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The Safety and Effectiveness of On-Site Paramedic and Allied Health Treatment Interventions Targeting the Reduction of Emergency Department Visits by Long-Term Care Patients: Systematic Review by Shannon Leduc; Zach Cantor; Peter Kelly; Venkatesh Thiruganasambandamoorthy; George Wells; Christian Vaillancourt is a Medicine article available to read on EtoBox.
What is The Safety and Effectiveness of On-Site Paramedic and Allied Health Treatment Interventions Targeting the Reduction of Emergency Department Visits by Long-Term Care Patients: Systematic Review about?
## Introduction: Programs that seek to avoid emergency department (ed) visits from patients residing in long-term care facilities are increasing. we sought to identify existing programs where allied healthcare personnel are the primary providers of the intervention and, to evaluate their effectiveness and safety. ## Methods: We systematically searched medline, cinahl and embase with terms relating to long-term care, emergency services, hospitalization and allied health personnel. we reviewed 11,176 abstracts and included 22 studies in our narrative synthesis, which we grouped by intervention category. ## Results: We found five categories of interventions including: 1) use of advanced practice nursing; 2) a program called interventions to reduce acute care transfers (interact); 3) end-of-life care; 4) condition specific interventions; and 5) use of extended care paramedics. among studies measuring that outcome, 13/13 reported a decrease in ed visits, and 16/17 reported a decrease hospitalization in the intervention groups. patient adverse events such as functional status and relapse were seldom reported (6/22) as were measures of emergency system function such as crowding/inability
Who reads The Safety and Effectiveness of On-Site Paramedic and Allied Health Treatment Interventions Targeting the Reduction of Emergency Department Visits by Long-Term Care Patients: Systematic Review?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Shannon Leduc; Zach Cantor; Peter Kelly; Venkatesh Thiruganasambandamoorthy; George Wells; Christian Vaillancourt
- Publisher
- Informa UK Limited
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)