Reforming the acute phase of the inpatient journey
| Autor: | M, Epstein, N, Barmania, J, Robin, J, Robini, M, Harbo |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Patient Transfer Pediatrics medicine.medical_specialty Adolescent Pharmacy Audit Efficiency Organizational Phase (combat) London Medicine Humans Aged Aged 80 and over business.industry Hospitals Public Professional Issues Accident and emergency General Medicine Length of Stay Middle Aged medicine.disease Patient Discharge Organizational Case Studies Medical emergency business Emergency Service Hospital |
| Zdroj: | Clinical medicine (London, England). 7(4) |
| ISSN: | 1470-2118 |
| Popis: | The medical admissions unit (MAU) of the Royal Free Hospital, London, should receive all acute accident and emergency (A&E) medical admissions. The unit aims to discharge 60% of patients and to transfer the remainder to a base ward within 48 hours of admission. This study tracked the patient journey from admission to A&E through the MAU during two parallel weeks, one year apart. Key bottlenecks were identified in the first audit and reforms implemented prior to the second. These reforms included improved transfer to base wards, improved weekend work patterns and improved access to investigation, specialist teams and pharmacy. The reforms served to facilitate the patient journey. A greater proportion of acute medical admissions were managed on the MAU and the number of patients exceeding a 48-hour stay fell from 55% to 10%. Both study periods demonstrated a peak in transfer activity from A&E in the 20 minutes before the four-hour target. |
| Databáze: | OpenAIRE |
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