• Clin Med (Lond) · Aug 2016

    Observational Study

    'The time it takes…' How doctors spend their time admitting a patient during the acute medical take.

    • Jodie Sabin, Waleed Khan, Christian P Subbe, Marc Franklin, Iman Abulela, Anwar Khan, and Hassan Mohammed.
    • Ysbyty Gwynedd, Penrhosgarnedd, Bangor, UK.
    • Clin Med (Lond). 2016 Aug 1; 16 (4): 320324320-4.

    AbstractPatient safety depends on adequate staffing but the number of doctors required for safe staffing for medical emergencies is not known. We measured the duration of the admission process for patients seen by medical teams in emergency departments (EDs) and acute medical units. History taking and examination by a core medical trainee took 22 minutes for a patient referred from the ED and 21 minutes for a patient referred from primary care. A complete admission clerking with prescription and ordering of investigations ranged from a mean of 15 minutes for a consultant in acute medicine to a mean of 55 minutes for a foundation year 1 trainee. The duration of post-take ward rounds also showed significant variability.Our data can be used to model staffing patterns if combined with information about admission numbers and local set up.© 2016 Royal College of Physicians.

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