Lauren T. Southerland
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View article: A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0
A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0 Open
The original consensus-based Geriatric Emergency Department (GED) Guidelines, published in 2014, established a framework of core principles for delivering high-quality, age-appropriate emergency care for older adults. In response to signif…
View article: Hospital Security Team Involvement in Emergency Mental Health Care of Patients
Hospital Security Team Involvement in Emergency Mental Health Care of Patients Open
Importance Hospital-based security teams assist emergency department (ED) staff when there is a risk to staff or patient safety. Objective To describe the current practice of hospital security assistance during emergency mental health care…
View article: Electronic Health Record Tools for the Detection, Management, and Monitoring of Delirium in Emergency Departments: Examples from Five Healthcare Systems
Electronic Health Record Tools for the Detection, Management, and Monitoring of Delirium in Emergency Departments: Examples from Five Healthcare Systems Open
Background Delirium is a state of acute brain failure causing confusion, reduced focus, and changes in alertness. It is common in older patients, occurring in 6-38% of older emergency department (ED) patients. Evidence suggests that system…
View article: Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study
Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study Open
Background Geriatric screening and multidisciplinary assessment of older adults in the Emergency Department (ED) decrease hospitalizations and ED revisits. The impact on patient‐reported outcomes of health‐related quality of life (HRQoL) a…
View article: Effect of a multi-component palliative care intervention on goals of care discussions for critical patients in the emergency department
Effect of a multi-component palliative care intervention on goals of care discussions for critical patients in the emergency department Open
Goals of care (GOC) discussions are vital to understanding patients’ values and preferences during serious illness, but they occur infrequently during Emergency Department (ED) care. We report a single site sub-study of a stepped wedge pra…
View article: Pneumonia Diagnosis Agreement Between Treating Emergency Physicians and Adjudicators in Older Adult Emergency Department Patients
Pneumonia Diagnosis Agreement Between Treating Emergency Physicians and Adjudicators in Older Adult Emergency Department Patients Open
View article: <scp>NOTICE</scp> ‐ <scp>ED</scp> : Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department
<span>NOTICE</span> ‐ <span>ED</span> : Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department Open
Background Several strategies have been proposed to increase chronic cognitive impairment (CI) screening in the emergency department (ED). Our goal was to assess the feasibility and acceptability of implementing specific CI screening tools…
View article: Outcomes of Physical and Occupational Therapy Evaluation in the Emergency Department for Older Adults With Falls: A Retrospective Multicenter Cohort
Outcomes of Physical and Occupational Therapy Evaluation in the Emergency Department for Older Adults With Falls: A Retrospective Multicenter Cohort Open
View article: A Quality Improvement Initiative to Decrease Hospital Admission for Skin and Soft Tissue Infections From an Observation Unit
A Quality Improvement Initiative to Decrease Hospital Admission for Skin and Soft Tissue Infections From an Observation Unit Open
View article: Antimicrobial Peptides ( <scp>AMPs</scp> ) Are Not Increased in Asymptomatic Bacteriuria in Healthy Older Adult Patients
Antimicrobial Peptides ( <span>AMPs</span> ) Are Not Increased in Asymptomatic Bacteriuria in Healthy Older Adult Patients Open
Background/Objective Antimicrobial peptides have demonstrated promise as biomarkers for urinary tract infection (UTI) in older adults (age ≥ 65 years). However, it is unknown if urinary AMP levels also increase in asymptomatic bacteriuria.…
View article: Correction: The salivary microbiota of patients with acute lower respiratory tract infection–A multicenter cohort study
Correction: The salivary microbiota of patients with acute lower respiratory tract infection–A multicenter cohort study Open
[This corrects the article DOI: 10.1371/journal.pone.0290062.].
View article: A public health/hospital partnership to improve Emergency Department transitions of care for vulnerable older adults
A public health/hospital partnership to improve Emergency Department transitions of care for vulnerable older adults Open
Background Community‐dwelling older adults are at high risk for unmet social service needs. We describe a novel partnership embedding county services case managers in the Emergency Department (ED) to connect older adults to community servi…
View article: Clinical performance of existing diagnostic criteria for pneumonia in older emergency patients: A prospective cohort study
Clinical performance of existing diagnostic criteria for pneumonia in older emergency patients: A prospective cohort study Open
Background Pneumonia accounts for over half a million older adult emergency department (ED) visits annually, but ED pneumonia diagnosis is inaccurate. Geriatric‐specific pneumonia diagnostic criteria exist for other settings; no prospectiv…
View article: “What Matters” in the Emergency Department
“What Matters” in the Emergency Department Open
Objective: To describe “What Matters” to older adults seeking emergency department (ED) care and to identify patient characteristics associated with meeting desired outcomes. Background: As part of the 4Ms framework, identifying “What Matt…
View article: Geriatric Emergency Medicine Fellowship Journal Club: Strategies for Success in Geriatric Emergency Medicine Research
Geriatric Emergency Medicine Fellowship Journal Club: Strategies for Success in Geriatric Emergency Medicine Research Open
A 29-year-old resident physician is starting a geriatric emergency medicine fellowship.In addition to gaining valuable knowledge in the care of older adults through clinical rotations, one of their goals is to develop academic skills by ex…
View article: Pragmatism and feasibility: A qualitative study of experiences implementing and upgrading care in geriatric emergency departments
Pragmatism and feasibility: A qualitative study of experiences implementing and upgrading care in geriatric emergency departments Open
View article: Geriatric screening in the emergency department increases consultations to geriatric medicine and physical and occupational therapy: A pre/post cohort study
Geriatric screening in the emergency department increases consultations to geriatric medicine and physical and occupational therapy: A pre/post cohort study Open
Background The Geriatric Emergency Department (ED) Guidelines recommend screening older patients for need for evaluation by geriatric medicine, physical therapy (PT), and occupational therapy (OT), but explicit evidence that geriatric scre…
View article: Enhancing healthcare access for an older population: The age‐friendly emergency department
Enhancing healthcare access for an older population: The age‐friendly emergency department Open
Healthcare systems face significant challenges in meeting the unique needs of older adults, particularly in the acute setting. Age-friendly healthcare is a comprehensive approach using the 4Ms framework-what matters, medications, mentation…
View article: A reference standard for urinary tract infection research: a multidisciplinary Delphi consensus study
A reference standard for urinary tract infection research: a multidisciplinary Delphi consensus study Open
View article: Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model.
Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model. Open
The majority of HPM-EM competencies are included in the current EM Model and KSAs and correspond to knowledge needed to be competent in EM. Programs relying on the EM Milestones to plan their curriculums may miss training in symptom manage…
View article: Serious illness communication skills training for emergency physicians and advanced practice providers: a multi-method assessment of the reach and effectiveness of the intervention
Serious illness communication skills training for emergency physicians and advanced practice providers: a multi-method assessment of the reach and effectiveness of the intervention Open
Background EM Talk is a communication skills training program designed to improve emergency providers’ serious illness conversational skills. Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, thi…
View article: Functional decline in older adults with suspected pneumonia at emergency department presentation
Functional decline in older adults with suspected pneumonia at emergency department presentation Open
Acute illness causes physical function decline and mortality in older adults (age ≥ 65 years).1, 2 Older adults admitted or discharged from the emergency department (ED)1, 2 are particularly at risk for functional decline and some never re…
View article: Core requirements of frailty screening in the emergency department: an international Delphi consensus study
Core requirements of frailty screening in the emergency department: an international Delphi consensus study Open
Introduction Frailty is associated with adverse outcomes among patients attending emergency departments (EDs). While multiple frailty screens are available, little is known about which variables are important to incorporate and how best to…
View article: The salivary microbiota of patients with acute lower respiratory tract infection–A multicenter cohort study
The salivary microbiota of patients with acute lower respiratory tract infection–A multicenter cohort study Open
The human microbiome contributes to health and disease, but the oral microbiota is understudied relative to the gut microbiota. The salivary microbiota is easily accessible, underexplored, and may provide insight into response to infection…
View article: Integration of Geriatric Education Within the American Board of Emergency Medicine Model
Integration of Geriatric Education Within the American Board of Emergency Medicine Model Open
All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this…
View article: Emergency Nurses’ Perceived Barriers and Solutions to Engaging Patients With Life-Limiting Illnesses in Serious Illness Conversations: A United States Multicenter Mixed-Method Analysis
Emergency Nurses’ Perceived Barriers and Solutions to Engaging Patients With Life-Limiting Illnesses in Serious Illness Conversations: A United States Multicenter Mixed-Method Analysis Open
View article: Automating risk stratification for geriatric syndromes in the emergency department
Automating risk stratification for geriatric syndromes in the emergency department Open
Background Geriatric emergency department (GED) guidelines endorse screening older patients for geriatric syndromes in the ED, but there have been significant barriers to widespread implementation. The majority of screening programs requir…
View article: Emergency department patient and physician survey accuracy compared to chart abstraction in patients with acute respiratory illness
Emergency department patient and physician survey accuracy compared to chart abstraction in patients with acute respiratory illness Open
Background High‐quality research studies in older adults are needed. Unfortunately, the accuracy of chart review data in older adult patients has been called into question by previous studies. Little is known on this topic in patients with…
View article: 134 “What Matters” in the Emergency Department: A Prospective Analysis of Older Adults’ Concerns and Desired Outcomes
134 “What Matters” in the Emergency Department: A Prospective Analysis of Older Adults’ Concerns and Desired Outcomes Open
View article: Establishment of Baseline Urinary Antimicrobial Peptide Levels by Age: A Prospective Observational Study
Establishment of Baseline Urinary Antimicrobial Peptide Levels by Age: A Prospective Observational Study Open
Background Antimicrobial peptides (AMPs) are key effectors of urinary tract innate immunity. Identifying differences in urinary AMP levels between younger and older adults is important in understanding older adults’ susceptibility and resp…