Measures introduced by emergency departments for monitoring week (total respondents = 111)
| Measure | Introduced for monitoring week(n (%)) | Sustained for more than one month(n (%)) |
|---|---|---|
| Demand | ||
| Changes in patient redirection before booking | 7 (6) | 4 (4) |
| Changes in patient redirection after booking | 17 (15) | 8 (7) |
| Additional staffing | ||
| Consultant, specialist registrar/middle grade doctors | 43 (39) | 6 (5) |
| Senior house officer/other medical staff | 36 (32) | 5 (5) |
| Nursing staff | 32 (29) | 4 (4) |
| Reception, managerial, portering or other non-clinical staff | 37 (33) | 7 (6) |
| Additional capacity | ||
| Cubicles | 0 (0) | 0 (0) |
| Trolleys | 4 (4) | 1 (1) |
| Short stay beds | 8 (7) | 0 (0) |
| Patient management | ||
| Changes in whether patients are triaged | 11 (10) | 5 (5) |
| Triage by senior staff (see and treat) | 31 (28) | 16 (14) |
| Changes in who makes admission decision | 15 (14) | 5 (5) |
| Creation of “four hour monitoring” role | 41 (37) | 20 (18) |
| Other changes in staff roles | 20 (18) | 7 (6) |
| Changes in access to diagnostics | 23 (21) | 10 (9) |
| Discharge | ||
| Change in access to admission beds | 40 (36) | 7 (6) |
| Change in availability of admitting clinicians | 25 (23) | 3 (3) |
| Change in access to emergency social services | 5 (5) | 3 (3) |
| Change in access to primary or outpatient care | 3 (3) | 3 (3) |
| Creation of “discharge lounge” | 18 (16) | 9 (8) |
| Changes in access to transport | 11 (10) | 3 (3) |
| Information | ||
| Changes in which patients recorded | 2 (2) | 2 (2) |
| Changes in how waiting times were recorded | 9 (8) | 4 (4) |
| Changes in how waiting times were analysed | 9 (8) | 5 (5) |