Barbara’s November blog mentioned that we looked at the potential impact of SortED on breaches of the 4 hour target in our ED trial, so I thought I would summarise what the data tell us. You may not be familiar with this type of clinical trial. It was a simulated clinical use trial where SortED and conventional triage were tested side by side. One nurse used SortED and the other the standard Imperial College Healthcare Trust’s ‘triage only’ system.
Month: November 2018
Our trust has recently hired a management consultant firm to help improve our EDs performance (we’ve done this a few times over the last few years). One of the issues we’ve been focussing on is how to avoid the non-admitted breaches in the ED. Put simply, breaches of the 4 hour target cost trusts money. I think it’s intuitive to most Emergency MedicineEM clinicians that if you get the patient started on the right journey right at the get go things go smoothly. The initial assessment of patients is key to getting it right first time – as opposed to the DIRE (doing it right eventually) situation we often find ourselves in.
Last month’s coding of the new routes went well and regression testing (where we test that the new code does not disturb the pre-existing programing), only produced one very minor headache.
However headaches come in all degrees and this month, I started coding up the analgesia selection part of the OUCH™ pain scoring system.