Clinical and non-clinical team collaboration to develop breast referral triage to improve service delivery in secondary care.
| Autor: | Halliday S; Consultant Nurse, Breast Services, Surrey and Sussex Healthcare NHS Trust, Redhill., Townsend S; General Manager for Surgery, Breast, Gastroenterology, Endoscopy and Vascular, Surrey and Sussex Cancer Alliance, Redhill., Beech N; Programme Director for Improvement and Innovation, Surrey and Sussex Cancer Alliance, Guildford., Greeno K; Pathway Navigator, Breast Cancer Services, Surrey and Sussex Healthcare NHS Trust, Redhill., Myers A; Cancer Information Data Analyst, Surrey and Sussex Healthcare NHS Trust, Redhill., Cockell H; Medical Secretary to Suzanne Halliday, Breast Care Services, Surrey and Sussex Healthcare NHS Trust, Redhill., Lowe J; Breast Pathway Project Manager, Surrey and Sussex Cancer Alliance, Guildford. |
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| Jazyk: | angličtina |
| Zdroj: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2024 Sep 19; Vol. 33 (17), pp. S16-S25. |
| DOI: | 10.12968/bjon.2023.0295 |
| Abstrakt: | Aims: This evaluation combines clinical and non-clinical collaborative breast referral triage to gain an understanding relating to the value of triage, by identifying 'suspected cancer' and 'cancer not suspected' populations, improve the patient pathway, and facilitate optimised resource availability. Method: An iterative service improvement method was used, with distinct phases of the process outlined to facilitate testing of ideas. The evaluation ran for 13 weeks in 2022. Regular team member meetings were arranged to discuss and agree improvement aims and outcomes. Findings: A triage flowchart was developed collaboratively, and subsequently adopted by the non-clinical booking team. Bespoke clinics were established, demonstrating no evidence of increased risk to patients, and meeting 28-day Faster Diagnosis Standard (FDS) requirements. Conclusion: breast referral triage of 'suspected cancer' and 'cancer not suspected' patients, using a clinical and non-clinical collaborative approach facilitates improved service visibility, prioritisation, management, and measurement. This also supports delivery of the 2019 NHS Long Term Plan to enhance earlier and faster cancer diagnosis by optimising access to diagnostic resources where required. |
| Databáze: | MEDLINE |
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