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View offers. NHS feels the strain as hospital bed-blocking by elderly patients hits record levels.
Download the new Indpendent Premium app Sharing the full story, not just the headlines Download now. More than a million hospital days have been lost due to delayed discharges Getty. Shape Created with Sketch. The increasing strain on NHS resources Show all 4. The NHS has suffered from enormous financial strain over the past few years and vital improvements, such as reducing GP waiting times, are needed PA. Enter your email address Continue Continue Please enter an email address Email address is invalid Fill out this field Email address is invalid Email already exists.
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Hospital Bed End Units
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Subscribe Already registered? Log in. Flag comment Cancel. Our trainer looked younger than any of us, maybe a few years out of college, with an early-Justin Bieber wave cut, a blue button-down shirt, and chinos. Gazing out at his sullen audience, he seemed unperturbed. I learned during the next few sessions that each instructor had developed his or her own way of dealing with the hostile rabble.
One was encouraging and parental, another unsmiling and efficient. When it came to viewing test results, though, things got complicated.
In , when I was an eighth grader in Ohio, I built my own four-kilobyte computer from a mail-order kit, learned to program in BASIC , and was soon playing the arcade game Pong on our black-and-white television set. As my Epic training began, I expected my patience to be rewarded in the same way.
With Epic, paper lab-order slips, vital-signs charts, and hospital-ward records would disappear. A study found that physicians spent about two hours doing computer work for every hour spent face to face with a patient—whatever the brand of medical software. In the examination room, physicians devoted half of their patient time facing the screen to do electronic tasks.
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And these tasks were spilling over after hours. The University of Wisconsin found that the average workday for its family physicians had grown to eleven and a half hours. The result has been epidemic levels of burnout among clinicians. Forty per cent screen positive for depression, and seven per cent report suicidal thinking—almost double the rate of the general working population.
Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. My hospital and clinics reduced the number of admissions and appointment slots for two weeks while the staff navigated the new system. For another two weeks, my department doubled the time allocated for appointments and procedures in order to accommodate our learning curve.
The software costs were under a hundred million dollars. The bulk of the expenses came from lost patient revenues and all the tech-support personnel and other people needed during the implementation phase. In the first five weeks, the I. Most were basic how-to questions; a few involved major technical glitches. Printing problems abounded. My hospital had to hire hundreds of moonlighting residents and pharmacists to double-check the medication list for every patient while technicians worked to fix the data-transfer problem. The doctors were used to having all the votes.
But Epic had arranged meetings to try to adjudicate these differences. A simple request might now involve filling out a detailed form that took away precious minutes of time with patients. Rana said that these growing pains were predictable.
‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed | Kaiser Health News
I saw what he meant. My laptop was available for checking information and tapping in occasional notes; after the consultation, I completed my office report.
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Some things were slower than they were with our old system, and some things had improved. From my computer, I could now remotely check the vital signs of my patients recovering from surgery in the hospital. With two clicks, I could look up patient results from outside institutions that use Epic, as many now do. For the most part, my clinical routine did not change very much. As a surgeon, though, I spend most of my clinical time in the operating room.
I wondered how my more office-bound colleagues were faring. I sought out Susan Sadoughi, whom an internist friend described to me as one of the busiest and most efficient doctors in his group. Sadoughi is a fifty-year-old primary-care physician, originally from Iran, who has worked at our hospital for twenty-four years. Making time in her work and family schedule to talk to me was revealingly difficult.
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