And there was me thinking our silly breaching system was over the top. Down in mexico it seems they’ve possibly swung a bit far the other way.
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I love reading about your thoughts on the targets… do you think there are any benefits at all to patient flow, or it is all smoke and mirrors?
there’s certainly some benefits. it’s good thing that someone with a sprained ankle doesn’t have to wait 4 hours to get sorted.
it also makes the wards where the patients are going not drag their feet so much when it comes to getting them admitted
I just don’t think time spent in the department is a very good surrogate for quality of care (such s patient satisfaction or even better outcome [mortality/morbidity etc...])
decisions are made about patients because the might breach and not necessarily int their best interest
all you’re measuring is a number. I think the quality of care we provide is much less than perhaps it used to be.