Saed Abdel
Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, GBR.
Cureus. 2022 Jun 26;14(6):e26347. doi: 10.7759/cureus.26347. eCollection 2022 Jun.
The Francis report recommends that all patients admitted into a UK hospital must have a named identifiable and suitably trained consultant or clinician in charge of their care. This is regarded as a shared responsibility as highlighted by the recommendations made by the General Medical Council Best Practice guidance. However, this can become more error-prone, particularly in acute trauma and orthopaedic inpatients when the named consultant may change numerous times.
We conducted an audit reviewing all the inpatients in the acute trauma and orthopaedic wards and then reaudited twice following the introduction of the three-step system. The results were then analysed and compared with previous cycle results.
Initially following the introduction of the three-step system, there were poorer outcomes. Inpatients with the correct named consultant declined from 47% to 37%. However, following further education and training of each respective member of the multidisciplinary roles, the results were much improved with 88.9% of the inpatients having the correct named consultant.
Ensuring that all inpatients have the correct named consultant is a shared responsibility amongst all health and social care staff involved with the patient. This audit highlights that attributing specific roles to relevant members of the multidisciplinary team can improve communications and patient care.
《弗朗西斯报告》建议，所有入住英国医院的患者必须有一位指定的、可识别身份且经过适当培训的顾问医生或临床医生负责其护理。正如英国医学总会最佳实践指南所强调的，这被视为一项共同责任。然而，这可能更容易出错，尤其是在急性创伤和骨科住院患者中，指定的顾问医生可能会多次更换。
我们进行了一次审计，审查急性创伤和骨科病房的所有住院患者，然后在引入三步系统后进行了两次重新审计。然后对结果进行分析，并与之前周期的结果进行比较。
最初引入三步系统时，结果较差。有正确指定顾问医生的住院患者比例从47%降至37%。然而，在对多学科角色的每个成员进行进一步教育和培训后，结果有了很大改善，88.9%的住院患者有了正确指定的顾问医生。
确保所有住院患者都有正确指定的顾问医生是所有参与患者护理的卫生和社会护理人员的共同责任。本次审计强调，为多学科团队的相关成员分配特定角色可以改善沟通和患者护理。
