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I’ve been a hospital manager for >15 years - much of that time spent managing flow and urgent care - and it’s never been a harder or more dispiriting job.
But there are still some EASY things that will always improve flow if we focus on getting them right every day.
A short🧵
But there are still some EASY things that will always improve flow if we focus on getting them right every day.
A short🧵
#1 - “EARLY”
Patients admitted before lunch stay in hospital ~1-2 days less than those admitted in the PM.
Patients discharged home in the day have more chance of staying there.
Getting people admitted EARLY and home EARLY is important
Patients admitted before lunch stay in hospital ~1-2 days less than those admitted in the PM.
Patients discharged home in the day have more chance of staying there.
Getting people admitted EARLY and home EARLY is important
#2 ASSESSMENT
Admitting to hospital should always be a last resort so we have to make sure we have effective ASSESSMENT pathways in place, reliable senior decision making in ASSESSMENT areas and keep ASSESSMENT areas free for that purpose - avoid bedding down at all costs!
Admitting to hospital should always be a last resort so we have to make sure we have effective ASSESSMENT pathways in place, reliable senior decision making in ASSESSMENT areas and keep ASSESSMENT areas free for that purpose - avoid bedding down at all costs!
