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
2022
Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19
Janke A, Gettel C, Koski-Vacirca R, Lin M, Kocher K, Venkatesh A. Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19. Health Affairs 2022, 41: 1772-1780. PMID: 36469824, DOI: 10.1377/hlthaff.2022.00484.Peer-Reviewed Original ResearchConceptsRelease ED visitsEmergency departmentED visitsNationwide Emergency Department SampleEmergency care visitsEmergency Department SampleProportion of visitsHealth care systemMore comorbiditiesCare visitsOlder patientsED careBilling practicesSerious diagnosisObservational studyUndifferentiated patientsPatient complexityCare servicesHealth statusCare systemVisitsPatientsEvolving roleReimbursement reformTreatA 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 environmentOutcomes
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 guideA Systematic Review of Interventions to Improve Nursing Home to Emergency Department Care Transitions.
Gettel CJ, Pertsch N, Goldberg EM. A Systematic Review of Interventions to Improve Nursing Home to Emergency Department Care Transitions. Annals Of Long-Term Care Clinical Care And Aging 2020, 28: e12-e19. PMID: 32542070, PMCID: PMC7295263.Peer-Reviewed Original ResearchPre-post intervention studyTransitions of careEmergency departmentNursing homesIntervention studiesEmergency Department Care TransitionsIntervention implementationED revisit ratesRetrospective cohort studyHealth care utilizationPatient-centered outcomesFull-text reviewHospital lengthCohort studyHospital readmissionCare utilizationCare transitionsSystematic reviewStudy reportingFacility transferRevisit ratesInterventionMedical errorsMultimodal approachPatients
2019
A Retrospective Analysis of Nursing Home to ED Transfer Correspondence Length and ED Length of Stay.
Long SE, Marks SJ, Gettel CJ, Goldberg EM. A Retrospective Analysis of Nursing Home to ED Transfer Correspondence Length and ED Length of Stay. Rhode Island Medical Journal 2019, 102: 29-32. PMID: 31675784, PMCID: PMC7330887.Peer-Reviewed Original ResearchGAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention for Emergency Department Patients – A Qualitative Evaluation
Goldberg EM, Gettel CJ, Hayes K, Shield RR, Guthrie KM. GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention for Emergency Department Patients – A Qualitative Evaluation. OBM Geriatrics 2019, 3: 20. PMID: 32352082, PMCID: PMC7189708, DOI: 10.21926/obm.geriatr.1904078.Peer-Reviewed Original ResearchFall prevention interventionsFall risk assessmentPrevention interventionsGeriatric AcuteMedication therapy management interventionUS Emergency Department VisitsMortality of fallsEmergency department visitsEmergency department patientsPrimary care providersTeam-based interventionPreventative opportunitiesMedication educationDepartment patientsDepartment visitsED providersComprehensive careFall preventionCare providersDisposition planningFunctional limitationsPatientsCaregiver interviewsPhysical therapistsHospital staff