In managing healthcare workers, there are many ways to develop a formal approach to reducing length of stay while maintaining quality; identify and discuss one. Be sure to discuss the strengths and limitations of the method you identified.
Ashad shabbir et Al., Conducted a study to reduce length of stay by four simple ward based initiatives, a quality improvement project.
This ward based initiatives method includes,
1. A morning board round between nurses and doctors to prioritize new or sick patients for early review
2. A post round meeting between the multidisciplinary team to expenxite rehabilitation and plan discharges early
3. An evening board round to highlight which patients need discharge paperwork for the next day to alleviate the wait for pharmacy
4. A computer on wheels on ward rounds so investigations could be ordered and reviewed at the bed side allowing more to address patient concerns
Strength:
Unnecessary inpatient stay can be significantly reduced by this ward behavior approach.
Limitations of this ward behavior approach:
Need more team cooperation
Need more time management
Need careful work plan
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