AGEM Author Spotlight September 2023

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Published Work by AGEM Member:  
Katherine Buck Assistant Professor of Emergency Medicine at Ohio State University

Buck, Katherine - Katie Hunold

Implementation of geriatric screening in the emergency department using the Consolidated Framework for Implementation Research

Our manuscript details the implementation of nurse-driven screening of geriatric patients for delirium, fall risk and vulnerability. We demonstrate that the Consolidated Framework for Implementation Research (CFIR) can be successful for emergency department geriatric processes can be successful even when interrupted by a global pandemic. We hope that our experiences (good and bad) during this process can help others as they embark on their own implementation journeys. Two important lessons we learned that we hope others can take before their own projects include: (1) your single ED may function as small "units" that each need their own implementation process; and (2) sometimes the best way to be successful in implementation is to take a step back to avoid burn out and moral injury by accidently exacerbating factors outside your control (in our case the COVID-19 pandemic).  

Dr. Buck is an Assistant Professor at Ohio State University and Director of the Level 1 Geriatric ED. She received her medical degree from the University of Virginia and completed EM residency and a Research Fellowship at Ohio State University. She is a current NIA Beeson K76 award recipient. Her research focus is improving diagnostic accuracy in older adult emergency department patients with current work on pneumonia. She has been involved in geriatric emergency medicine and AGEM since she was an undergraduate student.