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Care of the older person
Randomised controlled trial
Prehospital decision system supports appropriate transfer of older adults direct to a community-based hospital
  1. Clémence Dallaire1,
  2. Marie-Joëlle Cossi2
  1. 1Faculté des sciences infirmières, Université Laval, Québec, Canada;
  2. 2CHAU Hôpital de l'hôtel-Dieu de Lévis
  1. Correspondence to : Dr Clémence Dallaire, Faculté des sciences infirmières, Université Laval, Québec, Canada G1V 0A6; clemence.dallaire{at}fsi.ulaval.ca

https://doi.org/10.1136/eb-2014-101992

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    Commentary on: Vicente V, Svensson L, Wireklint Sundstrom B, et al. Randomised controlled trial of a prehospital decision system by emergency medical services to ensure optimal treatment for older adults in Sweden. J Am Geriatr Soc 2014;62:1281–7.OpenUrlCrossRefPubMed

    Implications for practice and research

    • This study assesses new interventions for nurses in the prehospital system, but the implementation of those interventions may not be feasible elsewhere due to differences in regulation or the functioning of healthcare system.

    • From the results of the study nursing research could focus on the impact of this new nurses’ role.

    Context

    The authors aimed at evaluating the feasibility and appropriateness of a prehospital system, allowing ambulance nurses to decide whether to transport older adults directly to geriatric care at a community-based hospital or to an emergency department (ED). …

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    Footnotes

    • Competing interests None.