Abstract
Conventional clerking by the emergency department (ED) followed by specialty clerking involves duplication of information. Having multiple documentation lengthens clerking time, slows patient flow and takes longer to review during the admission. The Royal Bournemouth Hospital is a district general hospital on the south coast. The trust sought to improve the efficiency by reducing duplication as part of a quality improvement (QI) team focusing on the first 24 hours of the patient journey. Our group was formed by open invitation. The QI team organised weekly open meetings and included consultant representatives from the ED, surgery, acute medicine, elderly care, stroke and cardiology. It also consisted of a …
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