{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:00:30Z","timestamp":1792695630210,"version":"4.5.0"},"reference-count":23,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008401","name":"Carilion Clinic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008401","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jamda.2025.106072","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T16:21:05Z","timestamp":1769271665000},"page":"106072","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating Emergency Department Transfers for Falls in Skilled Nursing Facilities: A Single-Site Observational Study of Witnessed and Unwitnessed Falls"],"prefix":"10.1016","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9069-2439","authenticated-orcid":false,"given":"Katherine D.","family":"Mayes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole E.-P.","family":"Stark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna","family":"Reilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Henley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Rowson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damon R.","family":"Kuehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2025.106072_bib1","doi-asserted-by":"crossref","first-page":"875","DOI":"10.15585\/mmwr.mm6927a5","article-title":"Trends in nonfatal falls and fall-related injuries among adults aged \u226565 years \u2014 United States, 2012\u20132018","volume":"69","author":"Moreland","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jamda.2025.106072_bib2","series-title":"Principles and Practice of Geriatric Surgery: Third Edition: With 261 Figures and 155 Tables","first-page":"277","article-title":"Traumatic injury in older adults","author":"Knowlton","year":"2020"},{"key":"10.1016\/j.jamda.2025.106072_bib3","doi-asserted-by":"crossref","first-page":"e84","DOI":"10.2105\/AJPH.2012.300960","article-title":"Leading causes of unintentional and intentional injury mortality: United States, 2000-2009","volume":"102","author":"Rockett","year":"2012","journal-title":"Am J Public Health"},{"key":"10.1016\/j.jamda.2025.106072_bib4","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1177\/1559827615600137","article-title":"The CDC injury center\u2019s response to the growing public health problem of falls among older adults","volume":"10","author":"Houry","year":"2016","journal-title":"Am J Lifestyle Med"},{"key":"10.1016\/j.jamda.2025.106072_bib5","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/jgs.15304","article-title":"Medical costs of fatal and nonfatal falls in older adults","volume":"66","author":"Florence","year":"2018","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2025.106072_bib6","first-page":"7","article-title":"Falls among older adults: public health impact and prevention strategies","volume":"26","author":"Stevens","year":"2002","journal-title":"Generations"},{"key":"10.1016\/j.jamda.2025.106072_bib7","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1016\/j.jamda.2005.12.016","article-title":"Falls in the nursing home: are they preventable?","volume":"7","author":"Vu","year":"2006","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.106072_bib8","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.jamda.2015.01.076","article-title":"Identifying potentially preventable emergency department visits bynursing home residents in the United States","volume":"16","author":"Burke","year":"2015","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.106072_bib9","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1016\/j.jamda.2022.01.063","article-title":"Identifying appropriate nursing home resources to reduce fall-related emergency department transfers","volume":"23","author":"Guerbaai","year":"2022","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.106072_bib10","article-title":"Does telehealth influence the decision to transfer residents of residential aged care facilities to emergency departments? A scoping review","volume":"18","author":"Sunner","year":"2023","journal-title":"Int J Old People Nurs"},{"key":"10.1016\/j.jamda.2025.106072_bib11","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1111\/j.1553-2712.1997.tb03818.x","article-title":"Patient transfer from nursing home to emergency department: outcomes and policy implications","volume":"4","author":"Jones","year":"1997","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jamda.2025.106072_bib12","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1111\/jgs.16863","article-title":"The cost of a fall among older adults requiring emergency services","volume":"69","author":"Newgard","year":"2021","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2025.106072_bib13","first-page":"31","article-title":"Witnessed and unwitnessed falls among the elderly with dementia in Japanese nursing homes","volume":"Vol 3","author":"Kobayashi","year":"2006"},{"key":"10.1016\/j.jamda.2025.106072_bib14","doi-asserted-by":"crossref","first-page":"187.e1","DOI":"10.1016\/j.jamda.2011.06.011","article-title":"Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes","volume":"13","author":"Rapp","year":"2012","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.106072_bib15","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1080\/09638280110093686","article-title":"Fear of falling, falls efficacy, and health outcomes in older people following hip fracture","volume":"24","author":"Mckee","year":"2002","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.jamda.2025.106072_bib16","first-page":"748","article-title":"Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life","volume":"71","author":"Hartholt","year":"2011","journal-title":"J Trauma - Inj Infect Crit Care"},{"key":"10.1016\/j.jamda.2025.106072_bib17","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1023\/B:JOHE.0000016717.22032.03","article-title":"Falls and fall-related injuries among the elderly: a survey of residential-care facilities in a Swedish municipality","volume":"29","author":"Sadigh","year":"2004","journal-title":"J Community Health"},{"key":"10.1016\/j.jamda.2025.106072_bib18","doi-asserted-by":"crossref","first-page":"982","DOI":"10.3390\/jcm12030982","article-title":"Evaluation of clinical characteristics and CT decision rules in elderly patients with minor head injury: a prospective multicenter cohort study","volume":"12","author":"Coffeng","year":"2023","journal-title":"J Clin Med"},{"key":"10.1016\/j.jamda.2025.106072_bib19","series-title":"Head Injury: Assessment and Early Management (NICE guideline, No. NG232)","year":"2023"},{"key":"10.1016\/j.jamda.2025.106072_bib20","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002313","article-title":"Validation of the sensitivity of the National Emergency X-Radiography Utilization Study (NEXUS) head Computed Tomographic (CT) decision instrument for selective imaging of blunt head injury patients: an observational study","volume":"14","author":"Mower","year":"2017","journal-title":"Plos Med"},{"key":"10.1016\/j.jamda.2025.106072_bib21","article-title":"2017 national population projections tables: main series","year":"2017","journal-title":"United States Census Bur"},{"key":"10.1016\/j.jamda.2025.106072_bib22","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.jamda.2014.12.003","article-title":"Agreement between video footage and fall incident reports on the circumstances of falls in long-term care","volume":"16","author":"Yang","year":"2015","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.106072_bib23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12877-019-1329-2","article-title":"Fall-related emergency department visits and hospitalizations among community-dwelling older adults: examination of health problems and injury characteristics","volume":"19","author":"Choi","year":"2019","journal-title":"BMC Geriatr"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861025005894?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861025005894?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T09:25:28Z","timestamp":1772616328000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861025005894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1525861025005894"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2025.106072","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluating Emergency Department Transfers for Falls in Skilled Nursing Facilities: A Single-Site Observational Study of Witnessed and Unwitnessed Falls","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2025.106072","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Post-Acute and Long-Term Care Medical Association.","name":"copyright","label":"Copyright"}],"article-number":"106072"}}