Abstract
Geriatric Consultation Team in Emergency Department: A business Case Report Analysis
Highlights
The elderly visit in the emergency services is at a higher rate with multiple reasons and results in higher rates of adverse health outcomes after disposition
The author would like to give a critical insight into the present system of treatment in the emergency departments (EDs) for elderly with a focus on quality improvements and how a change in the approach by the implementation of a Geriatric Consultation Team (GCT) in the ED would bring about a safety and quality improvement in the treatment of elderly
Reforming the ED design by implementing a multidisciplinary geriatric consultation team(GCT)in emergency care beyond merely the clinical treatment of the acute illness to comprehensive care with importance to the physical and psychosocial factors surrounding the acute illness of older patients
Summary
The elderly visit in the emergency services is at a higher rate with multiple reasons and results in higher rates of adverse health outcomes after disposition. The elder patients may require initial multidisciplinary evaluation by a multidisciplinary geriatric consultation team for “geriatricizing” the present emergency department to a geriatric friendly emergency consultation model of care This includes interdisciplinary staff education in evidence-based protocols and appropriate structural modifications to the physical space and these interventions have shown to successfully improve the quality of care by reducing length of stay and safety of older adults while lowering inpatient costs [6]. Reforming the ED design by implementing a multidisciplinary geriatric consultation team(GCT)in emergency care beyond merely the clinical treatment of the acute illness to comprehensive care with importance to the physical and psychosocial factors surrounding the acute illness of older patients Addressing these factors early while patients are on or even en route to the “front line” will likely optimize emergency care to be more patients centered, effective, efficient, and cost-effective.
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