Transitions of Care for the Geriatric Patient in the Emergency Department

被引：64

作者：

Kessler, Chad ^{[1
,2
,3
,4
]}

Williams, Meredith C. ^{[5
]}

Moustoukas, John N. ^{[2
]}

Pappas, Cleo ^{[6
]}

机构：

[1] Jesse Brown VA Hosp, Chicago, IL 60612 USA

[2] Univ Illinois, Dept Emergency Med, Chicago, IL 60612 USA

[3] Univ Illinois, Dept Med Educ, Chicago, IL 60612 USA

[4] Univ Illinois, Dept Internal Med, Chicago, IL 60612 USA

[5] Univ Chicago, Dept Med, Sect Emergency Med, Chicago, IL 60637 USA

[6] Univ Illinois, Lib Hlth Sci, Lib Hlth Sci Informat Serv, Chicago, IL 60612 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2013年 / 29卷 / 01期

关键词：

Senior; Emergency department; Geriatric hand-off; Patient transfer; Transfer of patients; Transitions; NURSING-HOME RESIDENTS; LONG-TERM-CARE; STANDARDIZED SIGN-OUT; ELDERLY-PATIENTS; CONTROLLED-TRIAL; OLDER-PEOPLE; HEALTH-CARE; MULTIDISCIPLINARY INTERVENTION; QUALITY INDICATORS; MEDICINE RESIDENCY;

D O I：

10.1016/j.cger.2012.10.005

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

This article reviews and summarizes more than 200 studies regarding key issues surrounding the transition of elderly patients to or from the emergency department (ED), with particular attention paid to the relationship between the ED and nursing homes. Transfers of care often occur with incomplete information, which results in increased morbidity, recidivism, and cost. Transitions of elderly patients could be improved by standardizing hand-offs processes, improving discharge planning for elderly patients, developing metrics for transfers of care and geriatric care quality, and finding sustainable sources of research funding.

引用

页码：49 / +

页数：22

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