James Lind

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The ability of hospital staff to get a patient to the right bed at the right time is dependent on bed occupancy, and is a key issue in all acute hospitals. This paper seeks to identify the impact of admission and discharge timing on hospital occupancy with reference to the peak in daily admissions and discharges. Patient admissions data from 23 Queensland(More)
OBJECTIVE To describe and compare characteristics and outcomes of patients who arrive by ambulance to the ED. We aimed to (i) compare patients with a delayed ambulance offload time (AOT) >30 min with those who were not delayed; and (ii) identify predictors of an ED length of stay (LOS) of >4 h for ambulance-arriving patients. METHODS A retrospective,(More)
Emergency department overcrowding is an increasing issue impacting patients, staff and quality of care, resulting in poor patient and system outcomes. In order to facilitate better management of emergency department resources, a patient admission predictive tool was developed and implemented. Evaluation of the tool's accuracy and efficacy was complemented(More)
Introduced with a promise to reduce overcrowding in the Emergency Department (ED) and the associated morbidity and mortality linked to bed access difficulties, the National Emergency Access Target (NEAT) is now over halfway through transitionary arrangements towards a target of 90% of patients that visit a hospital ED being admitted or discharged within 4(More)
Effecting early discharge is a widely recommended strategy for improving patient flow in acute hospitals. This paper analyses the impact of inpatient discharge timing on Emergency Department (ED) flow parameters such as access block and length of stay, while comparing this to the effect on hospital occupancy, to arrive at an understanding of a 'whole of(More)
A BMJ/COPE high level meeting in London on 12 January 2012 agreed the following statement: • This meeting believes that the UK's mechanisms for ensuring good research conduct and investigating research misconduct need to be strengthened • Research misconduct is defined as behaviour by a researcher, intentional or not, that falls short of good ethical and(More)
PURPOSE This paper aims to show that identification of expectations and software functional requirements via consultation with potential users is an integral component of the development of an emergency department patient admissions prediction tool. DESIGN/METHODOLOGY/APPROACH Thematic analysis of semi-structured interviews with 14 key health staff(More)
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