What is the effect of re-introducing a clinical conversation into urgent referral pathways?
| Autor: | Rebecca Ja Sims, Ivan LeJeune, Hugh Porter, Anastasios Gazis, Guy Mansford |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Service (business)
Referral Case Study business.industry media_common.quotation_subject Acute medicine Audit 030204 cardiovascular system & hematology medicine.disease Unit (housing) 03 medical and health sciences 0302 clinical medicine Work (electrical) Ambulatory care Medicine Conversation 030212 general & internal medicine Medical emergency business media_common |
| Popis: | Demand for assessment at the acute medicine receiving unit (AMRU) regularly exceeded the capacity of the AMRU to assess and treat in a timely way. Audit work suggested that 28% of patients arriving could have had their care delivered in an alternative setting by a service that was already available. The system of referral was redesigned to re-introduce a mandatory GP to consultant clinical conversation to enable navigation of patients to the most appropriate clinical setting. This has relieved pressure on the AMRU and means that patients are directed to the right clinical setting, first time, more of the time. The numbers of patients presenting to the AMRU following such a conversation who could have had care delivered in an alternative setting has dropped below 5%. The ambulatory care rate for the AMRU has been maintained at 43%. |
| Databáze: | OpenAIRE |
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