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";s:4:"text";s:10784:"Overall, he’s seeing more patients, more older patients, and more patients with complex health problems. “Naturally if there’s a possibility of cancer lurking around in the background, it could possibly even save your life.”, Donald’s scan indicated a mass in his liver that could be cancer, so Dr. And it’s still often not enough. All new patients must be referred by physicians only. After spending seven hours in emergency he was referred to the clinic, where he saw Dr. She says some of the systems, for example, require too much information that turns the process into a broader assessment rather than triage, which slows the triage process and thereby slows patient flow in emergency. She spent 10 days in hospital and a year incapacitated at home, and is still not able to do all the things she did six years ago before her injury. There, they will be seen within a few days by an internist – a doctor who specializes in the diagnosis and nonsurgical treatment of adults. Many Ontario hospitals are already using electronic triage, but they are using a variety of systems, with mixed results, says McCarron. Donald came to the clinic as a patient after going to the emergency department on the advice of his doctor, who was concerned when the 89-year-old developed jaundice, which can indicate problems with the liver. All rights reserved. Daily cardiologist clinics (arranged directly by the cardiologist's office) -Dr. Fifty-seven (4.7%) of the patients seen in the clinic died within 180 days of their assessment, most from cancer (40) or congestive heart failure (7). When hospitals were asked to volunteer to be among the first to adopt it, 23 volunteered, more than double what was anticipated, notes McCarron. The rest were managed in the Rapid Referral Clinic or referred to specialty care. On a 10-point scale, third-year internal medicine residents who worked at the clinic for some period between July and December 2012 gave their clinic experience the maximum rating of 10. Development of the clinic took one year. Specifically, we lead and operate the Hospitalist Training Program as well as the Sunnybrook Patient Safety Unit. All clinics see patients by referral only. Rosemary says she has visited emergency departments about a dozen other times over the past eight years and the visits have lasted eight or nine hours each time. What do you think caused it?’ Two, three minutes and then they were gone. “That was a totally different experience,” she recalls. In this environment, our challenge has been reducing hospital admissions from the emergency department (ED). Residents who have worked at the clinic have enjoyed and valued the experience. 640 Queenston Road, Hamilton, ON L8K 1K2 (905) 573-1645. Once eCTAS is implemented, live audits will be repeated to see how the results of the triage nurses compare to the results of an expert auditor after the system is in place. This clinic has helped to shorten the waiting time for radiation treatment in patients with a limited life expectancy. Based on these results, Sunnybrook decided to make the clinic permanent. And, if necessary, patients can be admitted to hospital. Better resident training. Other centres in Canada and Australia have followed our model and set up similar clinics. ... (SUNDEC) and the Rapid Assessment Diabetes and Referral Program (RADAR), which follows highly complex patients in an outpatient setting. Storage in Duncan. However, while David has received a lot of excellent care in emergency departments, there were a lot of negative experiences as well, says Paula. We feel that this was better for two reasons: patients got the exact attention they required, and the hospital’s resources were used more efficiently. 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