Cliff,
Not to my knowledge. No one in Australasia would be overly impressed. Its taken as a given that consultant led services are better. Im sure John C (who is on the list - I think) in Dunedin (NZ) would be able to demostrate a similar picture with the consultant driven service he has developed there. This idea that "ED consultants on the floor dont improve care" is a unique British concept IMO. The rest of the world takes it for granted !!
Craig
>>> [log in to unmask] 11/29/01 08:27 >>>
Any plans to publish this Craig? I realise that it wouldn't be the highest
possible level of evidence but the list has previously discussed the paucity
of literature demonstrating any benefit from having senior EPs on the shop
floor. Some of us need all the ammunition we can get to persuade those with
the dough to throw some at additional consultant and/or middle grade cover.
I can see the complaint and critical incident reduction going down well.
Agree with all of Paul's comments, as I'm sure do many of our generation
whose expectations of SpR training in the UK were not met. However not too
happy about the 'back to the sun' bit - it's cloudy where I am. Damn.
Cliff Reid
Australia
Since moving to a consultant led service at the hospital Im currently at all
their major audit markers improved ( triage times, time to thrombo, number
of complaints, missed x-ray abnormalities, deaths within 24 hours of
admission, deaths in the ED, critical incidents, trauma outcomes). Survival
from cardiac arrest isnt specifically one of the outcome measures, so I
cannot comment on that, but overall the impression is of a significantly
improved standard accross the board - including critical care.
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