McLane Patrick, Tate Kaitlyn, Reid R Colin, Rowe Brian H, Estabrooks Carole, Cummings Greta G
Alberta Health Services, Emergency Strategic Clinical Network, Alberta.
Department of Emergency Medicine, University of Alberta, Edmonton, Alberta.
Can J Aging. 2022 Mar;41(1):15-25. doi: 10.1017/S0714980821000039. Epub 2021 May 21.
Transitions for older persons from long-term care (LTC) to the emergency department (ED) and back, can result in adverse events. Effective communication among care settings is required to ensure continuity of care. We implemented a standardized form for improving consistency of documentation during LTC to ED transitions of residents 65 years of age or older, via emergency medical services (EMS), and back. Data on form use and form completion were collected through chart review. Practitioners' perspectives were collected using surveys. The form was used in 90/244 (37%) LTC to ED transitions, with large variation in data element completion. EMS and ED reported improved identification of resident information. LTC personnel preferred usual practice to the new form and twice reported prioritizing form completion before calling 911. To minimize risk of harmful unintended consequences, communication forms should be implemented as part of broader quality improvement programs, rather than as stand-alone interventions.
老年人从长期护理机构（LTC）转至急诊科（ED）再返回的过程中，可能会引发不良事件。护理机构之间需要进行有效的沟通，以确保护理的连续性。我们实施了一种标准化表格，以提高65岁及以上居民通过紧急医疗服务（EMS）从长期护理机构转至急诊科再返回期间文件记录的一致性。通过病历审查收集了有关表格使用和填写情况的数据。通过调查收集了从业者的观点。该表格在90/244（37%）的从长期护理机构到急诊科的转诊中使用，数据元素填写情况差异很大。紧急医疗服务部门和急诊科报告称，居民信息的识别有所改善。长期护理机构工作人员更喜欢常规做法而非新表格，并且两次报告称在拨打911之前优先填写表格。为了将有害意外后果的风险降至最低，沟通表格应作为更广泛的质量改进计划的一部分来实施，而不是作为单独的干预措施。
