Jain Shikha, Gonski Peter N, Jarick Jeannette, Frese Sandra, Gerrard Sheena
Southcare, Aged and Extended Care, The Sutherland Hospital, Sydney, New South Wales, Australia.
Intern Med J. 2018 Jan;48(1):88-91. doi: 10.1111/imj.13672.
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.
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。