Cooksley Tim, Al-Sayed Tamer, Ray Simon, Williams Simon, Campbell Geraldine, Bilney Matthew, Berman Richard, Haji-Michael Phil
University Hospital of South Manchester and honorary consultant, The Christie, Manchester, UK.
The Christie, Manchester, UK.
Future Healthc J. 2017 Oct;4(3):213-215. doi: 10.7861/futurehosp.4-3-213.
There is increasing recognition of the need for collaboration between oncologists, acute physicians and specialists to improve the quality of care and outcomes of acutely unwell patients with cancer. At The Christie, a tertiary oncology hospital, a model has been developed to deliver acute medical and specialty support services. This delivers, among many things, a consultant-led acute medical ward round on weekdays. There has been a significant increase in the number of patients admitted to the oncology assessment unit (OAU) since its introduction, in part due to an increased number of direct discharges from the unit. Collaborative working between oncologists and acute physicians with a shared vision for high-quality care for patients has ensured that this change has been implemented smoothly. This has included development of patient flow models to optimise bed usage, so that a higher number of patients can access these specialist services.
人们越来越认识到，肿瘤学家、急症科医生和专科医生之间需要开展合作，以提高癌症急症患者的护理质量和治疗效果。在一家三级肿瘤医院——克里斯蒂医院，已经开发出一种模式来提供急性医疗和专科支持服务。这一模式带来了诸多成果，其中包括工作日由顾问医生主导的急性医疗病房查房。自肿瘤评估单元（OAU）设立以来，收治的患者数量显著增加，部分原因是该单元直接出院的患者数量有所增加。肿瘤学家和急症科医生为患者提供高质量护理的共同愿景下的协作，确保了这一变革得以顺利实施。这包括开发患者流程模型以优化床位使用，从而使更多患者能够获得这些专科服务。
