Sue
It is heart warming to see even university hospitals with more resources than us; lowly DGH EDs, are struggling with the new changes. The concept never the less is sound and we are having a senior nurse led hand over with capacity to take on 4 ambulances at the time but anything more and the process start to fall apart, the same happens when department loaded above capacity, with boarding and overcrowding of ward patients awaiting admission. The solution as anything else in ED is not only on the front but on the whole process of care. By the way I am like u wondering if it has any real impact on quality of care we deliver to our patients. Considering ever shrinking resources available to deliver ever expanding set of quality initiative. It reminds me of a scene of the "Titanic", the movie, that the ship was inevitably sinking and everybody was trying to survive and the music band keep playing like there is nothing more important in the world than listening to what they play...
Babak Allie
Consultant Emergency Physician
Tameside Hospital
On 12 Apr 2013, at 17:15, Suzanne M Mason <[log in to unmask]> wrote:
> Dear Acad
> I am writing to see whether any of you have come up with any innovative ideas for handling the new push to achieve the ambulance service turnaround time target?We are really struggling with this in Sheffield and anecdotally I know others are. We are keen, however, to learn from how others might be doing this. We run a pitstop system in Sheffield with consultants taking paramedic handover and assessing patients at the front dorr, ordering tests at the same time. However the changes this week have meant that this is nigh on impossible. I know the whole system is bonkers and that this target really does nothing for improving patient care or safe cross-boundary working, but am keen to see whether any of you have cracked a way of doing this safely and sustainably??
> BW
> Sue Mason
>
> --
> Suzanne Mason
> Professor of Emergency Medicine
> Director of Health Services Research
> School of Health and Related Research
> University of Sheffield
>
> Tel: 0114 2220751 (PA: Jo Turner)
> 0114 2714972 (NHS Secretary: Jill Bishop)
>
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