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Prudent healthcare in emergency departments: a case study in Wales

Louise Condon, Sharon Burford, Robin Ghosal, Brett Denning, Gail Rees

Emergency Nurse, Volume: 25, Issue: 10, Pages: 20 - 23

Swansea University Author: Louise Condon

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DOI (Published version): 10.7748/en.2018.e1762

Abstract

AbstractTo deliver a patient-centred service Emergency Departments must be efficient, effective and meet the needs of the local population. Following the principles of prudent healthcare, a service redesign of unscheduled care was carried out at Prince Phillip Hospital, Llanelli to improve the patie...

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Published in: Emergency Nurse
ISSN: 1354-5752 2047-8984
Published: 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa39616
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Abstract: AbstractTo deliver a patient-centred service Emergency Departments must be efficient, effective and meet the needs of the local population. Following the principles of prudent healthcare, a service redesign of unscheduled care was carried out at Prince Phillip Hospital, Llanelli to improve the patient experience. Extending the roles of specialist nurse practitioners was a major component of this redesign. Six working groups were established to guide the process, including one group with a responsibility for working cooperatively with the local community, who had concerns about perceived ‘downgrading’ of the Emergency Department. The service redesign was completed in 2016 and evaluation has shown that the target for patients being seen within four hours improved from 88% to 96%, significantly more acute medical admission patients were discharged in less than 24 hours and patient satisfaction increased overall.
Keywords: Emergency Department, unscheduled care, specialist nurse practitioners, prudent healthcare
College: College of Human and Health Sciences
Issue: 10
Start Page: 20
End Page: 23