A gero-informatics tool to enhance the care of hospitalized older adults with cognitive impairment.
作者： Stephanie Munger , Noll Campbell , Robin Beck , Michael Weiner , Malaz Boustani
DOI:
关键词: Hospital care 、 Intensive care medicine 、 Anticholinergic 、 Vulnerability 、 Informatics 、 Medicine 、 Medical emergency 、 Clinical decision support system 、 Patient care 、 Physical restraints 、 Cognitive impairment
摘要: Approximately 50% of hospitalized elders have cognitive impairment (CI) that increases their vulnerability to hospital-acquired complications. Matching geriatric evalua- tion and recommendations the true pace hospital care may improve in general, particular those with CI. Integrating information technology into services (gero-informatics) might allow reduction time implementation recom- mendations prevent initiation potentially harmful medications procedures during critical fi rst 48 hours hospitalization. This paper reviews our local gero-informatics early experience developing a computerized decision support system (CDSS) enhance for CI by reducing inappropriate use anticholinergic medications, urinary catheters, physical restraints.
参考文章(27)
Christine K. Stroebel, Reuben R. McDaniel, Benjamin F. Crabtree, William L. Miller, Paul A. Nutting, Kurt C. Stange, How Complexity Science Can Inform a Reflective Process for Improvement in Primary Care Practices The Joint Commission Journal on Quality and Patient Safety. ,vol. 31, pp. 438- 446 ,(2005) , 10.1016/S1553-7250(05)31057-9
Julie P. W. Bynum, Peter V. Rabins, Wendy Weller, Marlene Niefeld, Gerard F. Anderson, Albert W. Wu, The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use Journal of the American Geriatrics Society. ,vol. 52, pp. 187- 194 ,(2004) , 10.1111/J.1532-5415.2004.52054.X
David F. Lobach, Kensaku Kawamoto, Clinical decision support provided within physician order entry systems: a systematic review of features effective for changing clinician behavior. american medical informatics association annual symposium. ,vol. 2003, pp. 361- 365 ,(2003)
Jane McCusker, Martin G. Cole, Nandini Dendukuri, Eric Belzile, Does delirium increase hospital stay Journal of the American Geriatrics Society. ,vol. 51, pp. 1539- 1546 ,(2003) , 10.1046/J.1532-5415.2003.51509.X
Julie E. Mador, Lynne Giles, Craig Whitehead, Maria Crotty, A randomized controlled trial of a behavior advisory service for hospitalized older patients with confusion International Journal of Geriatric Psychiatry. ,vol. 19, pp. 858- 863 ,(2004) , 10.1002/GPS.1165
Michael Weiner, Christopher M Callahan, William M Tierney, J Marc Overhage, Burke Mamlin, Paul R Dexter, Clement J McDonald, Using information technology to improve the health care of older adults. Annals of Internal Medicine. ,vol. 139, pp. 430- 436 ,(2003) , 10.7326/0003-4819-139-5_PART_2-200309021-00010
Edward R. Marcantonio, Jonathan M. Flacker, Mary Michaels, Neil M. Resnick, Delirium Is Independently Associated with Poor Functional Recovery After Hip Fracture Journal of the American Geriatrics Society. ,vol. 48, pp. 618- 624 ,(2000) , 10.1111/J.1532-5415.2000.TB04718.X
Harvey Jay Cohen, John R. Feussner, Morris Weinberger, Molly Carnes, Ronald C. Hamdy, Frank Hsieh, Ciaran Phibbs, Donald Courtney, Kenneth W. Lyles, Conrad May, Cynthia McMurtry, Leslye Pennypacker, David M. Smith, Nina Ainslie, Thomas Hornick, Kayla Brodkin, Philip Lavori, A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management The New England Journal of Medicine. ,vol. 346, pp. 905- 912 ,(2002) , 10.1056/NEJMSA010285
Donna M. Fick, Joseph V. Agostini, Sharon K. Inouye, Delirium Superimposed on Dementia: A Systematic Review Journal of the American Geriatrics Society. ,vol. 50, pp. 1723- 1732 ,(2002) , 10.1046/J.1532-5415.2002.50468.X
Steven R. Counsell, Carolyn M. Holder, Laura L. Liebenauer, Robert M. Palmer, Richard H. Fortinsky, Denise M. Kresevic, Linda M. Quinn, Kyle R. Allen, Kenneth E. Covinsky, C. Seth Landefeld, Effects of a Multicomponent Intervention on Functional Outcomes and Process of Care in Hospitalized Older Patients: A Randomized Controlled Trial of Acute Care for Elders (ACE) in a Community Hospital Journal of the American Geriatrics Society. ,vol. 48, pp. 1572- 1581 ,(2000) , 10.1111/J.1532-5415.2000.TB03866.X