Could it not be more informative to compare departments by triage category? Most departments use the Manchester system and this "should" be fairly objective.
This would also get away from problems with differences in discharge criteria.
Simon
> thanks MAtthew, that is very helpful, Ruth
> At 19:20 08/09/01 +0100, you wrote:
> >Ruth
> >Some of the data in the report "A&E Services - the present state" may be
> >useful to you. It is available at <a href="/bti/redirect.html?http://www.emerg-uk.com/" target="t21Link">http://www.emerg-uk.com/</a> on the reports
> >page
> >
> >Matthew
> >
> >
> >----- Original Message -----
> >From: "Ruth Brown" <[log in to unmask]>
> >To: <[log in to unmask]>
> >Sent: 07 September 2001 12:40
> >
> >
> >Looking at workloads and staffing etc, it seems to me that most of the
> >conventional descriptions of A&E departments, % trolleys etc, may currently
> >look very different according to local circumstances, primary care
> >facilities locally etc. Clearly, at the moment, we don't seem to have a
> >reliable case mix index to compare, but one of the things that can "clog
> >up" the department, is the proportion of trolley patients to other
> >patients, especially when there are bed waits. If anyone would care to let
> >me know (probably off the list) what your A&E department current total
> >adults and children attendances are, and current percentage of resus,
> >majors, minors patients are, as well as, for that adult workload the
> >average number of medical admissions each night, that would be great. Your
> >total SpR/middle grades, SHOs, consultants and any other docs (ie primary
> >care practitioners, ENPs etc)would also be helpful. Thanks ruth
> >
> >Ruth Brown FRCS FFAEM
> >Consultant in Emergency Medicine,
> >King's College Hospital, London UK
> >
> Ruth Brown FRCS FFAEM
> Consultant in Emergency Medicine,
> King's College Hospital, London UK
>
> Please note that from 1st October I will have moved to St Mary's Hospital,
> Paddington
> My new email address will be:
>
> [log in to unmask]
Simon Carley
SpR in Emergency Medicine
Manchester
[log in to unmask]
http://www.bestbets.org
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