Applying Geriatric Principles to Transitions of Care in the Emergency Department

Emerg Med Clin North Am. 2021 May;39(2):429-442. doi: 10.1016/j.emc.2021.01.006. Epub 2021 Mar 17.

Abstract

Each emergency department (ED) visit represents a crucial transition of care for older adults. Systems, provider, and patient factors are barriers to safe transitions and can contribute to morbidity and mortality in older adults. Safe transitions from ED to inpatient, ED to skilled nursing facility, or ED back to the community require a holistic approach, such as the 4-Ms model-what matters (patient goals of care), medication, mentation, and mobility-along with safety and social support. Clear written and verbal communication with patients, caregivers, and other members of the interdisciplinary team is paramount in ensuring successful care transitions.

Keywords: Care transfer; Emergency medicine; Geriatric assessment; Geriatrics; Safe discharge; Transitions of care.

Publication types

  • Review

MeSH terms

  • Aged
  • Continuity of Patient Care*
  • Emergency Service, Hospital*
  • Geriatric Assessment
  • Geriatrics
  • Humans
  • Patient Safety
  • Patient Transfer / organization & administration*