The Model of Hospital Emergency Departments in 2,000 Bed Hospital in Hungary

The first emergency department in Hungary was established in Hetenyi Geza County Hospital in 1976. It was organized as part of a research program commissioned by the Ministry of Health. Initially, the hospital had 1400 beds which have now increased to 2,000.The Emergency Department is located on the ground floor of a new building and occupies 1,100 square meters of surface. The operation of the department is divided into three main areas.

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DISSEMINATION STRATEGIES: ALIGNMENT WITH GERI-ED

Innovation in Aging ◽

10.1093/geroni/igz038.292 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S75-S75

Author(s):

Tim Platts-Mills ◽

Tony Rosen ◽

Rebecca Jackson Stoeckle ◽

Kim Dash ◽

Kristin Lees-Haggerty

Keyword(s):

Older Adults ◽

Emergency Department ◽

Best Practices ◽

Emergency Departments ◽

Care Model ◽

Hospital Emergency ◽

Elder Mistreatment ◽

Hospital Emergency Departments

Abstract The National Collaboratory to Address Elder Mistreatment’s model provides hospital emergency departments with training and tools to help recognize and respond to elder mistreatment. The Geriatric Emergency Department (GERI-ED) initiative, supported by The John A. Hartford Foundation and West Health, encourages hospitals to integrate best practices for older adults into their emergency departments by providing guidelines and options for accreditation (GED-A). Recognizing the importance of coordinating efforts to develop tools that can be shared and implemented widely, the Collaboratory has intentionally and strategically aligned itself with the GERI-ED by inviting members of the GED-A team to join the Collaboratory. In this presentation we will describe how aligning these two initiatives has the potential to achieve greater impact than either initiative alone. We will provide a case example of how the elder mistreatment care model is implemented in GERI-EDs, highlighting factors that facilitate and hinder model implementation in such settings.

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The Role and Potential of Social Worker Involvement in Hospital Emergency Departments: A Practice-Based Scoping Review

International Journal of Social Work ◽

10.5296/ijsw.v5i2.13472 ◽

2018 ◽

Vol 5 (2) ◽

pp. 79 ◽

Cited By ~ 2

Author(s):

Johann Bell ◽

Brett Davies ◽

Claire Walsh ◽

Hannah Knowlman ◽

Tina Hefford ◽

...

Keyword(s):

Emergency Department ◽

Social Work ◽

Social Worker ◽

Scoping Review ◽

Emergency Departments ◽

Hospital Emergency ◽

Policy Practice ◽

Work Involvement ◽

Work Model ◽

Hospital Emergency Departments

Background: Social worker input into hospital emergency department (ED) services would appear to be central to the provision of effective, durable and comprehensive services. Unfortunately, there are few literature overviews to summarise this potential.Methods: A practice-based scoping review was conducted to identify the role and potential of social worker involvement in emergency department settings. After initial screening, abstracts of 252 articles were read and screened, resulting in 37 articles, which were reviewed and thematically analysed by pairs of reviewers, and also appraised for quality and relevance.Results: Three key practice areas of social work involvement in emergency departments were identified: mental health, suicide risk and crisis, and chronic disease. Details of social work involvement in each key practice area as noted in the literature were outlined. Beyond this, two priority focus areas were also noted: social work screening and assessment in ED, and developing a social work model that is relevant to ED.Conclusion: The identified key practice areas and priority focus areas provide a useful guide for practitioners (to more clearly define their assistance and interventions in ED), and for managers and academics (to more clearly guide the development of social work policy, practice and staffing models in ED settings).

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The ‘unnecessary’ use of emergency departments by older people: findings from hospital data, hospital staff and older people

Australian Health Review ◽

10.1071/ah14185 ◽

2015 ◽

Vol 39 (5) ◽

pp. 544 ◽

Cited By ~ 9

Author(s):

Debbie Faulkner ◽

Julia Law

Keyword(s):

Emergency Department ◽

Older People ◽

Administrative Data ◽

Health Professionals ◽

Emergency Departments ◽

Hospital Staff ◽

Hospital Data ◽

Hospital Emergency ◽

Hospital Emergency Departments ◽

Insight Into

Objective Increasing demands are being placed on emergency departments in Australia and there is a view that older Australians are more likely than other age groups to attend for non-urgent conditions. The objective of this paper is to compare and contrast administrative data with the views of hospital staff and older people with regard to their presentation at two emergency departments in metropolitan Adelaide and how this aligns with the Australian Institute of Health and Welfare definition of ‘potentially avoidable general practitioner-type presentations.’ Methods The study used three sources of data from two emergency departments: hospital data for the financial year 2010–11 for patients aged 65 years and over and identified as triage category four or five; three focus groups with medical, nursing and allied staff from these two hospitals; and interviews with 58 older people who presented at the two emergency departments over a two-week period. Results The hospital administrative data provided a very limited insight into why older people attended the emergency department, other than the medical diagnosis. Professional staff identified individual determinants, societal determinants and the health services system as explanations. Older people attended the emergency department for a range of reasons that may not necessarily reflect the opinions of health professionals. Conclusions For many older people the emergency department was an appropriate place to attend considering their condition, though some presentations could be circumvented with appropriate and increased services in the community. However, as many older people suffer comorbidities, careful consideration needs to be given as to the best possible practices to achieve this. What is known about the topic? Increasing demands are being placed on hospital emergency departments and there are concerns that a growing number of presentations are ‘inappropriate presentations’. Older people are considered to be one group that overuse emergency department services. What does this paper add? Most studies use hospital statistics to examine primary care presentations at emergency departments or present the viewpoints of medical staff within hospitals about the necessity of these visits. This paper compares and contrasts the available data from hospitals, the opinions of medical and allied health professionals and information collected from older people themselves to provide greater insight into why older people triaged as three, four or five attend emergency departments in Adelaide. What are the implications for practitioners? For a range of reasons including availability of quality care, familiarity with hospital services, and a lack of community based services, older people will continue to present to emergency departments. With increasing numbers of older people in the population, hospital emergency departments will need to continuously adapt to accommodate the needs of this older demographic and for staff to acquire necessary geriatric skills.

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