发展老年急救科：人员、流程和场所。
Developing a Geriatric Emergency Department: People, Processes, and Place.
机构信息
Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, Ontario M5G 1V7, Canada; Schwartz-Reisman Emergency Medicine Institute, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.
Department of Sociology, Anthropology, and Public Health, University of Maryland, Baltimore County (UMBC), 104 Fairfield Drive, Baltimore, MD 21228, USA; Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore (UMB), Baltimore, MD, USA.
出版信息
Clin Geriatr Med. 2023 Nov;39(4):647-658. doi: 10.1016/j.cger.2023.05.008. Epub 2023 Jul 1.
Older patients' ED visits rose 30% over 5 years and EDs are now examining geriatric emergency department (GED) models of care. The 3 Ps model focuses on the GED's People, Processes, and the Place to provide a framework for GED development. Key resources include the: GED Collaborative, GED Guidelines, and Geriatric Emergency Department Accreditation process. Core to a GED's operation is its care processes including: (1) General approaches; (2) Screening for high-risk conditions; (3) Enhanced assessment; (4) Workflow alterations; and (5) Transitions. This article provides practical guidance to EDs seeking to enhance the ED experience of older people and improve the quality of their outcomes.
老年患者的 ED 就诊量在 5 年内增加了 30%，急诊部门现在正在研究老年急诊护理模式。3P 模型侧重于老年急诊护理的人员、流程和场所，为老年急诊护理的发展提供了框架。关键资源包括：老年急诊护理协作组织、老年急诊护理指南和老年急诊护理认证流程。老年急诊护理的核心是其护理流程，包括：（1）一般方法；（2）高风险状况筛查；（3）强化评估；（4）工作流程改变；和（5）过渡。本文为寻求改善老年人 ED 体验并提高其治疗效果的 ED 提供了实用指导。
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