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Editorial| Volume 22, ISSUE 4, P899-900, April 2021

How Should Assisted Living Be Using Emergency Departments?

      In the United States (US), residential long-term care is provided in nursing homes and assisted living (AL) communities. Regardless of the type of care setting, long-term care residents are at increased risk of transfer to the emergency department (ED) and for subsequent hospitalization.
      • Wilber S.T.
      • Gerson L.W.
      • Terrell K.M.
      • et al.
      Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. health system.
      Given the iatrogenic risks that hospitalization poses to older adults, as well as the costs associated with these transfers, there is considerable interest in ways to understand this process and improve outcomes by reducing such transfers.
      • Hastings S.N.
      • Schmader K.E.
      • Sloane R.J.
      • et al.
      Adverse health outcomes after discharge from the emergency department incidence and risk factors in a veteran population.
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      References

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        • Gerson L.W.
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        • et al.
        Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. health system.
        Acad Emerg Med. 2006; 13: 1345-1351
        • Hastings S.N.
        • Schmader K.E.
        • Sloane R.J.
        • et al.
        Adverse health outcomes after discharge from the emergency department incidence and risk factors in a veteran population.
        J Gen Intern Med. 2007; 22: 1527-1531
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        Long-term care providers and services users in the United States, 2015–2016. National Center for Health Statistics.
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        J Am Med Dir Assoc. 2018; 19: 104-105
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        Implementing integrated care into assisted living—The road (finally) taken.
        J Am Med Dir Assoc. 2018; 19: 914-915
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        J Am Med Dir Assoc. 2021; 22: 913-917
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        Diagnostic testing in long-term care and resident emergency department visits: A retrospective cohort study.
        J Am Med Dir Assoc. 2021; 22: 901-910
        • Hua C.L.
        • Thomas K.S.
        • Peterson L.J.
        • et al.
        Emergency department use among assisted living residents after Hurricane Irma.
        J Am Med Dir Assoc. 2021; 22: 918-922
        • Griffey R.T.
        • Schneider R.M.
        • Adler L.
        • Todorov A.
        Post-acute and long-term care patients account for a disproportionately high number of adverse events in the emergency department.
        J Am Med Dir Assoc. 2021; 22: 907-912
        • Shah M.N.
        • Wasserman E.B.
        • Wang H.
        • et al.
        High-intensity telemedicine decreases emergency department use by senior living community residents.
        Telemed J E Health. 2016; 22: 251-258
        • Gillespie S.M.
        • Wasserman E.B.
        • Wood N.E.
        • et al.
        High-intensity telemedicine reduces emergency department use by older adults with dementia in senior living communities.
        J Am Med Dir Assoc. 2019; 20: 942-946

      Related Podcast

      April 8, 2021

      April 2021 Issue: Emergency Departments and Long-Term Care / Muscle Strength / Racism and Nursing Homes

      Featuring Dr. Philip Sloane, Dr. Mallory Brown; Recorded: April 28, 2021.

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