Decreasing preventable emergency department transfers for long-term care residents using PREVIEW-ED©.
Decreasing preventable emergency department transfers for long-term care residents using PREVIEW-ED©.
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DOI：
10.1177/0840470417753969
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发表时间：
2018-07-01
影响因子：
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通讯作者：
Kohm, Catherine
中科院分区：
文献类型：
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作者：
ElBestawi, Marilyn R;Kohm, Catherine
医疗保健组织和政府正在探索新的方法，为体弱的老年人提供具有成本效益的高质量护理。考虑到加拿大老年人口的预计增长，确保居民在正确的时间、正确的地点获得正确的护理是实现这一目标的关键。实用的常规老年人变体-急诊科早期预警已被开发为一种质量改进工具。两个试点研究，一个在安大略，一个在不列颠哥伦比亚省，已经显示出有希望的结果。急诊护理领域的卫生领导者将受益于急诊科（艾德）利用率的提高和病床流量的减少。长期护理的领导者可以实现更少的转移到艾德，更好的质量结果，降低成本从ED获得医源性并发症，加强与家庭的沟通，并提高工作人员的信心和士气。卫生系统的好处包括通过减少转移和并发症降低成本，以及加强卫生保健部门之间的合作。
Healthcare organizations and governments are exploring new methods to deliver cost-effective, quality care to the frail elderly. Given the projected increase in Canada's elderly population, ensuring that residents receive the right care, at the right time, in the right location is pivotal to this goal. Practical Routine Elder Variants Indicate Early Warning for Emergency Department has been developed as a quality improvement tool. Two pilot studies, one in Ontario and one in British Columbia, have shown promising results. Health leaders in acute care will benefit from improved Emergency Department (ED) utilization and less congested bed flow. Long-term care leaders can achieve fewer transfers to the ED, better quality outcomes, reduced costs from ED-acquired iatrogenic complications, enhanced communication with families, and improved staff confidence and morale. The health system benefits include reduced costs from fewer transfers and complications and enhanced collaboration between healthcare sectors.