Document Type
Article
Publication Date
7-2015
Publisher
Wiley
Source Publication
Journal of the American Geriatrics Society
Source ISSN
0002-8614
Abstract
Personalized health care that incorporates advance care planning and aligns treatment with patient-centered goals can improve the quality of life of dying individuals and reduce stress, anxiety, and depression in surviving relatives.1, 2 Although several prognostication indices that address all-cause mortality have been developed for use in elderly inpatients, none have been integrated into the electronic health record (EHR) to automatically identify high-risk individuals and used during interdisciplinary team rounds to identify vulnerable hospitalized adults.3 At Aurora Health Care in Milwaukee, Wisconsin, an automated alert for serious medical illnesses has been programmed into the EHR. Built on previous findings,4 the alert is intended to identify a subset of hospitalized individuals with a poor prognosis and to target them for a discussion of their goals of care. This quality improvement report aims to determine whether the automated alert is effective in identifying older inpatients at high risk for mortality.
Recommended Citation
Hocker, James D.; Khan, Ariba; Singh, Maharaj; Hook, Mary; Simpson, Michelle; Malsch, Aaron; Vollbrecht, Marsha; and Malone, Michael, "Can the Electronic Health Record Identify Vulnerable Older Adults in Need of a Palliative Care Assessment in the Hospital Setting?" (2015). College of Nursing Faculty Research and Publications. 1230.
https://epublications.marquette.edu/nursing_fac/1230
Comments
Accepted version. Journal of the American Geriatrics Society, Vol. 63, No. 7 (July 2015): 1479-1481. DOI. This article is © 2015 The Authors. Used with permission.
Maharaj Singh was affiliated with Aurora Health Care at the time of publication.