De l'innovation au changement - Gouvernement du Québec

Projet 16
Impact of a discharge coordinator on the sucessful discharge
of elderly patients from the emergency department (ED),région de Montréal
Impact d’un coordonnateur des congés au département d’urgence (DU)
sur le succès du congé des patients âgés
translate into a reduction of cost to the health care system.
To our knowledge this is the first study to address discharge of the elderly patient from the ED using a comprehensive nursing model. This
study demonstrated the benefits of having a nurse dedicated to the discharge of elderly patients from the emergency department.
The nursing intervention model conducted in this study has shown to improve quality of care by providing a 7 day safety net to the patient
thereby contributing to the reduction of unscheduled return visits to the ED within 14 days.
The nursing model empowers nurses to utilize expert judgement and specialized knowledge in an independent and yet, collaborative
advanced practice. The model sets the standard for the further development of a specialized expertise in emergency nursing which in turn
will lead to the creation of integrated health care policies and protocols aimed at ensuring coordination and continuity of care for all high
risk patients.
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