解决不必要的和可以避免的转移从住宅老年护理到急诊室和医院
Micah Dj Peters1, Jarrod Clarke2, Casey Marnie2
1University of South Australia, UniSA Clinical and Health Sciences, Rosemary Bryant AO Research Centre, City East Campus, Level 4 Playford Building, Adelaide, SA, Australia; and Australian Nursing and Midwifery Federation (Federal Office), Melbourne, Vic, Australia; and University of Adelaide, School of Public Health, Health Evidence Synthesis, Recommendations and Impact (HESRI), Adelaide, SA, Australia; and Department of Clinical Medicine, The Danish Centre of Systematic Reviews: A Joanna Briggs Institute Centre of Excellence, Aalborg University, Denmark.
许多急诊室 (ED) 从老年护理机构转移是可以避免的. 改善人员,资源和支持可以减少这些有害的转移,增强居民的安全和护理经验.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 老年护理医学 老年护理医学
背景情况:
- 从住宅老年护理设施转移到急诊室 (ED) 是常见的.
- 这些转移可能会对居民,工作人员和医疗保健系统产生负面影响,可能是有害的,痛苦的和昂贵的.
研究的目的:
- 审查和讨论现有的关于ED转移来自住院养老服务的文献.
- 确定导致这些转移的因素,并探索减少干预措施.
主要方法:
- 证据综合和政策研究方法.
- 文献审查侧重于潜在因素和干预措施,以减少老年护理到ED转移.
主要成果:
- 可能可以避免的转移率高表明系统性问题,如人员不足和技能混合.
- 缺乏足够的培训,资源和支持,导致不必要的转移.
结论:
- 需要进行改革,包括改善人员配置,加强临床专业知识获取,质量改善举措和消费者参与等.
- 尽量减少不必要的转移,需要进行系统性改变,在适当的时候支持现场护理,确保老年人得到体面和安全的护理.
相关概念视频
Tertiary Healthcare System
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Secondary Healthcare System
Standards of Care I


