{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:47:36Z","timestamp":1792054056380,"version":"4.4.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>The Palliative Care and Rapid Emergency Screening (P-CaRES) tool identifies emergency department (ED) patients with unmet palliative care needs. Whether a documented positive screen changes consultation when no referral pathway is attached has not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe inpatient specialty palliative care consultation after P-CaRES screening in a geriatric ED where results generated no alert, order set, or referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort study of patients 65+ screened with P-CaRES from 2019 to 2024, comparing P-CaRES-positive and -negative patients; the primary outcome was inpatient specialty palliative care consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 421 patients, 115 (27.3%) screened positive; they were older with longer hospitalizations. Consultation rates were nearly identical between positive and negative patients (13.9% vs. 13.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 1.00).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>P-CaRES identified older adults with serious illness but showed no meaningful difference in consultation (95% confidence interval [CI] excluded differences &gt;8 points), indicating that a passively documented positive screen was not associated with specialty consultation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261496668","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:50:18Z","timestamp":1791784218000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Palliative Care Screening Without Consultation: An Implementation Gap in Geriatric Emergency Department Palliative Care Screening"],"prefix":"10.1177","author":[{"given":"Lindsey","family":"Yourman","sequence":"first","affiliation":[{"name":"UC San Diego Health, La Jolla, California, USA."},{"name":"Department of Medicine, Division of Geriatrics, Gerontology, and Palliative Care, UC San Diego Health Sciences, La Jolla, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Tom","sequence":"additional","affiliation":[{"name":"Scripps Health, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Clay","sequence":"additional","affiliation":[{"name":"UC San Diego Health, La Jolla, California, USA."},{"name":"Emergency Department, UC San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marielle","family":"Bolano","sequence":"additional","affiliation":[{"name":"UC San Diego Health, La Jolla, California, USA."},{"name":"Department of Medicine, Division of Geriatrics, Gerontology, and Palliative Care, UC San Diego Health Sciences, La Jolla, California, USA."},{"name":"UC San Diego Palliative Care Program, La Jolla, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaishal","family":"Tolia","sequence":"additional","affiliation":[{"name":"UC San Diego Health, La Jolla, California, USA."},{"name":"Emergency Department, UC San Diego, San Diego, California, USA."},{"name":"Department of Emergency Medicine, UC San Diego Health Sciences, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0790-5211","authenticated-orcid":false,"given":"Kyle","family":"Edmonds","sequence":"additional","affiliation":[{"name":"UC San Diego Health, La Jolla, California, USA."},{"name":"Department of Medicine, Division of Geriatrics, Gerontology, and Palliative Care, UC San Diego Health Sciences, La Jolla, California, USA."},{"name":"UC San Diego Palliative Care Program, La Jolla, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0922"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0257501"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12710"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12963"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120960713"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/08258597211003359"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2020.111184"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10576-1"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01892-2"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-04-2020-0130"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14041047"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.14205"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000526"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-095894"}],"container-title":["Journal 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