Building the Geriatric Emergency care Applied Research (GEAR) network

建立老年急救应用研究 (GEAR) 网络

基本信息

批准号：
9763414
负责人：
Ula Y Hwang
金额：
$ 28.18万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-15 至 2020-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9763414
关键词：
Accident and Emergency department Accounting Accreditation Address Advisory Committees Age Aging Ambulatory Care American Applications Grants Applied Research Area Automobile Driving Caring Clinical Clinical Data Clinical Research Collaborations Complement Consensus Data Development Dictionary Elderly Emergency Care Emergency Department Physician Emergency Medicine Emergency Situation Emergency department visit Emergency research Evaluation Evolution Foundations Funding Funding Opportunities Future General Population Generations Geriatrics Goals Growth Guidelines Health Health system Healthcare Healthcare Systems Hospitals Impaired cognition Informatics Institutes Interdisciplinary Study Intervention Lead Learning Measurement Measures Medical Modeling Multicenter Studies Network Infrastructure Nurses Outcome Measure Patient Care Patient-Focused Outcomes Pharmaceutical Preparations Phase Pilot Projects Policies Population Pragmatic clinical trial Protocols documentation Quality of Care Reporting Research Research Infrastructure Research Personnel Research Priority Safety Science Scientist Series Site Social Workers Standardization Structure Syndrome Testing United States National Institutes of Health Work base care coordination college data registry data warehouse experience health care service hospital organization human old age (65+)implementation science inpatient service interdisciplinary collaboration older patient pragmatic trial programs psychosocial rapid growth research to practice safety net standardize measure

项目摘要

PROJECT ABSTRACT: A research infrastructure in geriatric emergency care is needed to develop and test best practices in the ED setting that address the medical, health, and psychosocial needs of older patients. Despite evolution of interdisciplinary geriatric emergency department (GED) guidelines and the rapid growth and spread of self- declared GEDs, there is limited evidence of what better quality geriatric emergency care consists of and even less is known about the impact such care may have on patient outcomes. Thus, there is an imperative to advance interdisciplinary geriatric emergency medicine research. This proposal will leverage preliminary work from an early learning collaborative of 9 hospitals and health systems implementing geriatric emergency medicine initiatives and an early platform clinical data registry to create an interdisciplinary research infrastructure. The goal of this proposal is to launch the Geriatric Emergency care Applied Research (GEAR) Network and facilitate the framing and building of a research infrastructure supporting interdisciplinary aging studies focused on geriatric emergency medicine. Specifically, this network will: 1. establish research priorities and standardized data approaches and measures for common geriatric emergency care syndromes, 2. build a validated data bank to support opportunities to conduct geriatric emergency care research, and 3. facilitate future multicenter proposals and applications for pragmatic trials, dissemination and implementation studies, and other interdisciplinary projects that will further the advancement of best practices in geriatric emergency care. During the first framing phase (2-year R21) an interdisciplinary research task force will be convened of geriatricians, emergency physicians, nurses, social workers, representatives of the 9 hospital collaborative, data informatics experts, methodologists, pragmatic clinical trials experts, and dissemination and implementation scientists. Following a structured research-to-practice consensus building format, this task force will propose priorities and standardized measures for common geriatric syndromes and conditions encountered in the ED. Four cores will be organized in research, measurement, data and informatics and dissemination and implementation to support the 3-year R33 phase. During the second building phase, a data bank will be created from measures proposed by the task force. A multicenter evaluation will standardize, validate and test these measures for feasibility of implementation. In the latter phase of the R33, there will be an open call for 1-year pilot proposals. Pilot funding will preferentially support nascent investigators in geriatric emergency medicine that propose interdisciplinary collaborations and use data driven approaches from the GEAR infrastructure. The generation of preliminary data from these studies will further develop and build future opportunities for multicenter, interdisciplinary aging study grant proposals.

项目摘要：需要老年急救研究基础设施来开发和测试最佳实践急诊室环境满足老年患者的医疗、健康和社会心理需求。尽管进化跨学科老年急诊科 (GED) 指南以及自我护理的快速发展和传播宣布的 GED 中，关于更好质量的老年急救护理包括哪些内容的证据有限，甚至人们对此类护理可能对患者治疗结果产生的影响知之甚少。因此，当务之急是推进跨学科老年急诊医学研究。该提案将利用前期工作来自 9 家实施老年急救的医院和卫生系统的早期学习合作医学倡议和早期平台临床数据注册，以创建跨学科研究基础设施。该提案的目标是启动老年紧急护理应用研究 (GEAR) 建立网络并促进支持跨学科的研究基础设施的框架和建设衰老研究的重点是老年急诊医学。具体来说，该网络将： 1. 建立常见老年急救护理的研究重点以及标准化数据方法和措施综合症，2. 建立一个经过验证的数据库，以支持进行老年紧急护理的机会研究，以及 3. 促进未来的多中心提案和应用，以进行务实试验、传播和实施研究和其他跨学科项目将进一步推进最佳实践在老年急救护理中。在第一个框架阶段（2 年 R21），将召集一个跨学科研究工作组老年病专家、急诊医生、护士、社会工作者、9家医院协作代表，数据信息学专家、方法学家、务实的临床试验专家以及传播和实施科学家。遵循结构化的研究到实践共识构建格式，该任务部队将为常见的老年综合症和病症提出优先事项和标准化措施 ED里遇到的。将在研究、测量、数据和信息学方面组织四个核心传播和实施以支持 3 年 R33 阶段。在第二个构建阶段，数据银行将根据工作组提出的措施创建。多中心评估将标准化，验证和测试这些措施的实施可行性。在R33的后期阶段，将会有公开征集为期一年的试点提案。试点资金将优先支持老年医学领域的新生研究人员提出跨学科合作并使用数据驱动方法的急诊医学 GEAR 基础设施。这些研究产生的初步数据将进一步发展和建立多中心、跨学科老龄化研究资助提案的未来机会。