Emergency Department (ED) visits provide an important but seldom realized opportunity to identify elder mistreatment. Many screening tools exist, including several that are brief and may be effective, but few have been specifically designed for or tested in EDs. In addition to the absence of validated tools, other challenges with implementing ED elder mistreatment screening include difficulty integrating anything longer than a few questions into a busy clinical encounter and resources required to respond to positive screens. The Electronic Health Record (EHR) offers a critical tool to facilitate elder mistreatment screening through required data entry and real-time monitoring of compliance and results. We describe current work in the field and recommend next steps including design and testing of a two-step screening process, implementation research to accelerate adoption, development of ED-based interventions and referral protocols for positive cases, and consideration of the important role of pre-hospital providers in case identification.

中文翻译：

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筛查急诊科中的老年人虐待情况：当前进展和下一步建议。

急诊科（ED）的拜访为识别虐待老人提供了重要但很少意识到的机会。存在许多筛查工具，包括一些简短且可能有效的筛查工具，但很少有专门针对ED设计或在ED中进行测试的工具。除了缺乏经过验证的工具外，实施ED老年人虐待筛查的其他挑战包括难以将比几个问题更长的时间整合到繁忙的临床中，以及对阳性筛查做出反应所需的资源。电子健康记录（EHR）提供了重要工具，可通过所需的数据输入以及对合规性和结果的实时监控来促进对老年人虐待的筛查。我们描述了该领域的最新工作，并建议了后续步骤，包括两步筛选过程的设计和测试，