The Older Persons' Transitions in Care (OPTIC) study: Pilot testing of the transition tracking tool

BMC Health Services Research

Volumn 13, Issue 1, 2013, Pages

  Reid, Robert Colin ^a   Cummings, Garnet E ^b   Cooper, Sarah L ^b   Abel, Stephanie L ^b   Bissell, Laura J ^a   Estabrooks, Carole A ^b   Rowe, Brian H ^b   Wagg, Adrian ^b   Norton, Peter G ^c   Ertel, Mike ^d   Cummings, Greta G ^b  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

^c UNIVERSITY OF CALGARY   (Canada)

^d Interior Health Authority   (Canada)

Author keywords

Emergency department; Nursing home; Transfers; Transition tracking; Transitional care

Indexed keywords

AGED; ARTICLE; CANADA; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; MALE; METHODOLOGY; NURSING HOME; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT TRANSPORT; PILOT STUDY; STANDARD; TIME; TOTAL QUALITY MANAGEMENT; VERY ELDERLY; PROCEDURES; STANDARDS;

AGED; AGED, 80 AND OVER; ALBERTA; BRITISH COLUMBIA; CONTINUITY OF PATIENT CARE; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; NURSING HOMES; PILOT PROJECTS; QUALITY IMPROVEMENT; TIME FACTORS; TRANSPORTATION OF PATIENTS;

EID: 84890007212     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-13-515     Document Type: Article

References (39)

1. Care transitions and home health care. Boling PA, Clin Geriat Med 2009 25 1 135 148
2. Preventing the rebound: Improving care transition in hospital discharge processes. Scott IA, Aust. Health Rev 2010 34 4 445 451
3. Policy options to improve discharge planning and reduce rehospitalization. Mor V, Besdine RW, JAMA 2011 305 3 302 303
4. Recent health care transitions and emergency department use by chronic long term care residents: A population-based cohort study. Gruneir A, Bronskill S, Bell C, Gill S, Schull M, Ma X, Anderson G, Rochon PA, J Am Med Dir Assoc 2012 13 3 202 206
5. Addressing postdischarge adverse events: a neglected area. Tsilimingras D, Bates DW, J Qual Patient Saf 2008 34 2 85 97
6. Frequency and predictors of adverse health outcomes in older medicare beneficiaries discharged from the emergency department. Hastings SN, Oddone EZ, Fillenbaum G, Sloane RJ, Schmader KE, Med Care 2008 46 8 771 777
7. Development and testing of a measure designed to assess the quality of care transitions. Coleman EA, Smith JD, Frank JC, Eilertsen TB, Thiare JN, Kramer AM, Int J Integr Care 2002 2 02
8. Assessing the quality of transitional care: further applications of the care transitions measure. Parry C, Mahoney E, Chalmers SA, Coleman EA, Med Care 2008 46 3 317 322
9. Canadian Institute for Health Information, Patient pathways: Transfers from continuing care to acute care Ottawa, Ontario: CIHI 2009
10. Nursing home residents in emergency departments: A Foucauldian analysis. McCloskey R, van den Hoonaard D, J Adv Nurs 2007 59 2 186 194
11. Frequency and pattern of emergency department visits by long-term care residents-a population-based study. Gruneir A, Bell CM, Bronskill SE, Schull M, Anderson GM, Rochon PA, J Am Geriat Soc 2010 58 3 510 517
12. Use of one ER by nursing home residents in New Brunswick. McCloskey R, Geriat Today 2004 7 53 58 (Pubitemid 38648010)
13. Hospitalization of nursing home residents: A review of the literature, 1980-1995. Castle NG, Mor V, Med Care Res Rev 1996 53 2 123 148 (Pubitemid 126705504)
14. Improving the hospital care of nursing home residents. Malone M, Danto-Nocton E, Ann of Long-Term Care 2004 12 42 49 (Pubitemid 38745571)
15. Transitions in care for older adults with and without dementia. Callahan CM, Arling G, Tu W, Rosenman MB, Counsell SR, Stump TE, Hendrie HC, J Am Geriat Soc 2012 60 5 813 820
16. A qualitative study on the transfer of residents between a nursing home and an emergency department. McCloskey RM, J Am Geriat Soc 2011 59 4 717 724
17. Falling through the cracks: Challenges and opportunities for improving transitional care for persons with continuous complex care needs. Coleman EA, J Am Geriatr Soc 2003 51 4 549 555 (Pubitemid 36457357)
18. Continuity of care for acutely unwell older adults from nursing homes. Crilly J, Chaboyer W, Wallis M, Scand J Caring Sci 2006 20 2 122 134 (Pubitemid 43943589)
19. Transitional care of older adults. Naylor MD, Ann Rev Nurs Res 2002 20 127 147
20. Use of a Transitional Minimum Data Set (TMDS) to improve communication between nursing home and emergency department providers. Kelly NA, Mahoney DF, Bonner A, O'Malley T, J Am Med Dir Assoc 2012 13 1 85 89
21. Older Persons' Transitions in Care (OPTIC): A study protocol. Cummings GG, Reid RC, Estabrooks CA, Norton PG, Cummings GE, Rowe BH, Abel SL, Bissell L, Bottorff JL, Robinson CA, et al. BMC Geriatr 2012 12 75
22. Stakeholder perspectives on transitions of nursing home residents to hospital emergency departments and back in two Canadian provinces. Robinson CA, Bottorff JL, Lilly MB, Reid C, Abel S, Lo M, Cummings GG, J. Aging Stud 2012 26 419 427
23. Edmonton, Alberta (Code 4811061), Canada (Code 01) and Kelowna, British Columbia (Code 5935010) (table). Census Profile, 2011 Census. Statistics Canada, 2012 http://www12.statcan.gc.ca/census-recensement/2011/dp-pd/prof/index.cfm? Lang=E
24. Alzheimer Society of Canada, Rising Tide: The impact of dementia on Canadian society Toronto, ON 2010 http://www.alzheimer.ca/en/Get-involved/Raise- your-voice/Rising-Tide
25. MDS Cognitive Performance Scale. Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, Lipsitz LA, J Gerontol 1994 49 4 174 M182
26. Health care providers' opinions on communication between nursing homes and emergency departments. Gillespie SM, Gleason LJ, Karuza J, Shah MN, J Am Med Dir Assoc 2010 11 3 204 210
27. CAEP issues. The Canadian Triage and Acuity Scale: A new and critical element in health care reform. Canadian Association of Emergency Physicians. Beveridge R, J Emerg Med 1998 16 3 507 511 (Pubitemid 28232722)
28. Lost in transition: Challenges and opportunities for improving the quality of transitional care. Coleman EA, Berenson RA, Ann Intern Med 2004 141 7 533 536 (Pubitemid 39350243)
29. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H, J Gen Intern Med 2012 27 12 1649 1656
30. A conceptual framework for understanding interorganizational relationships between nursing homes and emergency departments: Examples from the Canadian setting. McCloskey RM, Policy, Polit Nurs Pract 2009 10 4 285 294
31. American Medical Directors Association, Transitions of care in the long-term care continuum clinical practice guideline Columbia, MD: AMDA 2010
32. Prevalence of information gaps for seniors transferred from nursing homes to the emergency department. Cwinn MA, Forster AA, Cwinn AJ, Hebert G, Calder L, Stiell IG, J Emerg Med 2009 11 5 462 471
33. Elder care transfer forms. Gaddis GM, Acad Emerg Med 2005 12 2 160 161 (Pubitemid 40169939)
34. Prevalence of information gaps in the emergency department and the effect on patient outcomes. Stiell A, Forster AJ, Stiell IG, van Walraven C, CMAJ 2003 169 10 1023 1028 (Pubitemid 37449351)
35. Collaborative research: Developing mutually beneficial relationships between researchers and organizations. Hinkin T, Holtom BC, Klag M, Organ Dyn 2007 36 1 105 118
36. Connecting research and policy. Lomas J, J Policy Res 2000 1 1 140 144
37. Evaluating use and outcomes of mobility technology: A multiple stakeholder analysis. Hammel J, Southall K, Jutai J, Finlayson M, Kashindi G, Fok D, Disabil Rehabil Assist Technol J 2012 00 1 11
38. Customer satisfaction: A practical approach for hospitals. VanderVeen L, Ritz M, J Healthc Qual 1996 18 2 10 15
39. Adverse drug events resulting from patient errors in older adults. Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH, J Am Geriat Soc 2007 55 2 271 276 (Pubitemid 46184405)