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[老年护理院居民不适当入住急诊科的情况]

[Inappropriate admissions of Ehpad residents to emergency departments].

作者信息

Manckoundia Patrick, Ray Patrick, Quipourt Valérie, Vaillard Laurence, Dipanda Mélanie, Larosa Fabrice, Menu Didier, Guepet Hélène Sordet, Putot Alain, Barben Jeremy

机构信息

Pôle Personnes âgées, CHU, Dijon, France; UMR Inserm/U1093 CAPS, Université de Bourgogne, Dijon, France.

Département universitaire de médecine d'urgence, CHU Dijon, France.

出版信息

Soins Gerontol. 2023 Jan-Feb;28(159):42-45. doi: 10.1016/j.sger.2022.12.013. Epub 2022 Dec 16.

DOI:10.1016/j.sger.2022.12.013
PMID:36717177
Abstract

After a review of inappropriate admissions of residents of residential care facilities for the dependent elderly (Ehpad) to the emergency room, we propose ways to reduce them. They include giving the coordinating physician a clinical role, organizing continuity and permanence of care in all Ehpad, signing agreements between Ehpad and hospital for direct hospitalization and collaboration with mobile teams and geriatric hotlines, generalizing the level of medical intervention in Ehpad, and deepening the training of Ehpad caregivers in geriatrics.

摘要

在对依赖型老年人居住护理机构(Ehpad)的居民不适当入住急诊室的情况进行审查之后,我们提出了减少此类情况的方法。这些方法包括赋予协调医生临床职责、在所有Ehpad机构组织持续且稳定的护理、签订Ehpad机构与医院之间关于直接住院治疗的协议以及与流动团队和老年热线合作、普及Ehpad机构的医疗干预水平,以及深化对Ehpad护理人员的老年医学培训。

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引用本文的文献

1
Cost of care pathways before and after appropriate and inappropriate transfers to the emergency department among nursing home residents: results from the FINE study.养老院居民在适当和不适当转入急诊科前后的护理路径成本:FINE 研究结果。
BMC Geriatr. 2024 Apr 19;24(1):353. doi: 10.1186/s12877-024-04946-x.