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PATIENT ARRIVES AT EMERGENCY DEPARTMENT

Read about the positive impact of a pilot program for frail elderly patients at Ayrshire Central Biggart Hospital. The team worked effectively, avoided admissions, and improved ED journey times. Excited staff, empty beds, and better coordination led to revolutionary changes in patient care.

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PATIENT ARRIVES AT EMERGENCY DEPARTMENT

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  1. PATIENT ARRIVES AT EMERGENCY DEPARTMENT 72 HR ASSESSMENT BED 5D/5E 2ND NURSE REVIEW EMERGENCY DEPT AYRSHIRE CENTRAL BIGGART HOSPITAL CDU 2 BEDS 24 HRS TRIAGE NURSE EMERGENCY DEPT COMMUNITY HOSPITAL MDT MEETING IN PATIENT BED HOME HOME STEP DOWN BED WARD 3E FRAIL ELDERLY PATHWAY PATIENT IDENTIFIED AND LISTED AS POTENTIAL FOR PILOT BY ADMIN STAFF HELD IN REAL TIME IN THE E.D. AS AND WHEN REQUIRED FRAILTY INDEX SCORE CALCULATED FRAIL ELDERLY PILOT TEAM REVIEW

  2. TEAM IN ACTION

  3. TEAM STILL IN ACTION

  4. In general, worked relatively well on first day Excited about the possibilities that this offers Positive experience, good that it was a bit quieter today to get to grips with process Feel a bit apprehensive Cap of 8 removed Pleased that we all got through it Needs co-ordination Getting to grips with ED processes Red dot process Med rec timing crucial Monday 13th May 2013 2 empty beds at 5pm 9am 4pm Over 65 : 22 (5 for pathway.) 3 to CDU (would have gone to 3E) 2 home Total admissions avoided: 3

  5. Impressed with the progression Good examples of making a difference Admin co-ordination made a huge impact GP joining team Amazing! Revolutionised the service! Staff excited after yesterday Much more natural slotting in of MDT today Huge difference made Can’t underestimate the impact of having Dr Wallace in ED Empty beds in 3E – that never happens! Keeping track on patients Sleepless night Tuesday 14th May 8 empty beds at 5pm 9am 4pm Over 65: 29 (16 for pathway.) 12 home(2 NH). 2 to 72 hr beds. 1 to 5D. 1 to 3E. Total admissions avoided: 9

  6. A quick chat with ED staff this morning to clarify processes Having MDT meetings on the floor rather than coming up. Saving time Not the same amount of stress in the wards Not so many people sent to 3E – most going straight to ward It’s Friday! Pts seem to have been safely discharged in a shorter period of time Some minor adjustments Early contact with families, invaluable Huge impact on 3E having empty beds Friday 17th May 2013 10 empty beds in 3E 9am 4pm

  7. OUTCOMES

  8. ‘AVOIDED’ ADMISSIONS

  9. ED JOURNEY TIMES IN CONTROL GROUP

  10. ED JOURNEY TIMES DURING PILOT WEEK

  11. ED JOURNEY TIMES OF UNDER 65’S CONTROL GROUP

  12. ED JOURNEY TIMES FOR <65’S IN PILOT WEEK

  13. TIME TO COMMENCE GCA

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