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Related Experiment Videos

Clinical decision support tools in A&E nursing: a preliminary study.

T D New1

  • 1Northumbria Healthcare NHS Trust.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|April 27, 2002
PubMed
Summary

The Urgent Need Assessment Service (UNAS) improved patient satisfaction for non-emergency A&E cases. This new model offers faster treatment and reduced waiting times for lower-acuity patients.

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Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Nursing Practice

Background:

  • Accident & Emergency (A&E) departments face challenges with non-emergency attendances.
  • The Manchester triage model categorizes patients by urgency (blue/green for lower acuity).
  • Developing specialized services can optimize A&E resource allocation.

Purpose of the Study:

  • To describe the development and implementation of the Urgent Need Assessment Service (UNAS).
  • To evaluate the effectiveness of UNAS in managing non-emergency patients within an A&E setting.
  • To assess the impact of UNAS on patient satisfaction and A&E resource utilization.

Main Methods:

  • UNAS utilizes NHS Direct computerised algorithms and specially trained nurses.
  • Nurses collaborate with patients, using shared computerised information for treatment planning.
  • The service targets patients categorized as blue or green status under the Manchester triage model.
  • Data collected from September 3 to December 31, 2000, for pilot evaluation.

Main Results:

  • Approximately 75% of A&E attenders are classified as blue or green status.
  • UNAS implementation resulted in faster treatment and reduced waiting times for eligible patients.
  • Patient satisfaction increased, allowing A&E to focus resources on critical cases.

Conclusions:

  • The UNAS pilot study demonstrated high patient satisfaction.
  • Patients previously deemed 'inappropriate attenders' may benefit from separate, specialized care.
  • UNAS offers a model for efficient management of non-emergency cases within or separate from traditional A&E departments.

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