ElBestawi Marilyn R, Kohm Catherine
1 Developer PREVIEW-ED Tool, Oakville, Ontario, Canada.
2 Fraser Health, Surrey, British Columbia, Canada.
Healthc Manage Forum. 2018 Jul;31(4):137-141. doi: 10.1177/0840470417753969. Epub 2018 Jun 7.
Healthcare organizations and governments are exploring new methods to deliver cost-effective, quality care to the frail elderly. Given the projected increase in Canada's elderly population, ensuring that residents receive the right care, at the right time, in the right location is pivotal to this goal. Practical Routine Elder Variants Indicate Early Warning for Emergency Department has been developed as a quality improvement tool. Two pilot studies, one in Ontario and one in British Columbia, have shown promising results. Health leaders in acute care will benefit from improved Emergency Department (ED) utilization and less congested bed flow. Long-term care leaders can achieve fewer transfers to the ED, better quality outcomes, reduced costs from ED-acquired iatrogenic complications, enhanced communication with families, and improved staff confidence and morale. The health system benefits include reduced costs from fewer transfers and complications and enhanced collaboration between healthcare sectors.
医疗保健机构和政府正在探索新方法，以便为体弱老年人提供具有成本效益的优质护理。鉴于加拿大老年人口预计会增加，确保居民在正确的时间、正确的地点获得正确的护理对实现这一目标至关重要。“实用常规老年变体预示急诊科早期预警”已被开发为一种质量改进工具。两项试点研究，一项在安大略省，一项在不列颠哥伦比亚省，均显示出了令人鼓舞的结果。急症护理领域的卫生领导者将受益于急诊科利用率的提高和病床流转的减少。长期护理领域的领导者可以减少向急诊科的转诊次数，获得更好的质量结果，降低因急诊科获得性医源性并发症而产生的成本，加强与家属的沟通，并提高工作人员的信心和士气。卫生系统的益处包括因转诊和并发症减少而降低成本，以及加强医疗保健部门之间的协作。
