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Email alerts allow more rapid assessment by palliative care service and decrease length of hospital stay for those discharged home

Curtis, Hannah
Smith, Rob
England, Ruth
Abstract
The Hospital Palliative Care Team (HPCT) at Royal Derby Hospital, part of Derby Teaching Hospitals NHS Foundation Trust, is a team of Medics and Clinical Nurse Specialists who review in-patients with specialist palliative care needs. Our team identified a number of circumstances where patients were readmitted, but not promptly re-referred, to HPCT. Through analysis of our statistics, we found that the average length of time between admission to hospital and referral to HPCT was 8 days. It was felt that earlier HPCT intervention may have facilitated better patient outcomes through more timely assessment and symptom review; and that through early review there was potential to reduce length of stay and improve rates of discharge to a preferred place of care. We therefore introduced an electronic alert (e-alert) system
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