Department of Emergency Medicine, The Ohio State University Wexner Medical Center, 376 West 10th Avenue, Columbus, OH 43210, USA. Electronic address: https://twitter.com/kimbambach.
Department of Emergency Medicine, The Ohio State University Wexner Medical Center, 376 West 10th Avenue, Columbus, OH 43210, USA.
Emerg Med Clin North Am. 2021 May;39(2):429-442. doi: 10.1016/j.emc.2021.01.006. Epub 2021 Mar 17.
Each emergency department (ED) visit represents a crucial transition of care for older adults. Systems, provider, and patient factors are barriers to safe transitions and can contribute to morbidity and mortality in older adults. Safe transitions from ED to inpatient, ED to skilled nursing facility, or ED back to the community require a holistic approach, such as the 4-Ms model-what matters (patient goals of care), medication, mentation, and mobility-along with safety and social support. Clear written and verbal communication with patients, caregivers, and other members of the interdisciplinary team is paramount in ensuring successful care transitions.
每个急诊部（ED）就诊都代表着老年人医疗保健的重要转衔过程。系统、提供者和患者因素是安全转衔的障碍，并可能导致老年人发病率和死亡率上升。从 ED 到住院部、ED 到康复护理机构或 ED 回到社区的安全转衔需要采用整体方法，例如 4-Ms 模型——重要的是什么（患者的护理目标）、药物、心理状态和活动能力——以及安全性和社会支持。与患者、护理人员和跨学科团队的其他成员进行清晰的书面和口头沟通，对于确保成功的转衔护理至关重要。
