2024
Screening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool.
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Babcock M, Gettel C. Screening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool. Dementia And Geriatric Cognitive Disorders 2024, 1-13. PMID: 39616991, DOI: 10.1159/000542895.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentCognitive impairmentTrained research assistantsDiagnosis of dementiaClinicians providing careModerate agreementSuspected CIEmergency careOlder adultsAnalytic sampleResearch assistantsED patientsCareScreening protocolSelf-identifyEarly interventionDementiaScoresCorrelation coefficientDepartmentDyadsPatientsImpairmentDaily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment
Galske J, Chera T, Hwang U, Monin J, Venkatesh A, Lam K, Leggett A, Gettel C. Daily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment. Journal Of The American Geriatrics Society 2024, 72: 3261-3264. PMID: 38970304, PMCID: PMC11461120, DOI: 10.1111/jgs.19062.Peer-Reviewed Original Research
2023
Emergency department care transitions for persons living with cognitive impairment and care partners: development of a novel artificial intelligence and care coach intervention
Galske J, Gil H, Dorai C, Keefe K, Stern E, DeFrancesco E, Gettel C. Emergency department care transitions for persons living with cognitive impairment and care partners: development of a novel artificial intelligence and care coach intervention. Alzheimer's & Dementia 2023, 19 DOI: 10.1002/alz.075447.Peer-Reviewed Original ResearchCare transitionsCare partnersCoach interventionCognitive impairmentEmergency Department Care TransitionsIntegration of findingsED discharge processEmergency department presentationsSemi-structured focus groupsHealth care professionalsArtificial intelligenceSubsequent EDFocus groupsED settingOutpatient settingEffective interventionsCare continuumNovel interventionsCare professionalsSentinel eventsED experienceIntervention adoptionUnique needsEmpathy mapUser-centered design approach
2022
263 Emergency Department Care Transition Barriers: A Qualitative Study of Care Partners of Older Adults With Cognitive Impairment
Gettel C, Serina P, Uzamere I, Hernandez-Bigos K, Cohen A, Venkatesh A, Monin J, Feder S, Fried T, Hwang U. 263 Emergency Department Care Transition Barriers: A Qualitative Study of Care Partners of Older Adults With Cognitive Impairment. Annals Of Emergency Medicine 2022, 80: s115. DOI: 10.1016/j.annemergmed.2022.08.290.Peer-Reviewed Original ResearchEmergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review
Gettel CJ, Falvey JR, Gifford A, Hoang L, Christensen LA, Hwang U, Shah MN, Network T, Aggarawal N, Allore H, Amy A, Belleville M, Bellolio M, Betz M, Biese K, Brandt C, Bruursema S, Carnahan R, Carpenter C, Carr D, Chin-Hansen J, Daven M, Degesys N, Dresden M, Dussetschleger J, Ellenbogen M, Falvey J, Foster B, Gettel C, Gifford A, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hirshon J, Hoang L, Hogan T, Hung W, Hwang U, Isaacs E, Jaspal N, Jobe D, Johnson J, Kelly K, Kennedy M, Kind A, Leggett J, Malone M, Moccia M, Moreno M, Morrow-Howell N, Nowroozpoor A, Ohuabunwa U, Oiyemhonian B, Perry W, Prusaczk B, Resendez J, Rising K, Sano M, Savage B, Shah M, Suyama J, Swartzberg J, Taylor Z, Vaishal T, Vann A, Webb T, Weintraub S. Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review. Journal Of The American Medical Directors Association 2022, 23: 1313.e1-1313.e13. PMID: 35247358, PMCID: PMC9378565, DOI: 10.1016/j.jamda.2022.01.076.Peer-Reviewed Original ResearchConceptsCare transition interventionsRelevant patient-centered outcomesPatient-centered outcomesCognitive impairmentCare partnersTransition interventionsCare transitionsOlder adultsEmergency Department Care TransitionsED revisit ratesSystematic electronic searchFull-text reviewScoping ReviewMedical research databasesGeriatric assessmentSecondary outcomesSystematic scoping reviewED careED patientsED settingPhysical functionFuture investigationsCare coordinationOutpatient careEligible studiesEmergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Cohen AB, Monin JK, Feder SL, Fried TR, Hwang U. Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment. Alzheimer's & Dementia: Translational Research & Clinical Interventions 2022, 8: e12355. PMID: 36204349, PMCID: PMC9518973, DOI: 10.1002/trc2.12355.Peer-Reviewed Original ResearchCare transitionsCare partnersCognitive impairmentMean ageOlder adultsED discharge processEmergency department dischargeCare transition interventionsHealth care systemAcute illnessED encountersAdverse outcomesCare considerationsOutcome measuresQualitative studyTransition interventionsScreening toolCare systemImpairmentAdultsAfrican AmericansPoor communicationRepresentative quotationsRecovery phaseStandardized guide
2020
Care Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences
Gettel CJ, Hayes K, Shield RR, Guthrie KM, Goldberg EM. Care Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences. Academic Emergency Medicine 2020, 27: 876-886. PMID: 32053283, PMCID: PMC7423638, DOI: 10.1111/acem.13938.Peer-Reviewed Original ResearchConceptsEmergency department visitsPatient-caregiver dyadsCognitive impairmentED visitsDepartment visitsOlder adultsFall-related emergency department visitsInjury-related emergency department (ED) visitsInitial ED visitPrevention intervention trialTransitions of careSemistructured interview guideGeriatric AcuteED careOutpatient visitsIntervention trialsCare transitionsPatientsSentinel eventsVisitsCaregiversRecovery periodAdultsInjuryInterview guide
2017
Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention.
Goldberg EM, McCreedy EM, Gettel CJ, Merchant RC. Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention. Rhode Island Medical Journal 2017, 100: 18-23. PMID: 29190838, PMCID: PMC5908708.Peer-Reviewed Original ResearchConceptsCross-sectional studyPrior fallsFall historyOlder adult ED patientsAdult ED patientsEmergency department visitsAdults 65 yearsNon-fatal injuriesMore comorbiditiesED presentationsDepartment visitsED patientsHospital EDFuture fallsHigh riskRisk populationsCognitive impairmentFurther fallCognitive testingOlder adultsPrevention effortsSubstance useSubsequent fallVulnerable groupsRisk