Patient |
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Triage, senior front door assessment and early warning scores/triggers Use of system-wide electronic clinical records/alerts Standard clinical guidelines Telephone follow-up*23 |
Providers |
Lack of experience Temporary staff Suboptimal supervision of complex and changing teams Shift work Multiple provider interactions and handoffs in a patient episode Dependence on external providers Lack of feedback and follow-up |
Evolved induction programmes for temporary staff Strong teamwork,*24 adaptability and accessibility across professional groups Senior sign off Pharmacist-led medication reconciliation*25 Minimum nursing staff ratios Multi-speciality meetings and open feedback
|
Environment |
Crowding Boarding Influx/changing rapidly |
Flexible staff allocation matched to demand Information and communication technology support and tracking systems ED observation/inpatient units |
Task |
Interruptions Cognitive overload Time pressure Handovers of care
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