Top Tweets for #Accessblock
🚨 The ED is NOT a substitute for broken systems.
It’s the *last line of defense* for emergencies.
Yet #crowding & #accessblock force EDs to compensate for gaps they were *never meant to fill*
This harms patients AND staff.
#Emergency4Emergencies #Burnout
A valuable addition to the literature.
Interestingly, I find the outcomes of multiple Parliamentary Inquiries & reviews (often called grey literature) to also be very useful in a practical policy sense. #funding #EMS #ramping #accessblock #patientflow #primarycare #paramedicine
Emergency department crowding: an overview of reviews describing measures causes, and harms
https://t.co/bDLLRPN0lT via @EddyLang1 et al
In January 2024, over 158,000 UK patients waited 4+ hours for admission to the ED. Alcidion's Miya Central offers real-time analytics for healthcare facilities, addressing #patientflow and #accessblock issues. See the solution in action at stand C30 at Digital Health #Rewired.
Thanks to @CADTH_ACMTS for this comprehensive state of the art report on #EDcrowding and #Accessblock. Still draft - feedback sought.
@UCalgaryEM @CAEP_Docs @WeAreCanadiEM @HowardOvens @EMERGENCY_SCN @YourAlberta @raghu_venugopal @ubcemed @petrosoniak
https://t.co/viZjG3rKkA
@RahulDBarmanray @_FarahAkram @EmmaVDSchyff @Grace_Currie_ @digitalhealthn Coincidently, I am looking at ED "Did Not Wait" data. I must say though, #Overcrowding and #AccessBlock is not just #ED problem, as EDs do try some innovative approaches! You can find more on to this here: https://t.co/2568O6SEVV
#DigitalHealthWeek23
Everyday events from EM : a ED patient telling clinicians “you have done nothing” “waste of time” (despite phlebotomy , ultrasound , ECG and explanation of exclusion of life threats) of course all done from a waiting room chair #accessblock #perception #wewillsortmedicine
@robdmitchell @Damian_Roland @DrSimonCraig @RCollEM @RCEMpresident Agree! *cries in Victorian*
It’d be great if this election saw a commitment to meaningful statewide ED data systems so we can better target and monitor evidence-based solutions to #accessblock, rather than buildings we may not be able to staff.
#VoteForPublicHealth #VicVotes22
I have a theory that if our hospital cafe made coffee faster access block would be reduced #accessblock #emergencydepartment
@acemonline Likewise working on #HealthSystemReform and policy change can be very satisfying, esp on those clinical days when it feels like there are nothing but barriers produced by a broken system.
#AccessBlock & #burnout are wicked problems that need big picture systems thinking. 3/
I don’t know Dr Tadros, but I know this story very well.
This is the harm of #accessblock. Being forced to provide waiting room medicine.
@acemonline
https://t.co/nb37iowvpj
Doctors in NSW are burnt out and leaving the system, working under industrial conditions that haven’t been properly updated in 35 years. How can we safely staff our public hospitals?
#ambulanceramping #accessblock #nswpol
Access block Inquiry:
Dr Sara has been asked about fatigue management for doctors- basically non existent in NSW hospitals #accessblock #nswpol #ambulanceramping
15/🧵We know how to prevent the loss of life associated with #EDcrowding / #accessblock; the concepts are part of straightforward disaster medicine. The challenge is that we need to apply them.
12/🧵In order to deter complacency while we (im)patiently await change at the national policy level, we must begin to call #EDcrowding/#accessblock what it is: a large-scale, gradual disaster.
7/🧵As we wait for reform at the policy level, patients & communities continue to suffer quietly from #EDcrowding /#accessblock
5/🧵The issue of #EDcrowding / #accessblock extends across the 🌎, plaguing a variety of different systems in different countries. @TheSGEM @fabiolalzamora @alandrummond2 @davidcarr333 @NightShiftMD @AdiG1993 @dobbin1977 @cliffreid @DavidMarcozzi2 @SusanSternmd @DavidMarcozzi2
It's time to call #EDcrowding / #accessblock what it is: a large-scale, smoldering disaster.
There's power in a name. Correctly identifying this issue would help enhance awareness & deter complacency.
1/🧵
Are there Public Hospitals in SA that manage to admit all acute admissions to a bed within even a day? ( He says as the post-take ward round starts in the overflow EC as always). #AccessBlock
💯 this.
We all desperately want to provide the best care for all our patients but are often unable to due to current system constraints, which are many - this is the cause of moral injury and it’s so damaging to us as healthcare providers.
#moralinjury #accessblock
Let me paint a picture of #peds #emergency care for you.
Let's say your 3 year old bonks his head on the coffee table right before dinner. Nothing horrible, but needs stitches. You take him to urgent care. They tell you that they can't fix it, and you need to go to the ER.
1/
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