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Chapter 2 - Starting a Geriatric Emergency Department

Published online by Cambridge University Press:  20 January 2022

John Schumacher
Affiliation:
University of Maryland, Baltimore County
Don Melady
Affiliation:
University of Toronto
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Summary

Suggests several strategies -- truth-mapping and demographic analysis and a review of structure, processes, and outcomes – to assess your current situation. Reviews the core people, the champions, whom you need to enlist. Introduces the essential combination of the 3 Ps – People, Processes, and Place; and two general approaches to physical design – a separate space or an integrated space. Outlines key background material to master and groundwork at your own hospital before starting any changes

Type
Chapter
Information
Creating a Geriatric Emergency Department
A Practical Guide
, pp. 17 - 31
Publisher: Cambridge University Press
Print publication year: 2022

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References

International Federation of Emergency Medicine. White paper on the care of older people with acute illness and injury in the emergency department [Internet]. 2020 [cited 2021 Mar 16]. Available from: www.ifem.cc/wp-content/uploads/2021/02/IFEM-White-Paper-on-the-Care-of-Older-People-with-Acute-Illness-and-Injury-in-the-Emergency-Department-December-2020.pdfGoogle Scholar
Ellis, B, Carpenter, CR, Lowthian, JA, Mooijaart, SP, Nickel, CH, Melady, D. Statement on minimum standards for the care of older people in emergency departments by the geriatric emergency medicine special interest group of the International Federation for Emergency Medicine. CJEM. 2018/01/23ed. 5;20(3):368–9.Google Scholar
Australian College of Emergency Physicians. Care of older persons in the emergency department [Internet]. 2020 [cited 2021 Mar 16]. Available from: https://acem.org.au/getmedia/bfd84f83-fcb2-492a-9e66-47b7896e5c70/P51_Care_Elderly_Patients_in_ED_Sep-15.aspxGoogle Scholar
Carpenter, CR, Bromley, M, Caterino, J, et al. Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine. Ann Emerg Med. 2014;63(5):13.Google Scholar
Huff, C. ACEP accrediting geriatric emergency departments move to standardize special needs elder care. Ann Emerg Med. 2018 May;71(5):21–4.Google Scholar
Matchar, DB, Duncan, PW, Lien, CT, et al. Randomized controlled trial of screening, risk modification, and physical therapy to prevent falls among the elderly recently discharged from the emergency department to the community: the steps to avoid falls in the elderly study. Arch Phys Med Rehabil. 2017/02/12ed. 6;98(6):1086–96.Google Scholar
Thompson, CA. Pharmacists integrate into geriatric emergency department. AJHP. 2015;72(2):92.Google Scholar
Lencioni, P. The advantage: Why organizational health trumps everything else in business. New York: Wiley; 2012.Google Scholar
Zaheer, S, Ginsburg, L, Wong, HJ, Thomson, K, Bain, L, Wulffhart, Z. Turnover intention of hospital staff in Ontario, Canada: exploring the role of frontline supervisors, teamwork, and mindful organizing. Hum Resour Health. 2019 Aug 14;17(1):66.Google Scholar
Grief, CL. Patterns of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research. J Emerg Nurs. 2003/03/28ed. 2003 Apr;29(2):122–6.Google Scholar
Seeber, L, Michl, B, Rundblad, G, et al. A design thinking approach to effective vaccine safety communication. Curr Drug Saf. 2015 Mar 1;10(1):3140.Google Scholar
Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725–32.Google Scholar
Schumacher, JG, Hirshon, JM, Magidson, P, Chrisman, M, Hogan, T. Tracking the rise of geriatric emergency departments in the United States. J Appl Gerontol. 2018 Nov 18;39(8):871–9.Google ScholarPubMed
Southerland, LT, Vargas, AJ, Nagaraj, L, Gure, TR, Caterino, JM. An emergency department observation unit is a feasible setting for multidisciplinary geriatric assessments in compliance with the geriatric emergency department guidelines. Acad Emerg Med. 2018;25(1):7682.Google Scholar
Hwang, U, Morrison, S. The geriatric emergency department. J Am Geriatr Soc. 2007;55(11):1873–6.Google Scholar

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