Southcare Geriatric Flying Squad: an innovative Australian model providing acute care in residential aged care facilities

被引:16
作者
Jain, Shikha [1 ]
Gonski, Peter N. [1 ]
Jarick, Jeannette [1 ]
Frese, Sandra [1 ]
Gerrard, Sheena [1 ]
机构
[1] Sutherland Hosp, Southcare Aged & Extended Care, Sydney, NSW, Australia
关键词
residential aged care facilities; Geriatric Flying Squad; hospitalisation; nurse practitioner; emergency avoidance; LONG-TERM-CARE; NURSING-HOME; LAST YEAR; HOSPITALIZATIONS; LIFE;
D O I
10.1111/imj.13672
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study reviews the outcomes of a model developed to improve the quality of care of residents living within residential aged care facilities (RACF). The Southcare Geriatric Flying Squad saw a total of 640 acutely unwell RACF residents over an 18-month period. Of these, 578 (90.3%) were managed in the RACF avoiding emergency department. Only 35 (5.5%) patients required emergency department transfer and 27 (4.2%) were directly admitted to a medical ward. The service may have reduced emergency presentations by offering rapid assessment and management, choice in place of treatment and level of interventions.
引用
收藏
页码:88 / 91
页数:4
相关论文
共 12 条
[1]  
[Anonymous], 2016, REG POP GROWTH AUSTR
[2]   Can transfers from residential aged care facilities to the Emergency Department be avoided through improved primary care services? Data from qualitative interviews [J].
Arendts, Glenn ;
Reibel, Tracy ;
Codde, Jim ;
Frankel, Jackie .
AUSTRALASIAN JOURNAL ON AGEING, 2010, 29 (02) :61-65
[3]  
Caplan G, 2008, Aging Health, V4, P69
[4]   Advance care planning and hospital in the nursing home [J].
Caplan, Gideon A. ;
Meller, Anne ;
Squires, Barbara ;
Chan, Stella ;
Willett, Wendy .
AGE AND AGEING, 2006, 35 (06) :581-585
[5]   The costs and potential savings associated with nursing home hospitalizations [J].
Grabowski, David C. ;
O'Malley, A. James ;
Barhydt, Nancy R. .
HEALTH AFFAIRS, 2007, 26 (06) :1753-1761
[6]   The staffing-outcomes relationship in nursing homes [J].
Konetzka, R. Tamara ;
Stearns, Sally C. ;
Park, Jeongyoung .
HEALTH SERVICES RESEARCH, 2008, 43 (03) :1025-1042
[7]   Hospitalisation of high-care residents of aged care facilities: are goals of care discussed? [J].
Lane, H. ;
Zordan, R. D. ;
Weiland, T. J. ;
Philip, J. .
INTERNAL MEDICINE JOURNAL, 2013, 43 (02) :144-149
[8]   Reducing Potentially Avoidable Hospitalizations of Nursing Home Residents: Results of a Pilot Quality Improvement Project [J].
Ouslander, Joseph G. ;
Perloe, Mary ;
Givens, JoVonn H. ;
Kluge, Linda ;
Rutland, Tracy ;
Lamb, Gerri .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2009, 10 (09) :644-652
[9]   Appropriateness of the decision to transfer nursing facility residents to the hospital [J].
Saliba, D ;
Kington, R ;
Buchanan, J ;
Bell, R ;
Wang, MM ;
Lee, M ;
Herbst, M ;
Lee, D ;
Sur, D ;
Rubenstein, L .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (02) :154-163
[10]   Hospitalization patterns and palliation in the last year of life among residents in long-term care [J].
Travis, SS ;
Loving, G ;
McClanahan, L ;
Bernard, M .
GERONTOLOGIST, 2001, 41 (02) :153-160