{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:36:10Z","timestamp":1776684970362,"version":"3.51.2"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0714980826100622_sec32\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Behavioral and psychological symptoms of dementia (BPSD) are common in hospitalized older people and challenge acute care delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100622_sec33\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study sought to identify available quality indicators (QIs) for BPSD, establish priorities, and explore perceived facilitators and barriers to their use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100622_sec25\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional electronic survey among physicians, nurses, and administrators in Quebec acute care hospitals (January\u2013February 2025). The survey included open-ended questions analysed using Donabedian\u2019s structure\u2013process\u2013outcome model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100622_sec26\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Fifty-five respondents generated 677 responses, yielding 59 themes, 44 deemed priorities. Key QIs included delirium screening, restraint and antipsychotic use, length of stay, adverse events, and resource availability. Participants emphasized the need for standardized, clinically meaningful QIs. Reported barriers included staffing shortages, fragmented technological systems, and limited institutional prioritization, while facilitators included leadership commitment, interdisciplinary support, and structured training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100622_sec27\" sec-type=\"discussion\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Embedding standardized QIs into electronic health records may enhance benchmarking, guide improvement, and promote safer dementia care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0714980826100622","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:36:49Z","timestamp":1776681409000},"page":"1-10","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Quality Indicators for Behavioral and Psychological Symptoms of Dementia: A Qualitative Study on Available Measures and Key Factors for Implementation in Acute Care"],"prefix":"10.1017","author":[{"given":"Philippe","family":"Desmarais","sequence":"first","affiliation":[{"name":"Centre de Recherche du Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al"},{"name":"Centre Hospitalier de l\u2019Universite de Montreal"},{"name":"Centre de Recherche de l\u2019Institut Universitaire de G\u00e9riatrie de Montr\u00e9al"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline","family":"Bolduc","sequence":"additional","affiliation":[{"name":"Centre de Recherche de l\u2019Institut Universitaire de G\u00e9riatrie de Montr\u00e9al"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Conant","sequence":"additional","affiliation":[{"name":"Centre de Recherche du Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeleine","family":"Asselin","sequence":"additional","affiliation":[{"name":"Centre de Recherche du Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Chabot","sequence":"additional","affiliation":[{"name":"St Mary\u2019s Hospital Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9raldine","family":"Clerjuste","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de l\u2019Universite de Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Constant","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de l\u2019Universite de Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"D\u00e9cary","sequence":"additional","affiliation":[{"name":"Centre Int\u00e9gr\u00e9 de Sant\u00e9 et de Services Sociaux de la Mont\u00e9r\u00e9gie-Est du Qu\u00e9bec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Desforges","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al Facult\u00e9 de Pharmacie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Fortier","sequence":"additional","affiliation":[{"name":"Centre Int\u00e9gr\u00e9 de Sant\u00e9 et de Services Sociaux de Laval du Qu\u00e9bec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Gauthier","sequence":"additional","affiliation":[{"name":"Centre Int\u00e9gr\u00e9 de Sant\u00e9 et de Services Sociaux des Laurentides du Qu\u00e9bec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Jeanne","family":"Kergoat","sequence":"additional","affiliation":[{"name":"Centre de Recherche de l\u2019Institut Universitaire de G\u00e9riatrie de Montr\u00e9al"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Kistchouk","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de l\u2019Universite de Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Di Lalla","sequence":"additional","affiliation":[{"name":"CIUSSS Centre-Sud-de-l\u2019Ile-de-Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Mailhot","sequence":"additional","affiliation":[{"name":"Centre Int\u00e9gr\u00e9 de Sant\u00e9 et de Services Sociaux des Laurentides du Qu\u00e9bec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Pier","family":"Mandeville","sequence":"additional","affiliation":[{"name":"Centre Int\u00e9gr\u00e9 de Sant\u00e9 et de Services Sociaux de la Mont\u00e9r\u00e9gie-Est du Qu\u00e9bec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5412-2597","authenticated-orcid":false,"given":"Quoc Dinh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Centre de Recherche du Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al"},{"name":"Centre Hospitalier de l\u2019Universite de Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Claude","family":"Patry","sequence":"additional","affiliation":[{"name":"CIUSSS Centre-Sud-de-l\u2019Ile-de-Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The BPSD in Acute Care Workgroup","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"S0714980826100622_r21","unstructured":"Minist\u00e8re de la Sant\u00e9 et des Services Sociaux (2020). 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J. , Larochelle, N. , L\u00e9veill\u00e9, G. , Patry, M. C. , Papillon-Ferland, L. , Rajotte, M. , & Taillefer, N. (2022). Sympt\u00f4mes comportementaux et psychologiques associ\u00e9s \u00e0 la d\u00e9mence (SCPD) ou au d\u00e9lirium en soins de courte dur\u00e9e: \u00c9tat de situation et recommandations sur les pratiques appropri\u00e9es et efficaces. R\u00e9seau universitaire int\u00e9gr\u00e9 de sant\u00e9 et de services sociaux (RUISSS) de l\u2019Universit\u00e9 de Montr\u00e9al, Comit\u00e9 sur le vieillissement. https:\/\/ruisss.umontreal.ca\/wp-content\/uploads\/sites\/61\/2023\/01\/rapport_RUISSS_UdeM_vieillissement_SCPD.pdf"},{"key":"S0714980826100622_r16","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.2012.54"},{"key":"S0714980826100622_r6","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-019-1306-7"},{"key":"S0714980826100622_r18","volume-title":"Portrait sommaire des indicateurs en transitions de soins et services des a\u00een\u00e9s vivant dans la communaut\u00e9 avec un trouble neurocognitif majeur (TNCM) au Qu\u00e9bec","year":"2023"},{"key":"S0714980826100622_r25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2021.104622"},{"key":"S0714980826100622_r20","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.12.1475"},{"key":"S0714980826100622_r4","volume-title":"Data quality study of the 2015\u20132016 discharge abstract database: A focus on hospital harm","year":"2016"},{"key":"S0714980826100622_r15","doi-asserted-by":"publisher","DOI":"10.1177\/1178632918818836"},{"key":"S0714980826100622_r17","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-277"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980826100622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:36:54Z","timestamp":1776681414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980826100622\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":25,"alternative-id":["S0714980826100622"],"URL":"https:\/\/doi.org\/10.1017\/s0714980826100622","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}