改善老年人获得医疗保健的机会:年龄友好的急诊室
Sangil Lee1, Rachel M Skains2,3, Phillip D Magidson4
1Department of Emergency Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA.
概括
年龄友好型急诊室 (AFED) 通过优化基础设施,临床政策和过渡来改善对老年人的护理. 这种方法提高了急性环境中的患者结果和临床医生的满意度.
科学领域:
- 老年医学 老年医学
- 医疗保健系统工程 系统工程
- 患者安全 患者安全
背景情况:
- 医疗保健系统难以满足急性护理机构中老年人的需求.
- 4M框架 (重要的是什么,药物,思维,流动性) 指导年龄友好的医疗保健.
- 年龄友好型急诊室 (AFED) 对于整体的年龄友好型卫生系统至关重要.
研究的目的:
- 为了提供AFED模型的概述.
- 为老年人和临床医生概述AFED的核心原则和好处.
- 详细介绍AFED整合到紧急护理提供中.
主要方法:
- 在ED物理基础设施 (照明,地板,辅助设备) 中整合特定年龄方面的考虑.
- 实施临床护理政策,解决老年人的生理,认知和心理社会需求.
- 通过改善沟通和社区伙伴关系,加强护理过渡.
主要成果:
- AFED优化了对老年患者的紧急护理服务.
- 有可能改善以患者为中心的结果,减少不良事件和增强功能恢复.
- 增加临床医生满意度,多学科支持和老年护理培训.
结论:
- AFEDs改善了患者的治疗结果和临床医生在急诊室的经验.
- 政策制定者,管理者和临床医生之间的合作对于AFED的采用至关重要.
- 标准化指导方针和解决障碍是必要的,以促进年龄友好的紧急护理.
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