Preventing Future Falls in Older Adult ED Patients: Evaluating the Implementation and Effectiveness of a Novel Automated Screening and Referral Intervention - Patient Perspectives
University of Wisconsin, Madison
Summary
The purpose of the overall study to evaluate implementation-related outcomes of a falls-risk clinical decision support (CDS) system using patient electronic health records (EHR) data to automatically screen and identify older adult ED patients at high risk of future falls and allowing ED clinicians to place referral orders to the UW Health Mobility and Falls clinic. This CDS tool has already been implemented at the UWHC ED, and will be additionally implemented at The American Center and Swedish American Hospital EDs (all QI initiatives) over the next two years. This study involves engaging a sample of referred patients from each site to gather their perspectives on the delivery of the referral in the ED, their experiences in making and completing appointments at the Falls Clinic (if applicable), and perceived benefits of the intervention overall.
Description
The aim of this study is to assess perceptions and implementation-related outcomes for the automated screening and referral tool based upon the experiences of older adult patients receiving the referral (or who could be eligible for the referral) at each of the three ED sites, including identifying reasons why some referred patients do not schedule or attend appointments as a result of the referral order. Phone interviews will be conducted with a minimum of 12 referred patients per each of the 3 ED sites, approximately half of whom scheduled and completed a Falls Clinic visit, and half whom d…
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * ED patients identified by the automated system as being high-risk of future falls, and subsequently referred to the UW Health Mobility and Falls Clinic by the ED provider at discharge. * English-speaking * Reliable access to a working telephone and can accept incoming phone calls * For In-person interviews in the ED: * ED patients age 65 and older in the emergency department for any reason who are identified as likely to be discharged by their clinical team. Exclusion Criteria: * Incarcerated or in police custody * Lacks capacity to consent * Unable to hear or speak…
Interventions
- OtherPatient Phone Interviews
Collecting perceptions about automated falls-risk screening and referral tool
- OtherPatient In Person Interviews
Interviews will be aimed at collecting patient input necessary to adapt the design of the intervention at these sites.
Locations (3)
- Swedish American Emergency DepartmentRockford, Illinois
- The American Center Emergency DepartmentMadison, Wisconsin
- UWHC Emergency DepartmentMadison, Wisconsin