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Target rather than clinically driven decision making
The 4 hour wait has not been mentioned in our trust during Covid and this has made the relationships between ED and clinical teams far more patient focussed rather than all being about not breaching. As a result 4 hours has not been a factor as decisions are made rapidly. This has been helped by better engagement by senior clinicians which may not be sustainable once elective work resumes but we should not allow a return to a target dictating care.
Should this be stopped or restarted in a different way? If you think it should be restarted in a different way then how would you change it from before?
edited on Jul 13, 2020 by
Kyle Beacham
Sad to hear that a target was and still is a factor in decisions. For myriad reasons we're 'encouraged' to put target before patient and yet we all know it should be the other way round. Suggest the real issues extend well beyond a time target as you allude.
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Status labels added: Collaboration, Effective Team Working, Implementation, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Things To Stop, Triage, Workforce, Horizon 2
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The key to appropriate, and timely care is senior decision makers being involved as early as possible and having standardised pathways for common presentations. Maybe targets could change to reflect this?
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Status labels removed: Collaboration, Effective Team Working, Implementation, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Things To Stop, Triage, Workforce
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