\u5bb6\u5728\u5723\u5730\u4e9a\u54e5\u7684\u9000\u4f11\u6559\u5e08Susan Nelson\u4ece\u672a\u60f3\u8fc7\u81ea\u5df1\u4f1a\u6253911\u3002<\/p>\n
Nelson\u8bf4\uff1a\u201c\u53bb\u5e7411\u6708\u7684\u6df1\u591c\uff0c\u6211\u51fa\u73b0\u4e86\u4e0d\u5bfb\u5e38\u7684\u75c7\u72b6\u3002\u6211\u611f\u5230\u975e\u5e38\u865a\u5f31\u3001\u6076\u5fc3\uff0c\u5e76\u4e14\u5fc3\u60b8\u3002\u6211\u51b3\u5b9a\u62e8\u6253\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\uff08UC San Diego Health\uff09\u7684\u62a4\u58eb\u70ed\u7ebf\u3002\u201d\u3002\u201c\u4ed6\u4eec\u5efa\u8bae\u6211\u62e8\u6253911\uff0c\u8fd9\u5bf9\u6211\u6765\u8bf4\u662f\u7b2c\u4e00\u6b21\u3002\u201d<\/p>\n
\u6025\u6551\u4eba\u5458\u5230\u8fbe\u65f6\uff0cNelson\u7684\u4f53\u6e29\u4e3a104.5\u5ea6\u3002\u5979\u88ab\u9001\u5f80\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u96c5\u5404\u5e03\u65af\u533b\u7597\u4e2d\u5fc3\u7684\u6025\u8bca\u90e8\u3002<\/p>\n
Nelson\u5728\u666e\u901a\u6025\u8bca\u5ba4\u5446\u4e86\u4e00\u665a\uff0c\u7136\u540e\u5728\u7b2c\u4e8c\u665a\u88ab\u8f6c\u79fb\u5230\u533b\u9662\u7684\u8001\u5e74\u6025\u8bca\u5ba4\uff08SECU\uff0cSenior Emergency Care Unit\uff09\u8fdb\u884c\u8fdb\u4e00\u6b65\u89c2\u5bdf\u3002<\/p>\n
SECU\u4f4d\u4e8e\u96c5\u5404\u5e03\u533b\u7597\u4e2d\u5fc3\u7684\u52a0\u91cc\u548c\u739b\u4e3d\u00b7\u97e6\u65af\u7279\u6025\u8bca\u90e8\uff0c\u4e8e2019\u5e74\u5f00\u4e1a\uff0c\u662f\u52a0\u5dde\u9996\u5bb6\u4e13\u95e8\u4e3a\u8001\u5e74\u4eba\u63d0\u4f9b\u7d27\u6025\u62a4\u7406\u7684\u5355\u4f4d\u3002<\/p>\n
\u201c\u8001\u5e74\u60a3\u8005\u9762\u4e34\u5e38\u89c1\u7684\u5e76\u53d1\u75c7\uff0c\u5982\u8dcc\u5012(falls)\u548c\u8ba4\u77e5\u6311\u6218 (cognitive challenges)\u7684\u9ad8\u98ce\u9669\u3002\u5728\u8fd9\u4e2a\u4e13\u7528\u7a7a\u95f4\u4e2d\uff0c\u6211\u4eec\u63d0\u4f9b\u4e86\u4e00\u79cd\u66f4\u5168\u9762\u7684\u533b\u7597\u65b9\u6cd5\uff0c\u9075\u5faa\u8001\u5e74\u53cb\u597d\u578b\u533b\u7597\u7cfb\u7edf\u6a21\u5f0f\uff0c\u4ee5\u786e\u4fdd\u4ee5\u60a3\u8005\u9996\u9009\u7684\u65b9\u5f0f\u6ee1\u8db3\u9700\u6c42\uff0c\u201d\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\u6025\u8bca\u533b\u5b66\u7cfb\u533b\u5b66\u4e3b\u4efbVaishal Tolia\u535a\u58eb\u8bf4\uff0c\u3002<\/p>\n
\u6700\u8fd1\uff0c\u5723\u5730\u4e9a\u54e5\u6210\u4e3a\u5168\u56fd\u7b2c\u4e00\u4e2a\u6240\u6709\u5408\u683c\u533b\u9662\u83b7\u5f97\u7f8e\u56fd\u6025\u8bca\u533b\u5e08\u5b66\u4f1a\uff08ACEP\uff0cAmerican College of Emergency Physicians\uff09\u8001\u5e74\u6025\u8bca\u79d1\uff08GED\uff0cgeriatric emergency department\uff09\u8ba4\u8bc1\u7684\u53bf\uff0c\u4e3a\u8001\u5e74\u60a3\u8005\u63d0\u4f9b\u4e13\u95e8\u7684\u6025\u8bca\u62a4\u7406\uff0c\u65e0\u8bba\u4ed6\u4eec\u4f4f\u5728\u8be5\u5730\u533a\u7684\u4efb\u4f55\u5730\u65b9\u3002<\/p>\n
\u56fe\u4e3a\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\u52a0\u91cc\u548c\u739b\u4e3d\u00b7\u97e6\u65af\u7279\u8001\u5e74\u6025\u6551\u5ba4\u7684\u75c5\u623f\u4e4b\u4e00\u3002\u56fe\u7247\u6765\u6e90\uff1a\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\u3002<\/p>\n
2018\u5e74\uff0c\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\u7387\u5148\u6210\u4e3a\u897f\u90e8\u5730\u533a\u7b2c\u4e00\u5bb6\u83b7\u5f97\u8001\u5e74\u6025\u8bca\u8ba4\u8bc1\u7684\u533b\u9662\u7cfb\u7edf\u3002<\/p>\n
\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u533b\u7597\u4e2d\u5fc3\u9996\u5e2d\u6267\u884c\u5b98Patty Maysent\u8868\u793a\uff1a\u201c\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u6821\u533a\u52a0\u91cc\u548c\u739b\u4e3d\u00b7\u97e6\u65af\u7279\u6025\u8bca\u90e8\u8001\u5e74\u6025\u8bca\u5ba4\u662f\u52a0\u5dde\u9996\u5bb6\u83b7\u5f97\u4e86\u4e00\u7ea7\u91d1\u724c\u8ba4\u8bc1ACEP\u7684\u673a\u6784\u3002\u201d\u3002\u201c\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u536b\u751f\u90e8\u5f88\u81ea\u8c6a\u80fd\u591f\u5e2e\u52a9\u6211\u4eec\u5728\u5723\u5730\u4e9a\u54e5\u5730\u533a\u9886\u5bfc\u8fd9\u65b9\u9762\u7684\u52aa\u529b\uff0c\u6211\u4eec\u73b0\u5728\u662f\u5723\u5730\u4e9a\u54e518\u5bb6\u8001\u5e74\u6025\u8bca\u533b\u9662\u7684\u4e00\u90e8\u5206\uff0c\u662f\u5168\u56fd\u552f\u4e00\u4e00\u4e2a\u5b9e\u73b0\u8fd9\u4e00\u4ee4\u4eba\u5370\u8c61\u6df1\u523b\u7684\u76ee\u6807\u7684\u53bf\u3002\u201d<\/p>\n
\u8be5\u6821\u7684SECU\u753119\u4e2a\u75c5\u623f\u7ec4\u6210\uff0c\u5177\u6709\u9488\u5bf9\u8001\u5e74\u60a3\u8005\u7684\u5efa\u7b51\u8bbe\u8ba1\u5143\u7d20\uff0c\u5982\u7cbe\u5fc3\u6821\u51c6\u7684\u7167\u660e\u548c\u6539\u5584\u7684\u58f0\u5b66\u3001\u5b89\u5168\u548c\u8212\u9002\u6027\u3002\u5b9a\u5236\u7684\u5019\u8bca\u5ba4\u914d\u6709\u9ad8\u80cc\u6905\u548c\u575a\u56fa\u7684\u624b\u81c2\u548c\u817f\uff0c\u4ee5\u5e2e\u52a9\u8001\u5e74\u4eba\u5750\u548c\u7ad9\u3002<\/p>\n
\u75c5\u623f\u914d\u6709\u5438\u58f0\u5899\u548c\u5929\u82b1\u677f\uff0c\u4ee5\u964d\u4f4e\u73af\u5883\u566a\u97f3\uff1b\u53ef\u53d8\u7167\u660e\u7cfb\u7edf\uff0c\u5176\u5c06\u60a3\u8005\u5b9a\u5411\u5230\u4e00\u5929\u4e2d\u7684\u5b9e\u9645\u65f6\u95f4\uff1b\u5899\u58c1\u548c\u5730\u677f\u4e4b\u95f4\u4ee5\u53ca\u5395\u6240\u548c\u6905\u5b50\u5ea7\u6905\u548c\u5730\u677f\u4e4b\u95f4\u7684\u5bf9\u6bd4\u989c\u8272\u63d0\u9ad8\u4e86\u79fb\u52a8\u6027\u5e76\u964d\u4f4e\u4e86\u8dcc\u5012\u98ce\u9669\u3002<\/p>\n
\u201c\u53bb\u6025\u8bca\u5ba4\u4e0d\u662f\u6bcf\u5929\u7684\u7ecf\u5386\uff0c\u201dSusan Nelson\u8bf4\u3002\u201c\u6211\u8d5e\u626c\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u5206\u6821\u536b\u751f\u90e8\u5efa\u7acb\u4e86\u8fd9\u4e00\u90e8\u95e8\u548c\u72ec\u7acb\u7684\u8001\u5e74\u62a4\u7406\u90e8\u95e8\u3002\u6211\u4ece\u672a\u89c1\u8fc7\u8fd9\u6837\u7684\u60c5\u51b5\uff0c\u5e76\u611f\u8c22\u8fd9\u4e00\u4e13\u95e8\u90e8\u95e8\u8003\u8651\u5230\u7684\u6240\u6709\u5c0f\u7ec6\u8282\u3002\u201d<\/p>\n
SECU\u4e2d\u7684\u6240\u6709\u60a3\u8005\u90fd\u7531\u63a5\u53d7\u8fc7\u8001\u5e74\u533b\u5b66\u4e13\u95e8\u57f9\u8bad\u7684\u56e2\u961f\u8fdb\u884c\u6cbb\u7597\uff0c\u5305\u62ec\u7ba1\u7406\u836f\u7269\u7684\u836f\u5242\u5e08\u548c\u793e\u4f1a\u5de5\u4f5c\u8005\uff0c\u4ee5\u786e\u4fdd\u51fa\u9662\u540e\u987a\u5229\u8fc7\u6e21\u56de\u5bb6\u3002<\/p>\n
\u5177\u4f53\u800c\u8a00\uff0c\u60a3\u8005\u9996\u5148\u7531\u8001\u5e74\u6025\u8bca\u62a4\u7406\u90e8\u9996\u5148\u7531\u8001\u5e74\u62a4\u7406\u4eba\u5458\u4e13\u5bb6\uff08GENIEs\uff0cGeriatric Emergency Nurse Initiative Experts\uff09\u7684\u7167\u987e\u67e5\u770b\u3002GENIEs\u63d0\u4f9b\u7ed9\u60a3\u8005\u7b5b\u67e5\u548c\u989d\u5916\u7684\u62a4\u7406\u9700\u6c42\uff0c\u6240\u6709\u8fd9\u4e9b\u90fd\u96c6\u4e2d\u5728\u62a4\u7406\u8fc7\u6e21\u4e0a\uff0c\u6700\u7ec8\u76ee\u6807\u662f\u51cf\u5c11\u4f4f\u9662\u548c\u534f\u52a9\u51fa\u9662\u8fc7\u7a0b\uff0c\u4ee5\u4fbf\u60a3\u8005\u5c3d\u5feb\u5728\u5bb6\u5eb7\u590d\u3002<\/p>\n
Vaishal Tolia\u535a\u58eb\u8bf4\uff1a\u201c\u62e5\u6709\u7ecf\u8ba4\u8bc1\u7684\u8001\u5e74\u6025\u8bca\u79d1\u7684\u4ef7\u503c\u5728\u4e8e\u4e3a\u60a3\u8005\u53ca\u5176\u62a4\u7406\u8005\u3001\u6211\u4eec\u7684\u62a4\u58eb\u3001\u533b\u751f\u548c\u5de5\u4f5c\u4eba\u5458\u63d0\u4f9b\u798f\u5229\uff0c\u6700\u7ec8\u76ee\u6807\u662f\u51cf\u5c11\u4f4f\u9662\u9700\u6c42\uff0c\u8ba9\u8001\u5e74\u4eba\u66f4\u5feb\u56de\u5bb6\u3002\u201d<\/p>\n
\u4e24\u4e2a\u665a\u4e0a\u540e\uff0cNelson\u5f97\u4ee5\u56de\u5bb6\uff0c\u6b63\u597d\u8d76\u4e0a\u4e0e\u4eb2\u4eba\u4e00\u8d77\u8fc7\u611f\u6069\u8282\u3002<\/p>\n
ACEP\u4e8e2018\u5e74\u5efa\u7acb\u4e86\u5176\u8001\u5e74\u6025\u8bca\u79d1\u8ba4\u8bc1\u8ba1\u5212\uff0c\u4ee5\u5e94\u5bf9\u8d8a\u6765\u8d8a\u591a\u7684\u8bc1\u636e\u8868\u660e\u6025\u8bca\u79d1\u65e0\u6cd5\u6ee1\u8db3\u8001\u5e74\u4eba\u7684\u533b\u7597\u4fdd\u5065\u9700\u6c42\uff0c\u8fd9\u4e9b\u8001\u5e74\u4eba\u5f80\u5f80\u60a3\u6709\u591a\u79cd\u6162\u6027\u75c5\u548c\u793e\u4f1a\u652f\u6301\u9700\u6c42\u3002\u897f\u90e8\u536b\u751f\u7814\u7a76\u6240\u548c\u7ea6\u7ff0\u00b7\u54c8\u7279\u798f\u5fb7\u57fa\u91d1\u4f1a\u4e3a\u8be5\u9879\u76ee\u63d0\u4f9b\u4e86\u8d22\u653f\u652f\u6301\u548c\u57fa\u7840\u5de5\u4f5c\u3002<\/p>\n
\u8be5\u8ba1\u5212\u63d0\u4f9b\u57fa\u4e8e\u591a\u4e2a\u56e0\u7d20\u7684\u4e09\u7ea7\u8ba4\u8bc1\uff0c\u5305\u62ec\u4ee5\u8001\u5e74\u4eba\u4e3a\u91cd\u70b9\u7684\u653f\u7b56\u548c\u65b9\u6848\u3001\u4e34\u5e8a\u548c\u60a3\u8005\u7ed3\u679c\u548c\u5de5\u4f5c\u4eba\u5458\u3001\u8001\u5e74\u4eba\u53cb\u597d\u7684\u7269\u7406\u73af\u5883\u589e\u5f3a\u548c\u8d28\u91cf\u6539\u8fdb\u8ba1\u5212\u3002<\/p>\n
\u5723\u5730\u4e9a\u54e518\u4e2a\u7ecf\u8ba4\u8bc1\u7684\u8001\u5e74\u6025\u8bca\u79d1\uff08GED\uff09\u5728\u5982\u4e0b\u673a\u6784\uff1a<\/p>\n
\u963f\u5c14\u74e6\u62c9\u591a\u533b\u9662\u533b\u7597\u4e2d\u5fc3-Alvarado Hospital Medical Center
\n\u5723\u5730\u4e9a\u54e5\u51ef\u6492\u6c38\u4e45\u533b\u7597\u4e2d\u5fc3-Kaiser Permanente San Diego
\n\u5e15\u6d1b\u739b\u5065\u5eb7\u4e2d\u5fc3-Palomar Health
\n\u5929\u5802\u8c37\u533b\u9662-Paradise Valley Hospital
\n\u65af\u514b\u91cc\u666e\u65af\u5065\u5eb7\u4e2d\u5fc3- Scripps Health
\n\u590f\u666e\u5065\u5eb7\u4e2d\u5fc3-Sharp HealthCare
\n\u4e09\u57ce\u533b\u7597\u4e2d\u5fc3-Tri-City Medical Center
\n\u52a0\u5dde\u5927\u5b66\u5723\u5730\u4e9a\u54e5\u533b\u7597\u4e2d\u5fc3-UC San Diego Health
\n\u5723\u5730\u4e9a\u54e5\u8363\u519b\u533b\u9662-VA San Diego Healthcare System<\/p>\n
\u636e\u53bf\u653f\u5e9c\u5b98\u5458\u79f0\uff0cGED\u6709\u53ef\u80fd\u5f71\u54cd\u8d85\u8fc7275000\u540d\u8001\u5e74\u4eba\u7684\u751f\u6d3b\uff0c\u8fd9\u4e9b\u8001\u5e74\u4eba\u7ea6\u5360\u5723\u5730\u4e9a\u54e5\u6240\u6709\u6025\u8bca\u5ba4\u5c31\u8bca\u4eba\u6570\u7684\u4e09\u5206\u4e4b\u4e00\u3002\u5728\u52a0\u5229\u798f\u5c3c\u4e9a\u5dde\uff0c\u53ea\u6709\u5927\u7ea629%\u7684\u8001\u5e74\u4eba\u5c45\u4f4f\u5728\u4e00\u4e2a\u6709GED\u7684\u57ce\u5e02\u3002\u5728\u5168\u56fd\u8303\u56f4\u5185\uff0c\u8fd9\u4e00\u6570\u5b57\u4e0b\u964d\u4e86\u8fd1\u4e00\u534a\uff0c\u53ea\u670915%\u7684\u8001\u5e74\u4eba\u5c45\u4f4f\u5728\u4e00\u4e2a\u6709GED\u7684\u57ce\u5e02\u3002<\/p>\n
Susan\u8bf4\uff1a\u201c\u6025\u8bca\u5ba4\u7167\u987e\u6211\u7684\u5de5\u4f5c\u4eba\u5458\u592a\u597d\u4e86\u3002\u201d \u5979\u751a\u81f3\u611f\u53f9 \u201c\u5168\u56fd\u4eba\u6c11\u7eb7\u7eb7\u5728\u628a\u5723\u5730\u4e9a\u54e5\u89c6\u4e3a\u5065\u5eb7\u670d\u52a1\u6700\u4f73\u57ce\u5e02\u3002\u201d<\/p>\n
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\u6d88\u606f\u6765\u6e90\uff1a\u52a0\u5927\u5723\u5730\u4e9a\u54e5\u5206\u6821<\/p>\n
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