The number of emergency departments
(EDs) dedicated to caring for older adults will likely grow over the
next 18 months in order to provide better healthcare, address population health and reduce costs, experts told AMN Healthcare.
The ECRI Institute estimates about 50 geriatric EDs are in operation in the United States and another 150 are in development. The growth is necessary to meet the needs of the number of Americans aged 65 or older, which will reach 89 million by 2050. Older adults make up a quarter of all ED visits, according to the AMN article.
The majority of changes necessary for implementing a successful geriatric ED are physical ones, Healthcare Design magazine reported.
Soft colors, large-face clocks, calendars and patient boards, and
nonskid floors and handrails create a more effective environment for
treating geriatric patients.
The
changes are essential, considering ED visits can negatively affect
older patients with complex conditions, which often worsen aft their
visits, according to a 2013 study published in the Annals of Emergency Medicine, FierceHealthcare
previously reported. Before arriving, 46 percent of the elderly
patients required help for daily activities--a number that rose to 67
percent at the ED. Moreover, about 48 percent of patients already had a
geriatric syndrome, such as immobility, confusion and incontinence,
before visiting the ED. After their visit, about 78 percent had a
geriatric syndrome.
To learn more:
- here's the AMN article
- read the Healthcare Design piece
- check out the ECRI report (.pdf)
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
- patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
- transparency and a commitment to patient safety should govern vendor contracts;
- institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
- vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.