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南方关怀老年应急小组:一种在澳大利亚创新性的模式,为老年护理机构提供急症护理。

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

作者信息

Jain Shikha, Gonski Peter N, Jarick Jeannette, Frese Sandra, Gerrard Sheena

机构信息

Southcare, Aged and Extended Care, The Sutherland Hospital, Sydney, New South Wales, Australia.

出版信息

Intern Med J. 2018 Jan;48(1):88-91. doi: 10.1111/imj.13672.

Abstract

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.

摘要

本研究回顾了为提高居住在老年护理机构(RACF)中的居民的护理质量而开发的一个模型的成果。在18个月的时间里,南护老年飞行医疗队共诊治了640名RACF中病情严重的居民。其中,578名(90.3%)在RACF得到处理,避免了前往急诊科。仅35名(5.5%)患者需要转至急诊科,27名(4.2%)直接入住内科病房。该服务通过提供快速评估与处理、治疗地点选择及干预水平选择,可能减少了急诊就诊人数。

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