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The Scottish Government Health Delivery Directorate Improvement and Support Team

May 2005 - September 2007

ISBN 978 0 7559 5583 1

This document is also available in pdf format (1.2MB)

Contents

Foreword

Introduction

1. What's in a Name?
The Improvement and Support Team
Staff Experience

2. Flow Chapters

Section 1: Overview Flow
1. Timely and Effective Discharge: Traffic Lights NHS Lanarkshire
2. The Implementation of 'Traffic Light' System for Discharge Planning NHS Borders
3. Why are we Waiting? Root Cause Analysis NHS Highland
4. Managing Patient Flow and Escalation Policy NHS Greater Glasgow & Clyde
5. Impact of Estimated Date of Discharge 'Traffic Lights' on the Arrival Time of Prescriptions in Pharmacy NHS Lanarkshire
6. Improved Process for Bed Management NHS Borders
7. Introduction of a Flow Coordinator to A&E NHS Fife
8. Statistical Process Control: Using an Industrial Quality Improvement Tool in a Healthcare Setting NHS Ayrshire & Arran
9. Impact of Patients' own Drugs Programme on Time to Discharge NHS Lanarkshire
10. Integration and Redesign of Unscheduled Care Services NHS Orkney
11. Making It Better - Paediatrics Streaming at Crosshouse Hospital NHS Ayrshire & Arran
12. Bed Busters: Ensuring Timely Discharge NHS Borders

Section 2: Flow 1
1. Implementation of See and Treat NHS Lanarkshire
2. Streaming Minor Injury Patients: See and Treat NHS Greater Glasgow & Clyde
3. Integrated Approach to 'Streaming' of Minors NHS Borders
4. Redesign of First Contact for Flow 1 NHS Lothian
5. Out of Hours: Minor Injury & Illness Units NHS Tayside

Section 3: Flow 2
1. Introduction of Scottish Early Warning System ( SEWS) across all specialities NHS Western Isles
2. Reducing Laboratory Results Waits and Delays NHS Highland
3. Dedicated Radiology Service for A&E NHS Dumfries & Galloway
4. Proactive Rapid Assessment to Occupational Therapy Service NHS Tayside
5. Front Door Clinical Decisions Impacting Care: Clinical Decisions Unit ( CDU) NHS Ayrshire & Arran

Section 4: Flow 3
1. Triage Bay Acute Medical Admissions Unit ( AMAU) NHS Fife
2. Common Medical Pile System NHS Greater Glasgow & Clyde
3. Staff Ownership of Change: The Pharmacy Sub-Group NHS Ayrshire & Arran
4. Acute Assessment using a Multi-Disciplinary Approach NHS Greater Glasgow & Clyde
5. Discharge Processes NHS Lothian
6. Discharge Prediction: Estimated Date of Discharge ( EDD) NHS Greater Glasgow & Clyde
7. Addressing Patient Flow Issues through Strategic Bed Management NHS Ayrshire & Arran
8. Gaining Control: Improving Bed Management within ARINHS Grampian

Section 5: Flow 4
1. Orthopaedic Patient Pathway NHS Lothian
2. Early Intervention: Reduction in delays for patients with possible hip fracture NHS Western Isles
3. Trauma Co-ordinator Role NHS Lanarkshire
4. Surgical Assessment Area at Crosshouse Hospital NHS Ayrshire & Arran

Section 6: Flow 5
1. Increasing Public Awareness; Right Place, First Time NHS Highland
2. Alternatives to Paediatric Admission NHS Lothian
3. Paramedics treating minor ailments & Out-of-Hours Community Nursing Provision NHS Western Isles
4. Mental Health Services: Supporting Emergency Care in a Remote/Rural Setting NHS Shetland
5. Acute & Homeless Liaison service NHS Greater Glasgow & Clyde

Appendix 1 - Contacts
National Team
National Leads

Appendix 2 - Top Tips for Writing a Case Study

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