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Review
. 2023 Nov;39(4):647-658.
doi: 10.1016/j.cger.2023.05.008. Epub 2023 Jul 1.

Developing a Geriatric Emergency Department: People, Processes, and Place

Don Melady  1 , John G Schumacher  2
Affiliations
Review

Developing a Geriatric Emergency Department: People, Processes, and Place

Don Melady et al. Clin Geriatr Med. 2023 Nov.

Abstract

Older patients' ED visits rose 30% over 5 years and EDs are now examining geriatric emergency department (GED) models of care. The 3 Ps model focuses on the GED's People, Processes, and the Place to provide a framework for GED development. Key resources include the: GED Collaborative, GED Guidelines, and Geriatric Emergency Department Accreditation process. Core to a GED's operation is its care processes including: (1) General approaches; (2) Screening for high-risk conditions; (3) Enhanced assessment; (4) Workflow alterations; and (5) Transitions. This article provides practical guidance to EDs seeking to enhance the ED experience of older people and improve the quality of their outcomes.

Keywords: Geriatric emergency department; Interdisciplinary team; Physical environment; Processes; Structures.

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