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Improving Alcohol-Related Admissions in General Medicine at Antares Hospital

This project addresses the challenges faced in managing alcohol-related admissions in the General Medicine unit at Antares Hospital. With increased length of stay and costs due to alcohol misuse, the initiative aimed to enhance patient care by streamlining processes and improving team communication. Implemented changes, including coordinated care and effective discharge planning, resulted in a significant reduction in length of stay by 62% and improved transfer times by 70%. Future plans focus on sustaining these improvements through education and process adjustments.

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Improving Alcohol-Related Admissions in General Medicine at Antares Hospital

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  1. General Medicine Alcohol Admission PathwayPresenter: James MacWattHospital: AntaresContacts: Mary Bronson(08) 9346 3717 Page 4818mary.bronson@health.wa.gov.auBronwyn Cairns(08) 9346 1186Page 4866bronwyn.cairns@health.wa.gov.au 4 & 5 June 2008- Sydney

  2. Problems • ↑ LOS/Bed Occupancy in Gen Med at Antares • State-wide ↑ Av. yearly cost, presentations and admissions related to alcohol * • Process Issues • Triple handling (ED, AAU, Home-ward) • Duplication of assessment • Multiple bottle necks • Lack of care coordination • Lack of continuity of care • Inefficient team communication * Impact of Alcohol on the Population of Western Australia, January 2008

  3. Aims • Improve patient care • Empower patient • ↓ LOS • ↓ waste-time waiting, multiple assessment • Right patient cared for in right environment • Improved team communication • Improve effectiveness of work processes

  4. KEY CHANGES IMPLEMENTED • Improve bed management process- Pull vs. Push • Improve Continuity of Care • Criteria Led Discharge • Care Coordination • Improved Team Liaison • Empower Team

  5. EARLY OUTCOMES • Reduction of LOS for Patient group by 62% (3.5 days from 9.125 days) • Reduction in mean transfer time from ED to home ward by 70 % (26.81 hours from 88.375 hours) • Improved patient report of care

  6. PROJECT EVALUATION • Early successes though difficult to sustain! • PROBLEMS • Fall down in communication • Staff Turnover • Loss of focus/priority • THE FUTURE • Process adjustment to aid sustainability • Plan, educate and re-implement with new team • Clinical project lead

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