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Direct referrals from emergency department streaming to ambulatory care: improving same-day emergency care

机译:从急诊部门流传到外部护理的直接转介:改善当天应急护理

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IntroductionSame-day emergency care is one of the many ways the NHS isworking to provide the right care, in the right place, at the right timefor patients. It aims to benefit both patients and the healthcaresystem by reducing waiting times and unnecessary hospitaladmissions.In our organisation patients presenting to the emergencydepartment (ED) with common medical conditions like chestpain / shortness of breath (SOB), palpitations, headache, chestinfection or deep vein thrombosis / pulmonary embolism wereinitially triaged in ED streaming. There were delays due toinitial assessment by emergency care doctors and subsequentassessment by the on-call medical team.We developed a pathway of direct referrals from ED streamingto ambulatory care for clinically suitable patients with commonconditions like chest pain, palpitations, headache or SOB / chestinfection. The aim was to avoid unnecessary hospital admissionsand therefore reduce the risk of infections and de-conditioning forpatients, improve patient experience by reducing waiting times,improve patient flow and reduce congestion in the ED, and achievefinancial benefits and cost savings for the hospital.
机译:介绍者日急护理是NHS在正确的时间在正确的时间内提供正确的照顾,在正确的时间内提供正确的疗程。它旨在通过减少等待时间和不必要的住院时间来使患者和医疗服务系统受益。在我们的组织患者患者患有常见的医疗条件(如胸腔/呼吸急促(呜咽),心悸,头痛,胸腺灰或深静脉等常见的医疗条件血栓形成/肺栓塞在ED流中均为三环。应急护理医生和随后的呼吁医疗团队随后有延误。我们开发了一种从ED流的直接转诊途径,用于临床上合适的患者胸痛,心悸,头痛或呜咽等患者的临床合适的患者。目的是避免不必要的医院入院,因此减少感染和解调病例的风险,通过减少等待时间来改善患者的经验,改善患者流量,减少ED中的拥堵,以及医院的达到金融益处和成本节约。

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