Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine

Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine
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DOI:
10.1111/acem.12415
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发表时间:
2014-07-01
影响因子:
4.4
通讯作者:
Wilber, Scott
Wilber, Scott
中科院分区:
医学3区
文献类型:
--
作者:
Carpenter, Christopher R.;Bromley, Marilyn;Wilber, Scott

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在美国和世界各地,为老年人提供紧急护理的有效,高效和可靠的策略正在挑战拥挤的急诊科(ED)和紧张的医疗保健系统。作为回应,老年急诊医学(EM)临床医生,教育工作者和研究人员与美国急诊医师学会(ACEP),美国老年医学会(AGS),急诊护士协会(ENA)和学术急诊医学学会(SAEM)合作,制定旨在通过提高专业知识,教育和质量改进期望来改善艾德老年护理的指南;设备;政策;和协议。这些“老年急诊科指南”代表了第一次正式的社会主导的尝试,以描述老年艾德的基本属性,并在2013年和2014年获得了四个社会的董事会的正式批准。本文旨在介绍EM和老年保健提供者的指导方针,同时提供建议,教育传播,完善通过正式的有效性评估和成本效益研究,和机构认证。(C)2014年,美国学术急救医学会(Society for Academic Emergency Medicine)
In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM) to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations; equipment; policies; and protocols. These "Geriatric Emergency Department Guidelines" represent the first formal society-led attempt to characterize the essential attribute of the geriatric ED and received formal approval from the boards of directors for each of the four societies in 2013 and 2014. This article is intended to introduce EM and geriatric health care providers to the guidelines, while providing proposals for educational dissemination, refinement via formal effectiveness evaluations and cost-effectiveness studies, and institutional credentialing. (C) 2014 by the Society for Academic Emergency Medicine