Matches in SemOpenAlex for { <https://semopenalex.org/work/W4245248082> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W4245248082 abstract "Abstract Background Older people are frequent Emergency Department (ED) users who present with complex issues that are linked to poorer health outcomes post-index visit, often have increased ED length of stay and tend to have raised healthcare costs. Encouraging evidence suggests that ED teams involving health and social care professionals (HSCPs) can contribute to enhanced patient flow and improved patient experience by improving care decision-making and thus promoting timely and effective care. However, the evidence supporting the impact of HSCPs teams assessing and intervening with older adults in the ED is limited and identifies important methodological limitations, highlighting the need for more robust and comprehensive investigations of this model of care. This study aims to evaluate the impact of a dedicated ED-based HSCP team on the quality, safety, clinical and cost-effectiveness of care of older adults when compared to usual care. Methods The study is a single-site randomised controlled trial whereby patients aged ≥65 years who present to the ED of a large Irish hospital will be randomised to the experimental group (ED-based HSCP assessment and intervention) or the control group (usual ED care). The recruitment target is 320 participants. The HSCP team will provide a comprehensive functional assessment as well as interventions to promote a safe discharge for the patient. The primary outcomes include ED length of stay (from arrival to discharge) and incidence of inpatient admissions from the ED. Secondary outcomes include: ED re-visits, unplanned hospital admissions and healthcare utilisation at 30-days and six-month follow-up; patient functional status and quality of life (at baseline and follow-up); patient satisfaction; costs-effectiveness in terms of costs associated with ED-based HSCP compared to usual care; and perceptions on implementation by ED staff members. Discussion This is the first randomised controlled trial testing the impact of HSCPs working in teams in the ED on the quality, safety, clinical and cost-effectiveness of care for older patients. The findings of the study will provide important information on the effectiveness of this model of care for future implementation." @default.
- W4245248082 created "2022-05-12" @default.
- W4245248082 creator A5009421642 @default.
- W4245248082 creator A5011255711 @default.
- W4245248082 creator A5013101765 @default.
- W4245248082 creator A5015907440 @default.
- W4245248082 creator A5017605119 @default.
- W4245248082 creator A5025237286 @default.
- W4245248082 creator A5058416523 @default.
- W4245248082 creator A5058941034 @default.
- W4245248082 creator A5064250614 @default.
- W4245248082 creator A5066784971 @default.
- W4245248082 creator A5069696123 @default.
- W4245248082 creator A5076609590 @default.
- W4245248082 creator A5080492021 @default.
- W4245248082 creator A5082583844 @default.
- W4245248082 creator A5089617075 @default.
- W4245248082 date "2019-07-31" @default.
- W4245248082 modified "2023-10-17" @default.
- W4245248082 title "A randomised controlled trial exploring the impact of a dedicated Health and Social Care Professionals team in the Emergency Department on the quality, safety, clinical and cost-effectiveness of care for older adults: Study Protocol" @default.
- W4245248082 doi "https://doi.org/10.21203/rs.2.12207/v1" @default.
- W4245248082 hasPublicationYear "2019" @default.
- W4245248082 type Work @default.
- W4245248082 citedByCount "0" @default.
- W4245248082 crossrefType "posted-content" @default.
- W4245248082 hasAuthorship W4245248082A5009421642 @default.
- W4245248082 hasAuthorship W4245248082A5011255711 @default.
- W4245248082 hasAuthorship W4245248082A5013101765 @default.
- W4245248082 hasAuthorship W4245248082A5015907440 @default.
- W4245248082 hasAuthorship W4245248082A5017605119 @default.
- W4245248082 hasAuthorship W4245248082A5025237286 @default.
- W4245248082 hasAuthorship W4245248082A5058416523 @default.
- W4245248082 hasAuthorship W4245248082A5058941034 @default.
- W4245248082 hasAuthorship W4245248082A5064250614 @default.
- W4245248082 hasAuthorship W4245248082A5066784971 @default.
- W4245248082 hasAuthorship W4245248082A5069696123 @default.
- W4245248082 hasAuthorship W4245248082A5076609590 @default.
- W4245248082 hasAuthorship W4245248082A5080492021 @default.
- W4245248082 hasAuthorship W4245248082A5082583844 @default.
- W4245248082 hasAuthorship W4245248082A5089617075 @default.
- W4245248082 hasBestOaLocation W42452480821 @default.
- W4245248082 hasConcept C141071460 @default.
- W4245248082 hasConcept C159110408 @default.
- W4245248082 hasConcept C160735492 @default.
- W4245248082 hasConcept C162324750 @default.
- W4245248082 hasConcept C168563851 @default.
- W4245248082 hasConcept C27415008 @default.
- W4245248082 hasConcept C2779328685 @default.
- W4245248082 hasConcept C2780665704 @default.
- W4245248082 hasConcept C2780724011 @default.
- W4245248082 hasConcept C50522688 @default.
- W4245248082 hasConcept C512399662 @default.
- W4245248082 hasConcept C545542383 @default.
- W4245248082 hasConcept C71924100 @default.
- W4245248082 hasConceptScore W4245248082C141071460 @default.
- W4245248082 hasConceptScore W4245248082C159110408 @default.
- W4245248082 hasConceptScore W4245248082C160735492 @default.
- W4245248082 hasConceptScore W4245248082C162324750 @default.
- W4245248082 hasConceptScore W4245248082C168563851 @default.
- W4245248082 hasConceptScore W4245248082C27415008 @default.
- W4245248082 hasConceptScore W4245248082C2779328685 @default.
- W4245248082 hasConceptScore W4245248082C2780665704 @default.
- W4245248082 hasConceptScore W4245248082C2780724011 @default.
- W4245248082 hasConceptScore W4245248082C50522688 @default.
- W4245248082 hasConceptScore W4245248082C512399662 @default.
- W4245248082 hasConceptScore W4245248082C545542383 @default.
- W4245248082 hasConceptScore W4245248082C71924100 @default.
- W4245248082 hasLocation W42452480821 @default.
- W4245248082 hasLocation W42452480822 @default.
- W4245248082 hasLocation W42452480823 @default.
- W4245248082 hasLocation W42452480824 @default.
- W4245248082 hasLocation W42452480825 @default.
- W4245248082 hasLocation W42452480826 @default.
- W4245248082 hasOpenAccess W4245248082 @default.
- W4245248082 hasPrimaryLocation W42452480821 @default.
- W4245248082 hasRelatedWork W108272740 @default.
- W4245248082 hasRelatedWork W185286426 @default.
- W4245248082 hasRelatedWork W1999166911 @default.
- W4245248082 hasRelatedWork W2014529895 @default.
- W4245248082 hasRelatedWork W2042757857 @default.
- W4245248082 hasRelatedWork W2891956657 @default.
- W4245248082 hasRelatedWork W2974411219 @default.
- W4245248082 hasRelatedWork W2979813680 @default.
- W4245248082 hasRelatedWork W3022998877 @default.
- W4245248082 hasRelatedWork W4255999426 @default.
- W4245248082 isParatext "false" @default.
- W4245248082 isRetracted "false" @default.
- W4245248082 workType "article" @default.