Search PubMed⌕ Search

Biomedical subjects

Liz Lees

Publications and source records attributed to Liz Lees.

15 recordsLinked to original sources
PubMed2004

Delayed discharge. Must get out more often.

Delayed discharge fines increase pressure on trusts to prevent delays. The loss of vital information between health and social services undermines discharges' credibility. Pooled budgets between the two sectors are a powerful means of fostering innovation.

Aftercare↗
PubMedDate not supplied

Beyond the emergency.

Explore the source record for details and available documents.

Acute Disease↗
PubMedDate not supplied

Estimating date of discharge at ward level: a pilot study.

BACKGROUND: Reimbursement is part of the government's strategy to reduce the level of delayed patient discharge from hospital. This article describes a pilot study, undertaken on one ward in a large NHS teaching trust, to involve clinicians in estimating a date of discharge for patients, to improve discharge practice and assist the reimbursement process. Since January 2004, if a patient is not fit for discharge within a day of being designated for discharge, social services has to reimburse the acute trust up to 120 pounds sterling per day for the delay, if the reasons for the delay were attributed to a delay in the provision of service. The barriers to implementing this initiative at ward level are discussed and suggestions made for a pragmatic way forward to enable a process for estimating a date of discharge to work in practice. CONCLUSION: Estimating a date for discharge requires two fundamental steps: a clinical process to estimate and/or document a date of predicted medical fitness, followed by a communication process to document an estimated date of discharge. Effective discharge planning leading to a reduction in delayed discharges will not occur without these two steps.

Attitude of Health Personnel↗
PubMedDate not supplied

Nurse-led dysphagia screening in acute stroke patients.

This article discusses the findings of an audit to assess the improved outcomes of a systematic approach to training nurses working in an emergency assessment area (EAA) to conduct dysphagia screening for patients who have had a stroke. The investment in training has reduced the time patients wait for dysphagia screening from 35 hours to less than one hour. As a result of this audit dysphagia screening competencies have been established.

Acute Disease↗
PubMedDate not supplied

The role of a flow coordinator in an emergency assessment unit.

This article describes the rationale and change management approach used for the development and initial evaluation of a patient-flow coordinator to the Emergency Assessment Area at Birmingham Heartlands Hospital. This post was established to improve patient flow and departmental efficiency in order to achieve the latest four-hour maximum waiting-to-treatment time directive. The working context, concept, process-mapping approach, core objectives and key functions of the role are all discussed.

Continuity of Patient Care↗
PubMedDate not supplied

Making nurse-led discharge work to improve patient care.

This article discusses nurse-led discharge and provides guidance. Robust implementation of nurse-led discharge requires a thorough understanding of the 'discharge planning' process, and also requires educational support, training and achievement of discharge competencies. Without these, nurse-led discharges are at risk of becoming yet another quick-fix remedy for freeing up hospital beds.

Health Plan Implementation↗
PubMedDate not supplied

How a clinical coordinator improved emergency care.

A clinical ward coordinator role was developed within an emergency admissions ward. The aim was to reduce each patient's length of stay on the admissions ward and the waiting time for a bed in the emergency areas.

Emergency Service, Hospital↗
PubMedDate not supplied

Using post-take ward rounds to facilitate simple discharge.

This article discusses the evolution of simple discharge/transfer destination labels into a post-take ward round form. The aim was to improve the clarity of the management plan and discharge/ transfer decisions including an estimated length of stay on the post-take ward rounds taking place on the emergency admissions ward.

Communication↗