ArticleEuropean geriatric medicine2026
Evaluating implementation of a geriatrician-led emergency department model of care: a qualitative study using the consolidated framework for implementation research.
Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- How a geriatrician-led emergency department model works in practice: a realist evaluation.Age and ageing · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo examine determinants of adoption, workflow integration, and sustainability of an embedded geriatrician-led model of care (Geriatric Emergency Department Innovation, GEDI), a service providing timely specialist geriatric assessment for older adults presenting to the ED.
methodsSixteen interviews and five focus groups were conducted, guided by semi-structured interview guides. Thirty-one participants participated, including emergency physicians (n = 5), emergency department (ED) nurse unit managers (n = 4), geriatricians (n = 5), ED pharmacists (n = 5), care coordinators (n = 8), and admitting physicians (n = 4). Interviews were audio recorded, professionally transcribed and analyzed using deductive content analysis guided by the Consolidated Framework for Implementation Research (CFIR).
resultsDeterminants of implementation were identified across CFIR domains. GEDI was perceived to offer timely specialist geriatric expertise at the bedside, supporting rapid and holistic assessment, shared decision making and collaborative practice. Adoption was hindered by inconsistent awareness among rotating junior doctors and variable staffing that affected referrals. Workflow integration was challenged by the impracticality of standardized referral criteria in a highly variable ED environment. Sustainability was threatened by referral noise when the scope was unclear, early deferral referrals were made before basic assessment, and the limited capacity of a single geriatrician to meet demand.
conclusionsA geriatrician-led model of care can be integrated into routine ED workflows when supported by accessible specialist expertise and collaborative interprofessional relationships. Implementation was influenced by contextual and organizational determinants across CFIR domains, suggesting that adoption in other settings will require local adaptation. Role clarity, referral processes, orientation of rotating clinicians and service capacity are central considerations for sustainability.
Indexed as
Identifiers
41442099What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.