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A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department.

Publication ,  Journal Article
Merkl, MA; Tanabe, P; Sverha, JP; Turner, B
Published in: Journal of emergency nursing
September 2016

Veterans eligible for health care in the Veterans Administration (VA) health system often receive care in community emergency Departments. In line with initiatives from Joining Forces and the American Academy of Nursing, emergency departments have an opportunity to screen for veterans during routine ED visits and provide resource information regarding various VA services.Our aims were to design and implement a screening process to identify veterans during an ED visit, notify ED providers of veteran status, and develop a Veteran Resource Guide to be distributed at the time of discharge. We embedded the mandatory question, "Have you ever served in the military?" in the electronic medical record (EMR). This question was asked of all patients 18 years and older.During an 80-day period, we screened 9364 patients and identified 415 veterans who would not be known to the providers using standard methods. We were able to deliver the Veteran Resource Guide to 77 of the 277 veterans discharged home.The addition of the mandatory question about military service to the EMR during the primary care assessment successfully identified veterans who presented for care in a community emergency department. Future initiatives should include automated processes to ensure that the Veteran Resource Guide is provided and to foster collaboration between community emergency departments and the VA.

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Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

September 2016

Volume

42

Issue

5

Start / End Page

400 / 407

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Quality Improvement
  • Nursing
  • Middle Aged
  • Male
  • Humans
  • Hospitals, Veterans
  • Hospitals, Community
 

Citation

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ICMJE
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Merkl, M. A., Tanabe, P., Sverha, J. P., & Turner, B. (2016). A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department. Journal of Emergency Nursing, 42(5), 400–407. https://doi.org/10.1016/j.jen.2015.11.009
Merkl, Maureen A., Paula Tanabe, John P. Sverha, and Barbara Turner. “A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department.Journal of Emergency Nursing 42, no. 5 (September 2016): 400–407. https://doi.org/10.1016/j.jen.2015.11.009.
Merkl MA, Tanabe P, Sverha JP, Turner B. A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department. Journal of emergency nursing. 2016 Sep;42(5):400–7.
Merkl, Maureen A., et al. “A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department.Journal of Emergency Nursing, vol. 42, no. 5, Sept. 2016, pp. 400–07. Epmc, doi:10.1016/j.jen.2015.11.009.
Merkl MA, Tanabe P, Sverha JP, Turner B. A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department. Journal of emergency nursing. 2016 Sep;42(5):400–407.
Journal cover image

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

September 2016

Volume

42

Issue

5

Start / End Page

400 / 407

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Quality Improvement
  • Nursing
  • Middle Aged
  • Male
  • Humans
  • Hospitals, Veterans
  • Hospitals, Community