Admissions to Bushey Fields Hospital, Dudley
Maryam Imran Aziz, Praveen Kumar

TL;DR
This study examines out-of-hours hospital admissions and recommends ways to improve doctor preparedness and reduce workload.
Contribution
The study identifies patterns in out-of-hours admissions and proposes practical solutions to enhance doctor involvement and efficiency.
Findings
85% of admissions occurred out of hours, despite beds being identified during day shifts for half of the cases.
Most clerking processes started out of hours, with many initiated after patient arrival.
Recommendations include pre-informing doctors and pre-filling clerking forms to reduce workload.
Abstract
Aims: The on-call doctor at Bushey Fields Hospital, Dudley, has multiple responsibilities out-of-hours, including covering 5 wards (both general and older adults), clerking new admissions, attending reviews with the Psychiatric Liaison Team, receiving calls from CRHTT for medication advice, and carrying an arrest bleep for emergencies. Resident doctors’ meetings have raised the issue of admissions frequently occurring out of hours, and that doctors are often unaware until the patient has arrived, giving less time to prepare. These lead to patients and ward staff waiting at late hours for assessment, delays in prescribing and administering medications, and increased workload for the on-call doctor. The aims of this project were to: determine during which shifts patients are most commonly admitted; determine a timeline of when the bed is identified, when the patient arrived, and when…
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Taxonomy
TopicsPsychiatric care and mental health services · Emergency and Acute Care Studies · Hospital Admissions and Outcomes
