Karen R Brandt-Mayo, Gabriella Malagon-Maldonado, Julie-Kathryn Graham
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引用次数: 0
Abstract
Objective: The purpose of this narrative review was to review existing literature to determine a consensus of established best practices to mitigate the risks of boarding geriatric and high acuity patients.
Methods: The PubMed database was searched using the following key terms: quality care, inpatient boarding, emergency department, nursing care, and access block.
Results: Fourteen articles were reviewed, identifying quality and safety concerns, organizational imperatives, and potential solutions.
Conclusion: The care of boarding patients poses unique challenges for hospitals, physicians, and nurses. Organizational priorities should include strategies to minimize boarding in the ED and interventions to improve the quality and consistency of care when boarding cannot be avoided. Discharge lounges, a popular alternative, fail to demonstrate a return on investment or improved throughput.
期刊介绍：
Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology
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