Personal Injury News: Substandard treatment in casualty harms patients
A recent report entitled Emergency Admissions: A journey in the right direction? published by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has identified that nearly half of all patients admitted to an accident and emergency department were not tended to by a consultant within twelve hours of arriving.

The NCEPOD, an independent charitable organisation, has said that a senior doctor should tend to all patients within twelve hours of admission, when admitted as an emergency.

The report also detailed that in half of the cases studies it was not possible to read whether the patient had been seen by a consultant or not due to the poor standards of notes taken at the time.

The NCEPOD clinical co-ordinator, Dr David Mason, said, “Our report clearly highlights when and where the systems and processes of care break down, and what needs to be done to fix the problem areas."

Some of the recommendations highlighted by the report were that initial assessments of patients, admitted as emergencies, should include a doctor of sufficient experience and authority to implement a management plan; consultants on call should be available to deal with emergencies and that medical note taking should improve.

The chairman of the BMA's consultants committee, Dr Jonathan Fielden, said "Looking after critically ill patients requires input from the whole multi-disciplinary team; it is however vital that they are seen as soon as clinically appropriate by senior doctors. It is crucial that trusts free consultants from other elective duties so that the most critically ill patients can be reviewed early.”

The study selected 363 hospitals and 3,040 patients for its survey.

According to NHS Direct there are approximately 13 million people visiting accident and emergency departments every year.



Source: http://www.ncepod.org.uk/2007report1/slides/Hall.pdf et al.


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