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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
first_indexed 2018-04-28T19:36:35Z
last_indexed 2018-05-09T19:34:53Z
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spelling 2018-05-09T16:06:48.6048166 v2 39616 2018-04-28 Prudent healthcare in emergency departments: a case study in Wales 6e94805454a9baebe13c15c17f09f3ab Louise Condon Louise Condon true false 2018-04-28 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. Journal Article Emergency Nurse 25 10 20 23 1354-5752 2047-8984 Emergency Department, unscheduled care, specialist nurse practitioners, prudent healthcare 9 3 2018 2018-03-09 10.7748/en.2018.e1762 COLLEGE NANME COLLEGE CODE Swansea University 2018-05-09T16:06:48.6048166 2018-04-28T19:10:43.3145994 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Louise Condon 1 Sharon Burford 2 Robin Ghosal 3 Brett Denning 4 Gail Rees 5 0039616-09052018160537.pdf 39616.pdf 2018-05-09T16:05:37.3900000 Output 558775 application/pdf Accepted Manuscript true 2019-03-09T00:00:00.0000000 12 month embargo. true eng
title Prudent healthcare in emergency departments: a case study in Wales
spellingShingle Prudent healthcare in emergency departments: a case study in Wales
Louise Condon
title_short Prudent healthcare in emergency departments: a case study in Wales
title_full Prudent healthcare in emergency departments: a case study in Wales
title_fullStr Prudent healthcare in emergency departments: a case study in Wales
title_full_unstemmed Prudent healthcare in emergency departments: a case study in Wales
title_sort Prudent healthcare in emergency departments: a case study in Wales
author_id_str_mv 6e94805454a9baebe13c15c17f09f3ab
author_id_fullname_str_mv 6e94805454a9baebe13c15c17f09f3ab_***_Louise Condon
author Louise Condon
author2 Louise Condon
Sharon Burford
Robin Ghosal
Brett Denning
Gail Rees
format Journal article
container_title Emergency Nurse
container_volume 25
container_issue 10
container_start_page 20
publishDate 2018
institution Swansea University
issn 1354-5752
2047-8984
doi_str_mv 10.7748/en.2018.e1762
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
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description 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.
published_date 2018-03-09T07:21:25Z
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