{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:46:56Z","timestamp":1785743216770,"version":"3.56.0"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Evaluation by a primary care provider (PCP) after an emergency department (ED) visit for a fall is crucial for preventing future falls. However, little is known about the current practice of fall risk assessments and interventions across community and academic primary care clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective chart review of adults 65 and older discharged home after a fall from 9 EDs in Michigan. All primary care visits within 90\u2009days of the index ED visit were included. Patients were excluded if they had a PCP outside of our health system. The primary outcome was the rate of fall risk assessments and interventions performed during primary care visits, with definitions operationalized from the CDC STEADI (Stopping Elderly Accidents, Deaths, and Injuries) recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample included 168 older adults who attended PCP visits across 68 practices cared for by 144 different providers. A total of 277 visits were reviewed. Among all patients, 70.8% had the fall documented during primary care encounters. Rates of falls assessments varied widely, with balance (36%), gait (34%), and cognitive screens (24%) being most common and vision (11%), home hazards (11%), and fall\u2010risk increasing drugs (27%) assessments among the least common. Among patients with positive assessments, interventions were most common for those with home hazards (88%), vision impairment (89%), and fall\u2010risk increasing drugs (81%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A minority of patients who attended PCP appointments after a fall had comprehensive assessments. However, those who did have positive assessments frequently received targeted interventions. Primary care clinicians should be better supported and incentivized to perform comprehensive fall assessments. Health systems could better integrate assessments between acute and ambulatory care settings. Further work is needed to understand the barriers to conducting comprehensive fall risk assessments across care settings and alternative care models to bridge these gaps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70632","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:12:20Z","timestamp":1785741140000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Missed Opportunities for Fall Prevention: Primary Care Follow\u2010Up After\n                    <scp>Emergency Department<\/scp>\n                    Discharge in Older Adults"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-9269","authenticated-orcid":false,"given":"Thomas K.","family":"Hagerman","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"},{"name":"Department of Emergency Medicine The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Nour","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandana","family":"Cherukupalli","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denicia","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8844-5850","authenticated-orcid":false,"given":"Fabrice","family":"Mowbray","sequence":"additional","affiliation":[{"name":"School of Nursing Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9451-1359","authenticated-orcid":false,"given":"Joseph","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Willens","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7235a1"},{"key":"e_1_2_11_3_1","unstructured":"Centers for Disease Control and Prevention \u2010 National Center for Injury Prevention and Control \u201cWeb\u2013based Injury Statistics Query and Reporting System (WISQARS) \u201dwww.wisqars.cdc.gov."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.02.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2019.08.008"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2023.05.010"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2018.04.002"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199710303371806"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2019.01.009"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.02.008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14279"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12634"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.10.021"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2022.08.003"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010019\u20101329\u20102"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1377972"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839912463576"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19378"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1903252"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181e89905"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007146.pub3"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2014.12.007"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16831"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14743"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0196\u20100644(97)70008\u20108"},{"key":"e_1_2_11_27_1","unstructured":"United States Centers for Disease Control and Prevention \u201cSTEADI\u2013Older Adult Fall Prevention \u201dhttps:\/\/www.cdc.gov\/steadi\/index.html."},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2004.52417.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2008.02128.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2016.00190"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igx028"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40621\u2010017\u20100114\u2010y"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205279"},{"key":"e_1_2_11_34_1","unstructured":"Centers for Medicare & Medicaid Services \u201cGroup Performance Information on Medicare Care Compare \u2010 2021 Doctors and Clinicians Public Reporting \u201dhttps:\/\/www.cms.gov\/files\/document\/2021\u2010clinician\u2010performance\u2010information.pdf."},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010022\u201007707\u2010x"},{"key":"e_1_2_11_36_1","unstructured":"J. A.Stevens M. L.Smith E. M.Parker L.Jiang andF. D.Floyd \u201cImplementing a Clinically Based Fall Prevention Program \u201dhttp:\/\/europepmc.org\/abstract\/MED\/31903086."},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny101"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw074"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1559827617716085"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.0814"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.07.025"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18947"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.70232"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70632","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70632","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70632","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:18:36Z","timestamp":1785741516000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,3]]},"references-count":42,"alternative-id":["10.1111\/jgs.70632"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70632","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,3]]},"assertion":[{"value":"2025-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jgs.70632"}}