Susan Nicole Hastings

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An Emergency Department (ED) visit represents a time of significant risk for an older adult; however, little is known about adverse outcomes after an ED visit in the VA system. 1) To describe the frequency and type of adverse health outcomes among older veterans discharged from the ED, and 2) To determine risk factors associated with adverse outcomes.(More)
OBJECTIVES To determine whether satisfaction of on-site nurses with after-hours telephone communication with off-site physicians improved in one long-term care (LTC) facility after a nurse-oriented intervention. DESIGN Longitudinal quality improvement study. SETTING Extended Care and Rehabilitation Center (ECRC), Durham Veterans Affairs Medical Center.(More)
OBJECTIVES To evaluate the evidence for interventions designed to improve outcomes for elders discharged from the emergency department (ED). METHODS The study was a systematic review of English-language articles indexed in MEDLINE and CINAHL (1966-2005) with 1) key words "geriatric," "older adults," or "seniors," or 2) Medical Subject Heading (MeSH) terms(More)
BACKGROUND Older adults who are discharged from the emergency department (ED) may be at risk for subsequent adverse outcomes; however, this has not been fully investigated in national, population-based samples. The goal of this study was to determine the frequency and predictors of adverse outcomes among older adults discharged from the ED. DESIGN(More)
OBJECTIVES To describe the independent contributions of selected medical conditions to the disparity between black and white people in disability rates, controlling for demographic and socioeconomic factors. DESIGN Cross-sectional analysis of a community-based cohort. SETTING Urban and rural counties of central North Carolina. PARTICIPANTS Two(More)
OBJECTIVES To determine whether frail older adults, based on a deficit accumulation index (DAI), are at greater risk of adverse outcomes after discharge from the emergency department (ED). DESIGN AND SETTING Secondary analysis of data from the Medicare Current Beneficiary Survey. PARTICIPANTS One thousand eight hundred fifty-one community-dwelling(More)
OBJECTIVE To identify opportunities for quality improvement in long-term care telephone medicine using a model of interdisciplinary focus groups. DESIGN Descriptive pilot project. SETTING Extended Care and Rehabilitation Center (ECRC), Durham VA Medical Center, Durham, North Carolina. PARTICIPANTS Eight of 20 registered or licensed practical nurses(More)
OBJECTIVES Study objectives were to identify groups of older patients with similar patterns of health care use in the 12 months preceding an index outpatient emergency department (ED) visit and to identify patient-level predictors of group membership. METHODS   Subjects were adults ≥ 65 years of age treated and released from an academic medical center ED.(More)
OBJECTIVES To describe older patients' understanding of emergency department (ED) discharge information and to explore the relationship between understanding of ED discharge information and adverse outcomes. METHODS Telephone interviews were conducted with patients 65 years or older (or their proxies) within 72 hours of discharge from an academic medical(More)
OBJECTIVES To determine predictors of repeat health service use in older veterans treated and released from the emergency department (ED). DESIGN Retrospective cohort study. SETTING Veterans Affairs Medical Center (VAMC) EDs. PARTICIPANTS Nationally representative sample of veterans aged 65 and older treated and released from one of 102 VAMC EDs(More)