Emergency care of older people who fall: A missed opportunity

Quality and Safety in Health Care

Volumn 15, Issue 6, 2006, Pages 390-392

  Snooks, Helen A ^a   Halter, Mary ^b   Close, Jacqueline C T ^c   Cheung, Wai Yee ^a   Moore, Fionna ^d   Roberts, Stephen E ^a  

^a SWANSEA UNIVERSITY   (United Kingdom)

^b KINGSTON UNIVERSITY   (United Kingdom)

^c PRINCE OF WALES HOSPITAL   (Australia)

^d LONDON AMBULANCE SERVICE NHS TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AMBULANCE; ARTICLE; ELDERLY CARE; EMERGENCY CARE; FALLING; FEMALE; HEALTH CARE QUALITY; HOSPITALIZATION; HUMAN; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT REFERRAL; RISK ASSESSMENT;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; AMBULANCES; CONTINUITY OF PATIENT CARE; EMERGENCY TREATMENT; FRAIL ELDERLY; HUMANS; LONDON; PATIENT ADMISSION; QUALITY OF HEALTH CARE; RISK FACTORS; SAFETY MANAGEMENT; TRANSPORTATION OF PATIENTS;

EID: 33845893559     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2006.018697     Document Type: Article

References (20)

1. Keene GS, Parker MJ, Pryor GA. Mortality and morbidity after hip fractures. BMJ 1993;307:1248-50.
2. Day L, Fildes B, Gordon I, et al. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ 2002;325:128-34.
3. Scuffam P, Chaplin S. The incidence and costs of accidental falls in the UK. York: Health Economics Consortium, The University of York, 2002.
4. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes and effectiveness of interventions. Ann Emerg Med 2002;39:238-47.
5. Graham HJ, Firth J. Home accidents in older people: role of primary health care team. BMJ 1992;305:30-2.
6. Close J, Ellis M, Hooper R, et al. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet 1999;353:93-7.
7. Gillespie LD, Gillespie WJ, Robertson MC, et al. Intervenions for preventing falls in elderly people (Cochrane Review), Cochrane Library. Chichester: John Wiley and Sons, 2003.
8. Close JCT. Interdisciplinary practice in the prevention of falls - a review of working models of care. Age Ageing 2001;30(S4):S8-12.
9. Aoyagi K, Ross PD, David JW, et al. Falls among community-dwelling elderly in Japan. J Bone Miner Res 1998;13:1468-74.
10. American Geriatrics Society. BGSaAAoOS: guidelines for the prevention of falls in older persons. J Am Geriatr Soc 2001;49:664-72.
11. NICE. Clinical guideline 21. Falls: the assessment and prevention of falls in older people. London: National Institute for Clinical Excellence, 2004.
12. Close JC, Halter M, Elrick A, et al. Falls in the older population: a pilot study to assess those attended by the London Ambulance Service but not taken to A&E. Age Ageing 2002;31:488-9.
13. Marks PJ, Daniel TD, Afolabi O, et al. Emergency (999) calls to the ambulance service that do not result in the patient being transported to hospital: an epidemiological study. Emerg Med J 2002;19:449-52.
14. Goldberg RJ, Zautcke JL, Koenigsberg MD, et al. A review of prehospital care litigation in a larger metropolitan EMS system. Ann Emerg Med 1990;19:557-61.
15. Department of Health. Taking healthcare to the patient. Transforming NHS ambulance services. London: Department of Health, 2005, www.dh.gov.uk/publications (accessed 7 Sep 2000).
16. Cooper S, Barrett B, Black S, et al. The emerging role of the emergency care practitioner. Emerg Med J 2004;21:614-8.
17. Weiss SJ, Chong R, Ong M, et al. Emergency medical services screening of elderly falls in the home. Prehosp Emerg Care 2003;7:79-84.
18. Snooks H, Close J, Gaze S, et al. Older fallers attended by the ambulance service and left at home: risks and opportunities. Final Report to the Wales Office of R&D (WORD). Centre for Health Improvement and Evaluation, Swansea University, SA2 8PP, 2003.
19. Department of Health. National service framework for older people. London: Department of Health, 2001.
20. Department of Health. Our health, our core, our say. London: Department of Health, 2006 (White Paper)).