@dr_rita39 @fourhourtarget Reasons for breaches are complex due the nature of A&E and supporting department. Too many for a short article.
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Als antwoord op @JonMarcStanley
@JonMarcStanley@dr_rita39 put shortly it's exit from dept (ie full hospital) that causes breach. Not front-door overload.2 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @fourhourtarget
@fourhourtarget@dr_rita39 At peak times its frontdoor; disposal a big issue but much harder to control than reducing demand.4 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@dr_rita39 seriously, dept never falls over because too many come in. We can process (appropriately triaged) minors..1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @fourhourtarget
@fourhourtarget@dr_rita39 That's overstating the case. They're all triaged for disposal within 4 hours; which isn't appropriate at all.1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@dr_rita39 so would you advocate minor cases should wait longer? Who decides? 4 hours is sometimes what it takes for majors1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @fourhourtarget
@fourhourtarget@dr_rita39 Clinicians should decide by triaging. $ hours is a political target. Clinical targets please.1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley agreed 4h is political. Reality is it's a ceiling. Many pts treated and discharged far, far quicker. We DO treat clinically1 antwoord 0 retweets 1 vind-ik-leuk -
Als antwoord op @fourhourtarget
@fourhourtarget I work in A&E, I know we do. Forced transfers coming up to the limit of 4 hours delays treatment though, that's a problem.2 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley then what we need is efficient triage and direction at front door. Not sure how the 2-hour majors idea enhances.1 antwoord 0 retweets 0 vind-ik-leuks
@fourhourtarget The 2 hour is taken from the Manchester triageing system; main point is to have efficient clinical triage as you said.
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