In message <[log in to unmask]>, Chris Taylor <[log in to unmask]>
writes
>>Have any departments successfully devised a system which avoids the lengthy
>>"selling" of patients to referral docs?
>
>nope, but I have for a long time been convinced that it is A&E who
>should have the right to decide who gets admitted, NOT the specialities.
>
Agree. But this requires:
A) Us (A&E) to get it right most of teh time (hopefully not a problem,
at least with senior people making teh decisions) and
B) Support / understanding from senior colleagues in admitting teams
when we do get it wrong and for the "grey" areas / difficult to place
patients (does old lady with fractured pubic ramus / cut head occupy a
geriatric bed or an orthopaedic bed while social services are organizing
a nursing home?) - this is more of a problem.
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Dr. Gautam Ray (e-mail: [log in to unmask])
Sussex, U.K.
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To err is human, to forgive is not management policy
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