patient vs. caregiver perception of acute pain in the emergency department. J Emerg Med. 2000; 18:712.
  • 34
    Dworkin RH. Which individuals with acute pain are most likely to develop a chronic pain syndrome? Pain Forum. 1997; 6:12736.
  • 35
    Katz J, Jackson M, Kavanagh BP, Sandler AN. Acute pain after thoracic surgery predicts long-term post-thoracotomy pain. Clin J Pain. 1996; 12:505.
  • 36
    Desbiens NA, Mueller-Rizner N, Connors AF Jr, Hamel MB, Wenger NS; Help Investigators. Pain in the oldest-old during hospitalization and up to one year later. J Am Geriatr Soc. 1997; 45:116772.
  • 37
    Morrison RS, Magaziner J, McLaughlin MA, et al. The impact of post-operative pain on outcomes following hip fracture. Pain. 2003; 103:30311.
  • 38
    Morrison RS, Magaziner J, Gilbert M, et al. Relationship between pain and opioid analgesics on the development of delirium following hip fracture. J Gerontol A Biol Sci Med Sci. 2003; 58:7681.
  • 39
    American Pain Society Quality of Care Committee. Quality improvement guidelines for the treatment of acute pain and cancer pain. JAMA. 1995; 274:187480.
  • 40
    AGS Panel on Chronic Pain in Older Persons. The management of chronic pain in older persons. J Am Geriatr Soc. 1998; 46:63551.
  • 41
    Gordon DB, Dahl JL, Miaskowski C, et al. American Pain Society recommendations for improving the quality of acute and cancer pain management. Arch Intern Med. 2005; 165:157480.
  • 42
    Joint Commission. Setting the Standard for Quality in Health Care. Available at: Accessed Jan 11, 2007.
  • 43
    Brownfield E. Pain Management Vol 43. Rockville, MD: Agency for Healthcare Research and Quality, Contract No. 290-97-0013, 2001.
  • 44
    Agency for Health Care Policy and Research. Acute pain management: operative or medical procedures and trauma Part 1. Clin Pharm. 1992; 11:30931.
  • 45
    Agency for Health Care Policy and Research. Acute pain management: operative or medical procedures and trauma, Part 2. Clin Pharm. 1992; 11:391414.
  • 46
    Jaycox AK, Carr DB, Payne R, et al. Management of Cancer Pain. Clinical Practice Guideline No. 9. Rockville, MD: Agency for Health Care Policy and Research, 1994.
  • 47
    Carr DB, Miaskowski C, Dedrick SC, Williams GR. Management of perioperative pain in hospitalized patients: a national survey. J Clin Anesth. 1998; 10:7785.
  • 48
    Gordon DB, Pellino TA, Miaskowski C, et al. A 10-year review of quality improvement monitoring in pain management: recommendations for standardized outcome measures. Pain Manage Nurs. 2002; 3:11630.
  • 49
    Wolfe J, Grier HE, Klar N, et al. Symptoms and suffering at the end of life in children with cancer. N Engl J Med. 2000; 342:32633.
  • 50
    Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004; 43:494503.
  • 51
    Morrison RS, Meier DE, Fischberg D, et al. Improving the management of pain in hospitalized adults. Arch Intern Med. 2006; 166:10339.
  • 52
    Jones JS, Johnson K, McNinch M. Age as a risk factor for inadequate emergency department analgesia. Am J Emerg Med. 1996; 14:15760.
  • 53
    Cleeland CS, Gonin R, Hatfield AK, et al. Pain and its treatment in outpatients with metastatic cancer. N Engl J Med. 1994; 330:5926.
  • 54
    Neighbor ML, Honner S, Kohn MA. Factors affecting emergency department opioid administration to severely injured patients. Acad Emerg Med. 2004; 11:12906.
  • 55
    Ardery G, Herr K, Hannon BJ, Titler MG. Lack of opioid administration in older hip fracture patients. Geriatr Nurs. 2003; 24:35360.
  • 56
    Hwang U, Richardson LD, Sonuyi TO, Morrison RS. The effect of emergency department crowding on the management of pain in older adults with hip fracture. J Am Geriatr Soc. 2006; 54:2705.
  • 57
    Feldt KS, Ryden MB, Miles S. Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture. J Am Geriatr Soc. 1998; 46:107985.
  • 58
    Closs S, Fairtlough HL, Tierney AJ, Currie CT. Pain in elderly orthopaedic patients. J Clin Nurs. 1993; 2:415.
  • 59
    Selbst SM, Clark M. Analgesic use in the emergency department. Ann Emerg Med. 1990; 19:10103.
  • 60
    Dahl JL. Improving the practice of pain management. JAMA. 2000; 284:2785.
  • 61
    Joint Commission. JCAHO Comprehensive Accreditation Manual for Hospitals: The Official Handbook (updated September 2007). Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, 2008.
  • 62
    Adunsky A, Levy R, Heim M, Mizrahi E, Arad M. Meperidine analgesia and delirium in aged hip fracture patients. Arch Gerontol Geriatr. 2002; 35:2539.
  • 63
    Terrell KM, Heard K, Miller DK. Prescribing to older ED patients. Am J Emerg Med. 2006; 24:46878.
  • 64
    Perri M III, Menon AM, Deshpande AD, et al. Adverse outcomes associated with inappropriate drug use in nursing homes. Ann Pharmacother. 2005; 39:40511.
  • 65
    Farrar JT. What is clinically meaningful: outcome measures in pain clinical trials. Clin J Pain. 2000; 16:S10612.
  • 66
    Norton C. Constipation in older patients: effects on quality of life. Br J Nurs. 2006; 15:18892.
  • 67
    Williams R, Bosnic N, Duncan AW, Brogan M, Cook SF. Prevalence of opioid dispensings and concurrent gastrointestinal medications in an elderly population from Ontario, Canada. J Opioid Manag. 2008; 4:193200.
  • 68
    Terrell KM, Miller DK. Challenges in transitional care between nursing homes and emergency departments. J Am Med Dir Assoc. 2006; 7:499505.
  • 69
    Jones JS, Dwyer PR, White LJ, Firman R. Patient transfer from nursing home to emergency department: outcomes and policy implications. Acad Emerg Med. 1997; 4:90815.
  • 70
    Stier PA, Giles BK, Olinger ML, Brizendine EJ, Cordell WH. Do transfer records for extended care facility patients sent to the emergency department contain essential information? [abstract] Ann Emerg Med. 2001; 38:S102.
  • 71
    Davis MN, Toombs Smith S, Tyler S. Improving transition and communication between acute care and long-term care: a system for better continuity of care. Ann Long-Term Care. 2005; 13:2532.
  • 72
    Terrell KM, Brizendine EJ, Bean WF, et al. An extended care facility-to-emergency department transfer form improves communication. Acad Emerg Med. 2005; 12:1148.
  • 73
    Cwinn M, Cwinn A, Forster AJ, et al. Prevalence of information gaps for seniors transferred from nursing homes to the emergency department [abstract]. Acad Emerg Med. 2006; 13:S32.
  • 74
    Madden C, Garrett J, Busby-Whitehead J. The interface between nursing homes and emergency departments: a community effort to improve transfer of information. Acad Emerg Med. 1998; 5:11236.
  • 75
    Davis MN, Brumfield VC, Smith ST, Tyler S, Nitschman J. A One-page nursing home to emergency room transfer form: what a difference it can make during an emergency! Ann Long-Term Care. 2005; 13:348.
  • 76
    Parry C, Coleman EA, Smith JD, Frank J, Kramer AM. The care transitions intervention: a patient-centered approach to ensuring effective transfers between sites of geriatric care. Home Health Care Serv Q. 2003; 22:117.
  • 77
    Kayser-Jones JS, Wiener CL, Barbaccia JC. Factors contributing to the hospitalization of nursing home residents. Gerontologist. 1989; 29:50210.
  • 78
    Buchanan JL, Murkofsky RL, O’Malley AJ, et al. Nursing home capabilities and decisions to hospitalize: a survey of medical directors and directors of nursing. J Am Geriatr Soc. 2006; 54:45865.
  • 79
    Coleman EA, Boult C. Improving the quality of transitional care for persons with complex care needs. J Am Geriatr Soc. 2003; 51:5567.
  • 80
    Coleman EA, Fox PD. One patient, many places: Managing health care transitions, part II: practitioner skills and patient and caregiver preparation. Ann Long-Term Care. 2004; 12:349.
  • 81
    Adams JG, Biros MH. The elusive nature of quality. Acad Emerg Med. 2002; 9:106770.
  • 82
    Lindsay P, Schull M, Bronskill S, Anderson G. The development of indicators to measure the quality of clinical care in emergency departments following a modified-delphi approach. Acad Emerg Med. 2002; 9:11319.