Hospital at night: an organizational design that provides safer care at night

BMC Medical Education

Review

Diana Hamilton-Fairley¹  John Coakley²  Fiona Moss³ 

[1] Guy’s and St Thomas’ NHS Foundation Trust, London, UK;London Deanery, London, UK;Homerton University Hospital, NHS Foundation Trust, London, UK;London Deanery, London, UK;

关键词: Night Shift;    Junior Doctor;    Medical Emergency Team;    Adverse Incident;    Safe Patient Care;   

DOI  :  10.1186/1472-6920-14-S1-S17

来源: Springer

【 摘 要 】

The reduction in the working hours of doctors represents a challenge to the delivery of medical care to acutely sick patients 24 hours a day. Increasing the number of doctors to support multiple specialty rosters is not the solution for economic or organizational reasons. This paper outlines an alternative, economically viable multidisciplinary solution that has been shown to improve patient outcomes and provides organizational consistency. The change requires strong clinical leadership, with organizational commitment to both cultural and structural change. Careful attention to ensuring the teams possess the appropriate competencies, implementing a reliable process to identify the sickest patients and escalate their care, and structuring rotas efficiently are essential features of success.

【 授权许可】

Unknown   
© Hamilton-Fairley et al; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.