Prudent healthcare in emergency departments: a case study in Wales
| Autor: | Brett Denning, Robin Ghosal, Sharon Burford, Gail Rees, Louise Condon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Service (business)
Wales 030504 nursing business.industry 030208 emergency & critical care medicine Emergency department Emergency Nursing medicine.disease Nurse's Role Quality Improvement Local community 03 medical and health sciences 0302 clinical medicine Patient satisfaction Health care Organizational Case Studies Medicine Humans Local population Nurse Practitioners Medical emergency 0305 other medical science business Working group Emergency Service Hospital |
| Popis: | To deliver a patient-centred service, emergency departments (EDs) must be efficient, effective and meet the needs of the local population. This article describes a service redesign of unscheduled care in a hospital in Wales, which followed the principles of prudent healthcare to improve patient experiences. Extending the roles of nurse specialist practitioners was a major component of the redesign. Six working groups were established to guide the process, one of which was responsible for working cooperatively with the local community, which was concerned about perceived 'downgrading' of the ED. The service redesign was completed in 2016 and evaluation shows the target for patients being seen in under four hours improved from 88% to 96%, significantly more acute medical admission patients were discharged in less than 24 hours, and patient satisfaction increased overall. |
| Databáze: | OpenAIRE |
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