NOTE: By submitting this form and registering with us, you are providing us with permission to store your personal data and the record of your registration. In addition, registration with the Medical Independent includes granting consent for the delivery of that additional professional content and targeted ads, and the cookies required to deliver same. View our Privacy Policy and Cookie Notice for further details.

You can opt out at anytime by visiting our cookie policy page. In line with the provisions of the GDPR, the provision of your personal data is a requirement necessary to enter into a contract. We must advise you at the point of collecting your personal data that it is a required field, and the consequences of not providing the personal data is that we cannot provide this service to you.

Don't have an account? Subscribe

Ambulance to ED handover time targets being missed amid ongoing capacity deficits

By David Lynch - 17th Dec 2021

Large red EMERGENCY sign on hospital entrance. Raw original.

Handover time targets between ambulance crews and emergency department (ED) staff are not being met, against the background of ongoing hospital capacity and infrastructural deficits, a recent HSE meeting heard.

Dr Gerry McCarthy, the Clinical Lead of the HSE’s National Emergency Medicine Programme, made a presentation to the October meeting of the HSE safety and quality committee, where he provided “an overview presentation on improving patient flow in emergency care”. Dr McCarthy referenced “capacity and infrastructural issues” within hospitals, according to the meeting minutes.

“It was noted that the time of handover from when the ambulance arrives to being transferred to ED staff should be under 20 minutes and the time it takes for the crew to be available to move onto the next incident should be under 30 minutes….” However, in both instances, these targets were not being met.

The meeting heard of possible interventions to improve the situation, including virtual consultations, patient care pathways, and outreach services at pre-hospital levels. There was also discussion about availability of senior decision-makers and streaming of pathways at triage stage, as well as optimising clinician hours, improved access to diagnostics, and expediting laboratory turnaround at the assessment stage.

The minutes noted that ED attendances of people aged over 75 were increasing “year-on-year”.

As previously reported in the Medical Independent, at the committee’s meeting in September, HSE National Director of Acute Operations Mr Liam Woods raised concerns that the lack of availability of GP appointments was contributing to people attending “under-resourced and under-staffed” EDs and this may compromise patient safety.

Leave a Reply

Latest Issue
The Medical Independent 20th February
The Medical Independent 20th February 2024

You need to be logged in to access this content. Please login or sign up using the links below.

Most Read