The Influence of an Emergency "Preflight" Transition Checklist on the Transfer of Senior Facility Residents to the Emergency Department
MetadataShow full item record
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.
The following license files are associated with this item: