Aims and objectivesTo develop and test the feasibility of an instrument to support patients' nursing home to emergency room transfer. BackgroundTransfers from a nursing home care facility to an acute care facility such as a hospital emergency room are common. However, the prevalence of an information gap for transferring residents' health data to acute care facility is high. An evidence-based transfer instrument, which could fill this gap, is lacking. DesignDevelopment of a nursing home to emergency room transfer checklist, validation of items using the Delphi method and testing the feasibility and benefits of using the nursing home to emergency room transfer checklist. MethodsItems were developed based on qualitative data from previous research. Delphi validation, retrospective chart review (baseline data) and a 6-month prospective study design were applied to test the feasibility of using the checklist. Variables for testing the feasibility of the checklist included residents' 30-day readmission rate and length of hospital stay. ResultsDevelopment of the nursing home to emergency room transfer checklist resulted in four main parts: (i) demographic data of the nursing home resident; (ii) critical data for nursing home to emergency room transfer; (iii) contact information and (iv) critical data for emergency room to nursing home transfer. Two rounds of Delphi validation resulted in a mean score (standard deviation) ranging from 4.39 (1.13)-4.98 (.15). Time required to complete the checklist was 3-5min. Use of the nursing home to emergency room transfer checklist resulted in a 30-day readmission rate of 13.4%, which was lower than the baseline rate of 15.9%. ConclusionsThe nursing home to emergency room transfer checklist was developed for transferring nursing home residents to an emergency room. The instrument was found to be an effective tool for this process. Relevance to clinical practiceUse of the nursing home to emergency room transfer checklist for nursing home transfers could fill the information gap that exists when transferring older adults between facilities such as nursing homes and hospitals.
机构:
Univ Western Australia, Royal Perth Hosp, Western Australian Ctr Med Res, Ctr Clin Res Emergency Med, Nedlands, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Western Australian Ctr Med Res, Ctr Clin Res Emergency Med, Nedlands, WA 6009, Australia
机构:
Albert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
Montefiore Med Ctr, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
Bogaisky, Michael
;
Dezieck, Laurel
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Worcester, MA 01605 USAAlbert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
机构:
Gold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Crilly, Julia
;
Chaboyer, Wendy
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Res Ctr Clin & Community Practice Innovat, Sch Nursing & Midwifery, Nathan, Qld 4111, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Chaboyer, Wendy
;
Wallis, Marianne
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Gold Coast Hlth Serv Dist, Sch Nursing & Midwifery, Nathan, Qld 4111, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Wallis, Marianne
;
Thalib, Lukman
论文数: 0引用数: 0
h-index: 0
机构:
Kuwait Univ, Fac Med, Dept Community Med & BS, Kuwait, KuwaitGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Thalib, Lukman
;
Polit, Denise
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Res Ctr Clin & Community Practice Innovat, Sch Nursing & Midwifery, Nathan, Qld 4111, Australia
Humananal Inc, Saratoga Springs, NY USAGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
机构:
Univ Western Australia, Royal Perth Hosp, Western Australian Ctr Med Res, Ctr Clin Res Emergency Med, Nedlands, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Western Australian Ctr Med Res, Ctr Clin Res Emergency Med, Nedlands, WA 6009, Australia
机构:
Albert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
Montefiore Med Ctr, Bronx, NY 10467 USAAlbert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
Bogaisky, Michael
;
Dezieck, Laurel
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Worcester, MA 01605 USAAlbert Einstein Coll Med, Dept Med, Div Geriatr, Bronx, NY 10467 USA
机构:
Gold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Crilly, Julia
;
Chaboyer, Wendy
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Res Ctr Clin & Community Practice Innovat, Sch Nursing & Midwifery, Nathan, Qld 4111, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Chaboyer, Wendy
;
Wallis, Marianne
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Gold Coast Hlth Serv Dist, Sch Nursing & Midwifery, Nathan, Qld 4111, AustraliaGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Wallis, Marianne
;
Thalib, Lukman
论文数: 0引用数: 0
h-index: 0
机构:
Kuwait Univ, Fac Med, Dept Community Med & BS, Kuwait, KuwaitGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia
Thalib, Lukman
;
Polit, Denise
论文数: 0引用数: 0
h-index: 0
机构:
Griffith Univ, Res Ctr Clin & Community Practice Innovat, Sch Nursing & Midwifery, Nathan, Qld 4111, Australia
Humananal Inc, Saratoga Springs, NY USAGold Coast Hosp, Emergency Dept, Res Ctr Clin & Community Practice Innovat, So Dist ED Clin Network, Southport, Qld 4215, Australia