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TURNAROUNDS: How to effect change quickly at a struggling hospital using ‘buddying’ mentoring approach

How a buddying partnership was used to implement a quality improvement initiative at Medway NHS Foundation Trust, a large general hospital located near London, England, is described in this detailed case study.  Medway’s partner in the buddying agreement was Guys and St. Thomas’ Hospitals Hospital NHS Foundation, which provided “advice, operational assistance, ‘compassionate’ leadership and pastoral staff…”  This team approach was successful in quickly improving patient throughput issues.

Source: Leach, R., Banerjee, S., Beer, G., and others. (2019). Supporting a hospital in difficulty: Experience of a ‘buddying’ agreement to implement a new medical pathway. Future Healthcare Journal, 6(1), 67-75. Click here for full text:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6520082/pdf/futurehealth-6-1-67.pdf  Posted by AHA Resource Center (312) 422-2050,  rc@aha.org

How many ER visits result in a hospital admission?

In 2007, 12.5% of emergency department visits in the US resulted in an admission to the same hospital, according to a report from National Center for Health Statistics. Another 2.1% of ER patients were admitted to an observation unit, while 1.8% were transferred to a different hospital.

Of the ER patients admitted, nearly 20% went to a step-down or telemetry unit, 11.5% were admitted to a critical care unit, and 4.4% went from the ER to the OR.

Source: Niska R, Bhuiya F, and Xu J. National hospital ambulatory medical care survey: 2007 emergency department summary. National Health Statistics Reports [US Centers for Disease Control and Prevention], no. 26, Aug. 6, 2010. http://www.cdc.gov/nchs/data/nhsr/nhsr026.pdf