Combined clerking – streamlining emergency admissions

Résumé fourni par la source

ResultsOur data showed that mean average ED arrival to medical review was faster by 2 hr 32 min (5 hr 10 min to 2 hr 38 min) and ED arrival to PTWR was faster by 3 hr 45 min (11 hr 2 min to 7 hr 17 min).Questionnaire feedback from staff was largely positive and constructive during the process and alterations were made according to their suggestions. ConclusionsThis project improved visibility of ED documentation, reduced unnecessary duplication, reduced waiting times and overall improved efficiency for staff and patients.It was widely supported by ward staff and management, thus ensuring its sustainability.This method is a middle ground between 'single' clerking and conventional (ie 'double') clerking.It reaps many of the benefits seen with single clerking but with minimal change to the organisational processes.Patient flow was faster and this combined process could be implemented in other trusts without significant difficulty.Looking to the future, we hope to improve the system further with more automation of data collection such as digital admission documentation to further improve the admission process for patients and staff.■

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