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Despite routine assessment of trauma and violence injuries, standardized screening for elder mistreatment remains low in emergency departments. A major barrier is the lack of integrated screening and response protocols within electronic health records that shape routine emergency workflows. This presentation describes implementing an evidence-informed elder mistreatment screening and response protocol at a Level III trauma center, reporting screening rate growth from about 2% to 85% for adults 65+ admitted.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/integrating-an-elder-mistreatment-intervention-protocol-into-the-emergency-department-electronic-health-record-abstract-citation-id-igaf122089/421526/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/integrating-an-elder-mistreatment-intervention-protocol-into-the-emergency-department-electronic-health-record-abstract-citation-id-igaf122089/421526.png","ImageObject",300,407,{"name":92,"@type":93},"Sophia Brooks","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is emergency department screening important for elder mistreatment?","Question",{"text":112,"@type":113},"Elder mistreatment is linked to higher morbidity and mortality, and abused older adults experience emergency department visits and hospitalizations more frequently. Emergency departments therefore offer a critical chance to detect mistreatment and trigger life-saving interventions.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What prevents elder mistreatment screening in emergency departments?",{"text":117,"@type":113},"A key barrier is the absence of integrated elder mistreatment screening and response protocols within electronic health records, which otherwise guide routine emergency assessments.",{"name":119,"@type":110,"acceptedAnswer":120},"What implementation results were reported after the protocol was integrated?",{"text":121,"@type":113},"The presentation reports that elder mistreatment screening rates for adults aged 65 and older admitted to the emergency department rose from about 2% before implementation to 85% afterward.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421526,1790812392,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Innovation in Aging, 2025, Vol. 9, No. S2 27  \nAbstract citation ID: igaf122.089  \nINTEGRATING AN ELDER MISTREATMENT INTERVENTION PROTOCOL INTO THE EMERGENCY DEPARTMENT ELECTRONIC HEALTH RECORD  \nJason Burnett1, Charles Maddow1, and Michael Cannell2,  \n1. UTHealth Houston, Houston, Texas, United States, 2. TCU, Fort Worth, Texas, United States  \nExperiencing mistreatment in later life significantly increases the risk of morbidity and mortality. These heightened risks are often preceded by or closely linked to emergency department visits and subsequent hospitalizations, which are more frequent among abused older adults compared to those who have not experienced mistreatment. Despite this, standardized screening for elder mistreatment (EM) remains low across clinical settings, including emergency departments—where trauma and violence-related injuries are routinely assessed and treated. As a result, emergency departments present a crucial opportunity for improving the detection of elder mistreatment and providing potentially life-saving interventions. However, a key barrier to screening in these settings is the absence of integrated EM screening and response protocols within electronic health records, which guide most routine assessments in emergency care. This presentation outlines the process of implementing an evidence-informed EM screening and response protocol in a large Level III trauma center. Findings highlight the shift in EM screening rates among adults aged 65 and older admitted to the emergency department—from approximately 2% before implementation to 85% afterward. Additionally, challenges, barriers, and strategies for successful implementation are explored.","cbCailE2QpxqoHPz","https://ap.wps.com/l/cbCailE2QpxqoHPz","pdf",101554,"English","# Background and Rationale\n## Low Screening for Elder Mistreatment in Emergency Care\n# Implementation Approach\n## Evidence-Informed Screening and Response Protocol\n## Integration into Electronic Health Records\n# Outcomes and Challenges\n## Screening Rate Increase After Implementation\n## Barriers and Strategies for Successful Adoption","[{\"question\":\"Why is emergency department screening important for elder mistreatment?\",\"answer\":\"Elder mistreatment is linked to higher morbidity and mortality, and abused older adults experience emergency department visits and hospitalizations more frequently. Emergency departments therefore offer a critical chance to detect mistreatment and trigger life-saving interventions.\"},{\"question\":\"What prevents elder mistreatment screening in emergency departments?\",\"answer\":\"A key barrier is the absence of integrated elder mistreatment screening and response protocols within electronic health records, which otherwise guide routine emergency assessments.\"},{\"question\":\"What implementation results were reported after the protocol was integrated?\",\"answer\":\"The presentation reports that elder mistreatment screening rates for adults aged 65 and older admitted to the emergency department rose from about 2% before implementation to 85% afterward.\"}]","INTEGRATING AN ELDER MISTREATMENT INTERVENTION PROTOCOL INTO THE EMERGENCY DEPARTMENT ELECTRONIC HEALTH RECORD - Abstract citation ID igaf122.089 | PDF",1790625066]