The Canadian Journal of Emergency Nursing

Kara Payne & Sandra Reilly (Spring 2020). The continuity of care: From admission to the recovery at home

June 11, 2020 CJENEditor Season 2 Episode 3
The Canadian Journal of Emergency Nursing
Kara Payne & Sandra Reilly (Spring 2020). The continuity of care: From admission to the recovery at home
Chapters
The Canadian Journal of Emergency Nursing
Kara Payne & Sandra Reilly (Spring 2020). The continuity of care: From admission to the recovery at home
Jun 11, 2020 Season 2 Episode 3
CJENEditor

Article:https://www.cjen.ca/index.php/cjen/article/view/41
DOI: https://doi.org/10.29173/cjen41

The treatment and support patients receive in their transition from the Emergency Department (ED) to the patient care unit (PCU), and eventually, the community, have clinical consequences, psycho-social outcomes, and financial ramifications. This quality improvement report provides recommendations intended to improve patient experiences and outcomes, in the context of ED crowding. The recommendations provided are informed by the findings of a master's project that examined the transfer of patients from admission in a crowded ED, to a select PCU, and then to the community using process mapping and patient surveys. The purpose of this project was to examine the sequence of care beyond the walls of the ED and include the PCU (McHugh et al., 2011) using a systems approach (Villa, Prenestini, & Giusepi. 2014). We believe that by understanding process successes and failures, between EDs and PCUs, we can make improvements to ensure efficient, effective, and streamlined transitions to promote continuity of care.

Keywords: transitions, quality improvement, health systems, continuity of care, handovers, patient perspective

Show Notes

Article:https://www.cjen.ca/index.php/cjen/article/view/41
DOI: https://doi.org/10.29173/cjen41

The treatment and support patients receive in their transition from the Emergency Department (ED) to the patient care unit (PCU), and eventually, the community, have clinical consequences, psycho-social outcomes, and financial ramifications. This quality improvement report provides recommendations intended to improve patient experiences and outcomes, in the context of ED crowding. The recommendations provided are informed by the findings of a master's project that examined the transfer of patients from admission in a crowded ED, to a select PCU, and then to the community using process mapping and patient surveys. The purpose of this project was to examine the sequence of care beyond the walls of the ED and include the PCU (McHugh et al., 2011) using a systems approach (Villa, Prenestini, & Giusepi. 2014). We believe that by understanding process successes and failures, between EDs and PCUs, we can make improvements to ensure efficient, effective, and streamlined transitions to promote continuity of care.

Keywords: transitions, quality improvement, health systems, continuity of care, handovers, patient perspective