{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:08:05Z","timestamp":1781237285255,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While patients with dementia entering the hospital have worse outcomes than those without dementia, early detection of dementia in the inpatient setting is less than 50%. We developed and assessed the positive predictive value (PPV) and feasibility of a novel electronic health record (EHR) banner to identify patients with dementia who present to the inpatient setting using data from the medical record.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and implemented an EHR algorithm to flag hospitalized patients age \u226565\u2009years with potential cognitive impairment in the Epic EHR system using dementia ICD\u201010 codes, FDA\u2010approved medications, and the use of the term \u201cdementia\u201d in the emergency department physician note. Medical records were reviewed for all patients who were flagged with an EHR banner from October 2022 to May 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 344 individuals were identified who had a banner on their chart of which 280 (81.4%) were either diagnosed with dementia or were on an FDA\u2010approved dementia medication. Forty\u2010three individuals who had confirmed dementia were identified by a medication only (15.4%). Of the patients without confirmed dementia, the majority (N\u2009=\u200933, 9.6%) had a diagnosis of altered mental status, cognitive dysfunction, or mild cognitive impairment. Only 31 individuals (9.0%) had no indication of dementia or cognitive decline in their problem list, past medical history, or medication list.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found that it was feasible to implement an EHR algorithm for prospective dementia identification with a high PPV. These types of algorithms provide an opportunity to accurately identify hospitalized older individuals for inclusion in quality improvement projects, clinical trials, pay\u2010for\u2010performance programs, and other initiatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18673","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T05:58:26Z","timestamp":1699423106000},"page":"822-827","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Alerting providers to hospitalized persons with dementia using the electronic health record"],"prefix":"10.1111","volume":"72","author":[{"given":"Zaldy S.","family":"Tan","sequence":"first","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabeel","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"},{"name":"RAND Corporation  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Roberts","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"},{"name":"California Rehabilitation Institute  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustine","family":"Guinto","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Escovedo","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phong","family":"Chung","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Spivack","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Nasmyth","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Kremen","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy L.","family":"Sicotte","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Alzheimer's Association.Alzheimer's Disease Facts and Figures.2023.https:\/\/www.alz.org\/media\/Documents\/alzheimers\u2010facts\u2010and\u2010figures.pdf"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.06.3063"},{"key":"e_1_2_9_4_1","volume-title":"Improving Hospital Care for Persons with Dementia","author":"Maslow K","year":"2006"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0000000000000118"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010019\u20101369\u20107"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010018\u20104377\u2010y"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2011.596805"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.055335"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/26.1.31"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajgp.12.6.639"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v2.i4.58"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac051"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13573"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics4010007"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14744"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.02.016"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010138\u20105\u2010200303040\u201000011"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.21.2391"},{"key":"e_1_2_9_20_1","unstructured":"AdamsK.31 Numbers That Show How Big Epic Cerner Allscripts & Meditech Are in Healthcare. 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