Utilization of Technology to Improve Geriatric Care in the Emergency Department

The use of technology in the emergency department (ED) to improve quality of care of older adult patients in the emergency department (ED) is the focus of this presentation. A comprehensive systematic literature review was completed focusing on polypharmacy issues in the elderly and Beer’s list medications. The literature review was used to inform educational sessions and development of educational materials in two urban emergency departments. Particular focus was given to Beer’s list medications related to ED presentation, Beer’s list medications leading to hospital admission, and Beer’s list medications most commonly given while in the ED. Initial surveys were provided to ED nurses, physicians, nurse practitioners, and physician assistants to gain information related to the type of educational methods and devices would be employed. Emails, iPads preloaded with geriatric care apps attached to rolling iPad medical carts, oral presentation, Beer’s Criteria pocket cards, and posters focusing on Beer’s Criteria medications related to ED presentation were utilized. After three months of use, pre- and post-test information indicated increased knowledge of the Beer’s criteria and Beer’s criteria medications in the ED associated with a positive change in practice. Follow-up evaluation revealed which tools were the most useful in improving bedside care of the older adult in the ED. Not all methods of delivery were considered useful in the fast-paced ED environment for education during patient care, but Face-Time applications were used to improve patient communication.