Is This Really an Emergency? Reducing Potentially Preventable Emergency Department Visits Among Nursing Home Residents

2015 ◽  
Vol 16 (5) ◽  
pp. 354-357 ◽  
Author(s):  
Joseph G. Ouslander ◽  
John F. Schnelle ◽  
Jin Han
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Emergency Department Visits

scholarly journals Repeat emergency department visits by nursing home residents: a cohort study using health administrative data

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Andrea Gruneir ◽  
Candemir Cigsar ◽  
Xuesong Wang ◽  
Alice Newman ◽  
Susan E. Bronskill ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Nursing Home ◽  
Administrative Data ◽  
Nursing Home Residents ◽  
Emergency Department Visits ◽  
Health Administrative Data

Construction and Validation of Risk-adjusted Rates of Emergency Department Visits for Long-stay Nursing Home Residents

Medical Care ◽  
2020 ◽  
Vol 58 (2) ◽  
pp. 174-182 ◽  
Author(s):  
Huiwen Xu ◽  
John R. Bowblis ◽  
Yue Li ◽  
Thomas V. Caprio ◽  
Orna Intrator
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Emergency Department Visits

scholarly journals The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations

2014 ◽  
Vol 10 (6) ◽  
pp. 835-843 ◽  
Author(s):  
Caroline E. Stephens ◽  
Robert Newcomer ◽  
Mary Blegen ◽  
Bruce Miller ◽  
Charlene Harrington
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Cognitive Impairment ◽  
Nursing Home Residents ◽  
Emergency Department Visits

scholarly journals Sex-Specific Differences in Hospital Transfers of Nursing Home Residents: Results from the HOspitalizations and eMERgency Department Visits of Nursing Home Residents (HOMERN) Project

2020 ◽  
Vol 17 (11) ◽  
pp. 3915 ◽  
Author(s):  
Alexander Maximilian Fassmer ◽  
Alexandra Pulst ◽  
Guido Schmiemann ◽  
Falk Hoffmann
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Hospital Admissions ◽  
Nursing Home Residents ◽  
Emergency Department Visits ◽  
Sociocultural Factors ◽  
Transfer Policy ◽  
Hospital Transfer ◽  
Ed Visits ◽  
Multicenter Prospective Study

Nursing home (NH) residents are often transferred to hospital (emergency department (ED) visits or hospital admissions) and this occurs more frequently in males. However, respective reasons are rather unclear. We conducted a multicenter prospective study in 14 northwest German NHs with 802 residents in which NH staff recorded anonymized data between March 2018 and July 2019 for each hospital transfer. Measures were analyzed using descriptive statistics and compared between sexes via univariate logistic regression analyses using mixed models with random effects. Eighty-eight planned transfers (53.5% hospital admissions, 46.5% ED visits) occurred as well as 535 unplanned transfers (63.1% hospital admissions, 36.9% ED visits). The two most common causes for unplanned transfers were deteriorations of health status (35.1%) and falls/accidents/injuries (33.5%). Male transferred residents were younger, more often married; their advance directives were more commonly not considered correctly and the NH staff identified more males nearing the end of life than females (52.9% vs. 38.2%). Only 9.2% of transfers were rated avoidable. For advance directive availability and NH staff’s perceptions on transfer conditions, we found marked inter-facility differences. There might be sociocultural factors influencing hospital transfer decisions of male and female nursing home residents and facility characteristics that may affect transfer policy.

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