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AbstractThis paper explores five published articles that report on research about nursing home transfers to emergency rooms Several themes are echoed throughout each article Most frequently highlighted is that transfers can be avoided Many factors can impact these transfers such as stakeholders communication and access to the provider and resources All of which can affect the quality of life of the resident being transferred and cost incurredOver the past 30 years varied research studies have explored the topic of hospitalizations from nursing homes to emergency departments and admissions Transferring long-term care residents from nursing homes to emergency rooms or admissions to hospitals can have negative effects on both the resident and on the health systems Residents are put at risk of adverse events such as distress characterized by disorientation confusion rapid deterioration of their condition and co-morbidity skin breakdown hospital acquired infections drug interactions anxiety experienced by loved ones excess health care cost and hospital bed utilization is affected Ouslander et al 2010 Upon reviewing the literature about these phenomena researchers throughout the world have suggested that a range of 13 to 50 of nursing home transfers to emergency rooms is unwarranted Jablonski Utz Steeves Gray 2007 Reoccurring in the literature several times is that nursing home to emergency department transfers are unwarranted or inappropriate Konetzka Spector Limcangco 2006 By providing acute services to residents within the long term care facilities in which they live reduction in hospitalizations may occur Arendts Reibel Codd Frankel 2010 Additional themes addressed in the literature are financial concerns associated with nursing homes to emergency department transfers hospital admission and readmission Multiple federal and state health policy and payment reforms exist to reduce potentially preventable hospitalizations In my initial review there are no published estimates available that address the number or cost of potentially preventable hospitalizations In 2008 out of 24 million hospitalizations in the United States 60 of the preventable hospitalizations included people over
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