A 7‐day team‐based model of care in general medicine: implementation and outcomes at 12 months

Abstract

Redesign of the general medicine model of care eliminating waste has resulted in a significant improvement in patient flow and reduced length of stay without compromising quality of care.

Adding a new dimension to the weekend effect: an analysis of a national data set of electronic AKI alerts

“…Possible explanations for this include an inappropriate delay in hospital discharge at weekends leading to pressure on in-patient beds 29 and reduced availability of primary care services 9 resulting in a greater proportion of CA-AKI presenting directly to hospitals at the weekend. Recent data suggest that a 7-day team-based model of care improves patient flow and weekend discharges 30 and increased access to primary care which significantly reduces the weekend workload in A&E departments 31 .…”

Inappropriate Hospital Stay of Patients Admitted Under Care of General Medicine Units

“…In contrast, a study from Australia reported the length of hospital stay of patients admitted under the care of the General Medicine department as 3.7 days. 26 The variations in the reported length of hospital stay could be explained by multiple factors, including accessibility to diagnostic and therapeutic services and availability of subacute medical services and home-based services.…”

Staggering shifts to rebalance night medical registrar workload

“…This project was undertaken at MH, a teaching hospital with 200 acute beds and 5493 Medical admissions in the last financial year. The General Medical Units operate a consultant led 7‐days a week ward‐based model of care …”