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( Admitted / For Transfer / Dying ) in the ED , where their total ED time exceeds 4 hours.
[ According to new NEAT Targets ]** 2015 It is an "Absence of Flow".The aim is < 10 %
ED Length of Stay. (ED LOS)2. Increased Patient mortality3. Increase in Patient "Did Not Wait" rate.
improving Access Block. What are 10 ED Interventions ?
Emergency Department Intervention for
Access Block ?A. Having a Senior-Supervised 24 hour Short Stay ward.B. Having 16 hour /day Social worker Coverage.C. Having Transitional-Care beds.D. Nurse-initiated imaging / blood tests.
eg. Off-Site accommodation ( Medihotel)
Interventions for Access Block.
2. Patient care Models [ HITH ; Day Procedure Units ]
3. Medical Assessment / Planning Units .4. Investigations
[ Adequate 24 hour On-Site Radiology / Pathology ] 5. Transit Lounge / Free Transport6. Transitional Care Beds ( Off-Site Accommodation )
Hospital / Inpatient intervention for
Access Block ?A. Day Procedure UnitsB. Centralised bed Management service C. Overnight discharge for next-day Surgery.D. Daily bed management meetings.
Population, which of the following is incorrect?A. Older patients are 4.9 times more likely to require admission to
hospital than patients aged less than 30 years.B. Older patients average length of stay compared with those aged less than 30 is 3 times longer.C. There has been a disproportionate increase in the number of Elderly presentations to ED over the last 2 decades.D. Elderly patients occupy more ED-bed days than the young.
[ 3 main]
( 41% fewer days)
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