In‐reach nursing services improve older patient outcomes and access to emergency care
作者： Maryann Street , Julie Considine , Patricia Livingston , Goetz Ottmann , Bridie Kent
DOI: 10.1111/AJAG.12137
关键词:
摘要: Aims To identify the impact of in-reach services providing specialist nursing care on outcomes for older people presenting to emergency department from residential aged care. Methods Retrospective cohort study compared clinical 2278 presentations 2009 with 2051 2011 before and after implementation services. Results Median length stay decreased by 24 minutes (7.0 vs 6.6 hours, P < 0.001) admission rates 23% (68 45%, P < 0.001). The proportion repeat visits within six months 12% (27 15%). admitted patients who were discharged an end life palliative plan increased 13% (8 21%, P = 0.007). Conclusions There was a significant reduction in median stay, fewer hospital admissions following services.
sci-hub.se 参考文章(27)
G. Arendts, C. Dickson, K. Howard, S. Quine, Transfer from residential aged care to emergency departments: an analysis of patient outcomes. Internal Medicine Journal. ,vol. 42, pp. 75- 82 ,(2012) , 10.1111/J.1445-5994.2010.02224.X
Katleen Van Craen, Tom Braes, Nathalie Wellens, Kris Denhaerynck, Johan Flamaing, Philip Moons, Steven Boonen, Christiane Gosset, Jean Petermans, Koen Milisen, The Effectiveness of Inpatient Geriatric Evaluation and Management Units: A Systematic Review and Meta-Analysis Journal of the American Geriatrics Society. ,vol. 58, pp. 83- 92 ,(2010) , 10.1111/J.1532-5415.2009.02621.X
Julia Crilly, Wendy Chaboyer, Marianne Wallis, Lukman Thalib, Denise Polit, An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme Journal of Clinical Nursing. ,vol. 20, pp. 1178- 1187 ,(2011) , 10.1111/J.1365-2702.2010.03371.X
F. Salvi, V. Morichi, A. Grilli, R. Giorgi, G. De Tommaso, P. Dessì-Fulgheri, The elderly in the emergency department: a critical review of problems and solutions Internal and Emergency Medicine. ,vol. 2, pp. 292- 301 ,(2007) , 10.1007/S11739-007-0081-3
Julia Crilly, Wendy Chaboyer, Marianne Wallis, Lukman Thalib, David Green, Predictive outcomes for older people who present to the emergency department Australasian Emergency Nursing Journal. ,vol. 11, pp. 178- 183 ,(2008) , 10.1016/J.AENJ.2008.07.002
S. Bachmann, C. Finger, A. Huss, M. Egger, A. E. Stuck, K. M. Clough-Gorr, Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials BMJ. ,vol. 340, ,(2010) , 10.1136/BMJ.C1718
Natasha Jennings, Gerard O'Reilly, Geraldine Lee, Peter Cameron, Belinda Free, Michael Bailey, Evaluating outcomes of the emergency nurse practitioner role in a major urban emergency department, Melbourne, Australia Journal of Clinical Nursing. ,vol. 17, pp. 1044- 1050 ,(2008) , 10.1111/J.1365-2702.2007.02038.X
J. Considine, B. Mitchell, H. E. Stergiou, Frequency and nature of reported incidents during Emergency Department care Emergency Medicine Journal. ,vol. 28, pp. 416- 421 ,(2011) , 10.1136/EMJ.2010.093054
Susan Nicole Hastings, Valerie A. Smith, Morris Weinberger, Eugene Z. Oddone, Maren K. Olsen, Kenneth E. Schmader, Health Services Use of Older Veterans Treated and Released from Veterans Affairs Medical Center Emergency Departments Journal of the American Geriatrics Society. ,vol. 61, pp. 1515- 1521 ,(2013) , 10.1111/JGS.12417
Julie Considine, Robyn Smith, Keith Hill, Tracey Weiland, John Gannon, Christine Behm, Peita Wellington, Sally McCarthy, Older peoples’ experience of accessing emergency care Australasian Emergency Nursing Journal. ,vol. 13, pp. 61- 69 ,(2010) , 10.1016/J.AENJ.2010.05.001