admissions in England and Wales per year 1. 1 The average hospital stay lasts 13 days and costs around £3,800. 2 The increased use of same day emergency care (SDEC) services provide opportunity for novel HF management pathways while still achieving quality and best practice tariff targets 3 in this setting.
advice provided. In the staff survey, the main barrier identified in delivering safety netting instructions was time pressure.
DiscussionA simple intervention of including a prompt in the discharge summary pro forma significantly improved the provision of safety netting instructions. This would be feasible to replicate in similar units, and the convenience of the prompt in the proforma may allay the time pressures in a busy clinical setting. Furthermore, written and tailored instructions were preferred by surveyed patients.
to ensure training was trainee guided/focused. We sought to assess the confidence of trainees each week and their use of POCUS, looking for long-term trends. Regular governance meetings were set up.
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