The document discusses guidelines for emergency department care of older patients. It provides recommendations such as:
- Assess older patients who have fallen for factors like medications, cognitive issues, and injuries.
- Avoid antipsychotics and benzodiazepines as first choices to treat dementia symptoms and instead evaluate for underlying causes like infections.
- Design emergency departments to be senior-friendly with features like slip-resistant floors and appropriate lighting levels.
The document discusses problems with medical practice in Japan, specifically with "Daimyo-gyoretsu" or large professor-led rounds. These rounds involve large groups of doctors briefly checking on many patients with little interaction or privacy. The document proposes adopting smaller team-based rounds that allow more time with each patient and respect privacy. Studies show smaller rounds improve patient satisfaction and education compared to current professor rounds. The document concludes Japan should adopt continuous improvement ("kaizen") to rounds in order to enhance quality of care and patient experience.
The document discusses guidelines for emergency department care of older patients. It provides recommendations such as:
- Assess older patients who have fallen for factors like medications, cognitive issues, and injuries.
- Avoid antipsychotics and benzodiazepines as first choices to treat dementia symptoms and instead evaluate for underlying causes like infections.
- Design emergency departments to be senior-friendly with features like slip-resistant floors and appropriate lighting levels.
The document discusses problems with medical practice in Japan, specifically with "Daimyo-gyoretsu" or large professor-led rounds. These rounds involve large groups of doctors briefly checking on many patients with little interaction or privacy. The document proposes adopting smaller team-based rounds that allow more time with each patient and respect privacy. Studies show smaller rounds improve patient satisfaction and education compared to current professor rounds. The document concludes Japan should adopt continuous improvement ("kaizen") to rounds in order to enhance quality of care and patient experience.
Pre-Come for Japanese Medical EducationAYAKO SHIBATA
国際医学生連盟 日本(IFMSA-Japan)における、医学教育部門の準備委員会です。
IFMSA(International Federation of Medical Students’ Associations)
Pre-COME=Pre-Comittee On Medical Educationです。