Inclusion of older adults in emergency department clinical research: Strategies to achieve a critical goal

2021 ◽  
Author(s):  
Katherine M. Hunold ◽  
Elizabeth M. Goldberg ◽  
Jeffrey M. Caterino ◽  
Ula Hwang ◽  
Timothy F. Platts‐Mills ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Clinical Research ◽  
Research Strategies

Shared-Task Worklists Improve Clinical Trial Recruitment Workflow in an Academic Emergency Department

2021 ◽  
Vol 12 (02) ◽  
pp. 293-300
Author(s):  
Kevin S. Naceanceno ◽  
Stacey L. House ◽  
Phillip V. Asaro
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Clinical Trials ◽  
Clinical Research ◽  
Substantial Reduction ◽  
Text Message ◽  
High Volume ◽  
Text Messages ◽  
Shared Task ◽  
Clinical Research Coordinators

Abstract Background Clinical trials performed in our emergency department at Barnes-Jewish Hospital utilize a centralized infrastructure for alerting, screening, and enrollment with rule-based alerts sent to clinical research coordinators. Previously, all alerts were delivered as text messages via dedicated cellular phones. As the number of ongoing clinical trials increased, the volume of alerts grew to an unmanageable level. Therefore, we have changed our primary notification delivery method to study-specific, shared-task worklists integrated with our pre-existing web-based screening documentation system. Objective To evaluate the effects on screening and recruitment workflow of replacing text-message delivery of clinical trial alerts with study-specific shared-task worklists in a high-volume academic emergency department supporting multiple concurrent clinical trials. Methods We analyzed retrospective data on alerting, screening, and enrollment for 10 active clinical trials pre- and postimplementation of shared-task worklists. Results Notifications signaling the presence of potentially eligible subjects for clinical trials were more likely to result in a screen (p < 0.001) with the implementation of shared-task worklists compared with notifications delivered as text messages for 8/10 clinical trials. The change in workflow did not alter the likelihood of a notification resulting in an enrollment (p = 0.473). The Director of Research reported a substantial reduction in the amount of time spent redirecting clinical research coordinator screening activities. Conclusion Shared-task worklists, with the functionalities we have described, offer a viable alternative to delivery of clinical trial alerts via text message directly to clinical research coordinators recruiting for multiple concurrent clinical trials in a high-volume academic emergency department.

The HEAR‐VA Pilot Study: Hearing Assistance Provided to Older Adults in the Emergency Department

2021 ◽  
Vol 69 (4) ◽  
pp. 1071-1078
Author(s):  
Joshua Chodosh ◽  
Keith Goldfeld ◽  
Barbara E. Weinstein ◽  
Kate Radcliffe ◽  
Madeleine Burlingame ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Pilot Study

scholarly journals Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Kei Ouchi ◽  
Shan Liu ◽  
Daniel Tonellato ◽  
Yonatan G. Keschner ◽  
Maura Kennedy ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department

The Temporal Trend in the Transfer of Older Adults to the Emergency Department for Traumatic Injuries: A Retrospective Analysis According to Their Place of Residence

2019 ◽  
Vol 20 (11) ◽  
pp. 1462-1466 ◽  
Author(s):  
Xavier Dubucs ◽  
Philipe de Souto Barreto ◽  
Clarisse Laffon de Mazieres ◽  
Dominique Lauque ◽  
Olivier Azema ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Retrospective Analysis ◽  
Temporal Trend ◽  
Place Of Residence ◽  
Traumatic Injuries
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