JAMDA
Volume 13, Issue 2 , Pages 143-150 , February 2012

A Survey of Emergency Department Staff About Challenges and Recommendations for Emergency Department Care of Extended Care Facility Patients

  • Myriam A. Edwards, MD

      Affiliations

    • Hurley Medical Center, Department of Internal Medicine, Flint, MI
    • ,
  • Purushottam Naik, MD

      Affiliations

    • Hurley Medical Center, Department of Internal Medicine, Flint, MI
    • ,
  • Ghassan I. Bachuwa, MD

      Affiliations

    • Hurley Medical Center, Department of Internal Medicine, Flint, MI
    • ,
  • Nicolas Lecea, BS

      Affiliations

    • Hurley Medical Center, Department of Research, Flint, MI
    • ,
  • Julie L. Campe, BA

      Affiliations

    • Hurley Medical Center, Department of Research, Flint, MI
    • Corresponding Author InformationAddress correspondence to Julie L. Campe, BA, Hurley Medical Center, One Hurley Plaza, 6W, Flint, MI 48503.

References 

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  2. McCusker J, Bellavance F, Cardin S, et al. Detection of older people at increased risk of adverse health outcomes after an emergency visit: The ISAR screening tool. J Am Geriatr Soc. 1999;47:1229–1237
  3. Fernandes C. Emergency department overcrowding: What is our response to the “new normal?”. Acad Emerg Med. 2003;10:1096–1097
  4. Siebens H. The domain management model—A tool for teaching and management of older adults in emergency departments. Acad Emerg Med. 2005;12:162–168
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  6. Schumacher JG, Deimling GT, Meldon S, et al. Older adults in the emergency department: Predicting physicians' burden levels. J Emerg Med. 2006;30:455–460
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  10. Davis N, Toombs Smith S, Tyler S. Improving transition and communication between acute care and long term care: A system for better continuity of care. Ann Longterm Care. 2005;13:25–32
  11. Fitzgerald RT. The future of geriatric care in our nation's emergency departments: Impact and implications. American College of Emergency Physicians Report. 2008. Available at: http://www.acep.org/WorkArea/DownloadAsset.aspx?id=43376. Accessed February 10, 2010.
  12. Position Statement Nov. 14: Guidelines for the Management of Older Persons for Presenting to Emergency Departments 2008. Australian and New Zealand Society for Geriatric Medicine. Available at: http://www.anzsgm.org/ManagementofOlderPatientsintheEmergencyDepartment.pdf.pdf. Accessed February 10, 2010.
  13. Meldon S, Mion L, Palmer R, et al. A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med. 2003;10:224–232
  14. Terrell KM, Brizendine EJ, Bean WF, et al. An extended care facility-to-emergency department transfer form improves communication. Acad Emerg Med. 2005;12:114–118
  15. Jones JS, Dwyer PR, White LJ, et al. Patient transfer from nursing home to emergency department: Outcomes and policy implications. Acad Emerg Med1997;4:908–915.
  16. Stier PA, Giles BK, Olinger ML, et al. Do transfer records for extended care facility patients sent to the emergency department contain essential information?. Ann Emerg Med. 2001;38:S102
  17. The Free Dictionary. Available at: http://www.thefreedictionary.com/extended+care+facility. Accessed May 26, 2010.
  18. National Association of Public Hospitals and Health Systems. What is a safety net hospital? Available at: http://literacyworks.org/hls/hls_conf_materials/WhatIsASafetyNetHospital.pdf. Accessed May 26, 2010.
  19. Wilber ST, Gerson L. A research agenda for geriatric emergency medicine. Acad Emerg Med. 2003;10:251–260
  20. McNamara RM, Rousseau E, Sanders AB. Geriatric emergency medicine: A survey of practicing emergency physicians. Ann Emerg Med. 1992;21:796–801
  21. Hustey FM, Meldon S. The prevalence and documentation of impaired mental status in elderly emergency department patients. Ann Emerg Med. 2002;39:248–253
  22. Sanders AB. Care of the elderly in emergency departments: Conclusions and recommendations. Ann Emerg Med. 1992;21:830–834

 Portions of this article were accepted in poster format at the following: American College of Physicians, Michigan Chapter Meeting, Acme, MI, September 25–27, 2009; Long-Term Care Medicine 2010 Symposium, Long Beach, CA, March 11–14, 2010.

 The authors have no conflicts of interest.

PII: S1525-8610(10)00188-X

doi: 10.1016/j.jamda.2010.05.012

JAMDA
Volume 13, Issue 2 , Pages 143-150 , February 2012

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