Abstract| Volume 54, ISSUE 5, P741, May 2018

Improving Decision About Transport to the Emergency Department for Assisted Living Residents Who Fall

Williams JG, Bachman MW, Lyons MD, et al. Ann Intern Med 2018; 168:179-186
      Currently, many assisted living facilities employ policies requiring that residents who have fallen be transported to an Emergency Department (ED), regardless of mechanism or injury. As many as 10 million of these falls occurred from 2011 to 2014 in the United States, about 7 million of whom were discharged from the ED. Such transport policies can place an unnecessary burden on the healthcare system, and importantly, place non-critically injured patients at risk for iatrogenic complications, nosocomial infections, and large fees. The authors of this study aimed to create a protocol for assisted living residents with low mechanism falls to alleviate this burden by evaluation by a paramedic in consultation with the facilities primary care physician (PCP).
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