The Influence of an Emergency "Preflight" Transition Checklist on the Transfer of Senior Facility Residents to the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/610903
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Quasi-Experimental Study, Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
The Influence of an Emergency "Preflight" Transition Checklist on the Transfer of Senior Facility Residents to the Emergency Department
Author(s):
Moccia, Joan Michelle; Hasenau, Susan; Dunn, Deborah; Hanson, Patricia
Additional Author Information:
Joan Michelle Moccia, DNP, ANP-BC, CCRN, email: michelle.moccia at stjoeshealth.org
Advisors:
Hasenau, Susan
Degree:
DNP
Degree Year:
2015
Grantor:
Madonna University
Abstract:

Study objective:? The transition of care is flawed between senior nursing facilities (skilled, assisted-living, and independent settings), Emergency Medical Service (EMS) and emergency department (ED) personnel predisposing a resident to receive more or less unwanted care, unnecessary tests, risk of wrongful resuscitation and inefficiencies for all providers.? An earlier study evaluating a hospital group known as STARForUM ?Safe Transition of All Residents For yoU & Me? (STAR-F) showed some success however variability still existed.? We hypothesize that a preflight checklist will increase the number of predetermined key elements sent with a resident residing in a skilled, assisted-living or independent facility.

Methods:? This was a pre/post intervention study of older adults (> 65 years) residing in a senior facility who were transported to a medium size hospital ED by EMS.? All residents transported with a preflight checklist that could be matched to facility documents were included.? Primary outcome consisted of the number of key elements received and secondary outcome determined if there was a difference between the hospitals transitions collaborative group STAR-F and non-STAR-F.? Student?s t-test for independent samples was used in the comparisons between the transition collaborative group and the Preflight group.? Pearson chi square was used to compare proportion for each 15 check list item.

Results:? There were a higher percentage of elements received in the preflight checklist group (11.5 +/- 2.6) than the transition collaborative group (8.6 +/- 3.3) and p-value .0001.? Only the medication list and medication assessment record did not show the statistical significance (p-value

Conclusion:? A ?preflight? checklist delivered by EMS to senior nursing facility personnel was instrumental in improving the number of transfer of key elements along with improving relationships among transferring and receiving personnel.

Keywords:
senior's health; emergency medical services utilization; Transition of care
MeSH:
Continuity of Patient Care
CINAHL Headings:
Health?Status--In Old Age; Emergency Medical Services; Health Resource?Utilization
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-05-27T15:24:07Z
Date of Publication:
2016-05-27

Full metadata record

DC FieldValue Language
dc.contributor.advisorHasenau, Susanen
dc.contributor.authorMoccia, Joan Michelleen
dc.contributor.authorHasenau, Susanen
dc.contributor.authorDunn, Deborahen
dc.contributor.authorHanson, Patriciaen
dc.date.accessioned2016-05-27T15:24:07Z-
dc.date.available2016-05-27T15:24:07Z-
dc.date.issued2016-05-27-
dc.identifier.urihttp://hdl.handle.net/10755/610903-
dc.description.abstract<p class="APA"><strong>Study objective:</strong>? The transition of care is flawed between senior nursing facilities (skilled, assisted-living, and independent settings), Emergency Medical Service (EMS) and emergency department (ED) personnel predisposing a resident to receive more or less unwanted care, unnecessary tests, risk of wrongful resuscitation and inefficiencies for all providers.? An earlier study evaluating a hospital group known as STARForUM ?Safe Transition of All Residents For yoU & Me? (STAR-F) showed some success however variability still existed.? We hypothesize that a preflight checklist will increase the number of predetermined key elements sent with a resident residing in a skilled, assisted-living or independent facility.</p> <p class="APA"><strong>Methods:</strong>? This was a pre/post intervention study of older adults (> 65 years) residing in a senior facility who were transported to a medium size hospital ED by EMS.? All residents transported with a preflight checklist that could be matched to facility documents were included.? Primary outcome consisted of the number of key elements received and secondary outcome determined if there was a difference between the hospitals transitions collaborative group STAR-F and non-STAR-F.? Student?s t-test for independent samples was used in the comparisons between the transition collaborative group and the Preflight group.? Pearson chi square was used to compare proportion for each 15 check list item.</p> <p class="APA"><strong>Results:</strong>? There were a higher percentage of elements received in the preflight checklist group (11.5 +/- 2.6) than the transition collaborative group (8.6 +/- 3.3) and p-value .0001.? Only the medication list and medication assessment record did not show the statistical significance (p-value</p> <p class="APA"><strong>Conclusion</strong>:? A ?preflight? checklist delivered by EMS to senior nursing facility personnel was instrumental in improving the number of transfer of key elements along with improving relationships among transferring and receiving personnel.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rightsAn error occurred on the license name.*
dc.rights.uriAn error occurred getting the license - uri.*
dc.subjectsenior's healthen
dc.subjectemergency medical services utilizationen
dc.subjectTransition of careen
dc.subject.meshContinuity of Patient Careen
dc.titleThe Influence of an Emergency "Preflight" Transition Checklist on the Transfer of Senior Facility Residents to the Emergency Departmenten_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorMadonna Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.primary-author.detailsJoan Michelle Moccia, DNP, ANP-BC, CCRN, email: michelle.moccia at stjoeshealth.orgen
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelQuasi-Experimental Study, Otheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlHealth?Status--In Old Ageen
dc.subject.cinahlEmergency Medical Servicesen
dc.subject.cinahlHealth Resource?Utilizationen
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