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 approachEmergency Department-to-Community Transitions of Care Best Practices for the Older Adult Population
Gettel C, Hastings S, Biese K, Goldberg E. Emergency Department-to-Community Transitions of Care Best Practices for the Older Adult Population. Clinics In Geriatric Medicine 2023, 39: 659-672. PMID: 37798071, PMCID: PMC10716862, DOI: 10.1016/j.cger.2023.05.009.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder adultsTransitional care management servicesPatient-centered outcome measuresCare management servicesOlder Adult PopulationED settingFunctional statusCare transitionsOutcome measuresAdult populationEffective interventionsIntervention implementationUnique populationSocial isolationAdultsRiskDepartmentCommunity transitionFuture effortsPopulationImpairmentCare
2022
A Qualitative Study of “What Matters” to Older Adults in the Emergency Department
Gettel CJ, Venkatesh AK, Dowd H, Hwang U, Ferrigno RF, Reid EA, Tinetti ME. A Qualitative Study of “What Matters” to Older Adults in the Emergency Department. Western Journal Of Emergency Medicine 2022, 23: 579-588. PMID: 35980413, PMCID: PMC9391017, DOI: 10.5811/westjem.2022.4.56115.Peer-Reviewed Original ResearchConceptsOlder adult patientsAdult patientsEmergency departmentOlder adultsED careAge-Friendly Health SystemIntact older adultsSymptom resolutionED cliniciansED settingPatient 1Clinician recommendationsPatient concernsPatient prioritiesDyadic semi-structured interviewsSymptom reductionClinical practicePatientsCliniciansHealth systemConversation guideHealthcare systemAdultsHome environmentOutcomesEmergency 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 studies
2020
Who provides what care? An analysis of clinical focus among the national emergency care workforce
Gettel CJ, Canavan ME, D'Onofrio G, Carr BG, Venkatesh AK. Who provides what care? An analysis of clinical focus among the national emergency care workforce. The American Journal Of Emergency Medicine 2020, 42: 228-232. PMID: 33298349, PMCID: PMC8005412, DOI: 10.1016/j.ajem.2020.11.069.Peer-Reviewed Original ResearchConceptsAdvanced practice providersEmergency care workforceMedicare feeClinical focusEM physiciansED cliniciansED settingPublic Use FileService beneficiariesMedicare Public Use FilesCare workforceImproved patient outcomesCross-sectional analysisUnique cliniciansPrimary outcomePatient outcomesCare EvaluationClinician expertisePractice providersEmergency careIndividual cliniciansClinical settingPractice settingsCliniciansPhysicians