publication . Article . 2017

Workflow barriers out of hours: optimising critical care outreach to support clinical decision making in medical and surgical care settings

Jas Bhangu; Aine Lynch; Gobnait Byrne; Anne-Marie Brady; Mary B. Quirke; Maebh Prendergast; Shauna Ennis;
Open Access
  • Published: 17 Oct 2017 Journal: International Journal of Integrated Care, volume 17, page 96 (eissn: 1568-4156, Copyright policy)
  • Publisher: Ubiquity Press, Ltd.
Abstract
Introduction : The out-of-hours period is associated with less favourable patient health outcomes as well as unpredictable workloads and reduced support structures for clinical activity. In particular, appropriate skill mix, staff numbers, resources, communication structures and access to diagnostic services can influence patient safety and risk. As part of continued efforts to improve patient care and hospital management, one major academic hospital is in Ireland has been engaged in work re-design during the out-of-hours service period to improve supports for clinical decision-making in medical and surgical care wards. Aim : To gain understanding of facilitator...
Subjects
free text keywords: Health Policy, Sociology and Political Science, Health(social science), work flow; critical care outreach; clinical decision-making, Patient safety, Nursing, Early warning score, Skill mix, Health care, business.industry, business, Service delivery framework, Patient experience, Workflow, Outreach, Medicine
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