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• W1940980411 abstract "This change project involves the commissioning of a Short Stay Observation Unit (SSOU)within a DATH’s Hospital.SSOU’s deliver intensive short-term assessment, observation or therapy to selected EDpatients to optimize early treatment and discharge. Observation medicine in dedicated unitsis a feature of many adult Emergency Departments (ED) but this has not been reflected inchildren’s ED’s in Ireland.The current literature supports the development of SSOU’s, indeed it is very much in linewith the new National Model of Care for Paediatrics in Ireland and the new NationalChildren’s Hospital.Developing a unit can be challenging and there is much to be considered when selecting thegovernance structure, choosing suitable conditions, staffing and developing metrics to helpmonitor its performance post opening. The creation of this new unit required a culturalchange with regard to how care is delivered within the hospital. This required a change to the“day to day” practices of the consultants and nurses. Such changes can be difficult in large,complex healthcare organizations. However, the underlying assumption of this project is thatthe patient comes first and that SSOU’s are designed to prioritise the patient and not staff,management or finances.The rational for the change is to streamline ED services by transferring observational patientsfrom ED to the SSOU thus reducing ED waiting times and inpatient admissions. The HSEModel of Change (2008) was used to guide and manage the change process. The projectedwas evaluated against the project objectives, a nursing survey (n=55) and nurse managementfocus group (n=5) was also used to evaluate the success of the project. The results indicatethat although staff have some concerns with regard to the development 71% (n=39) would beinterested in redeploying to the unit upon its opening.The study also identified a potential saving of 6-7 inpatient beds per day with an operationalSSOU. SSOU’s have been shown to reduced hospital length of stay and costs whileincreasing parental satisfaction.Finally, the author discussed the findings of the project in light of the current literature andfrom the experience of undertaking the project. The strengths and limitations are identifiedand recommendations for the organisations are documented." @default.
• W1940980411 created "2016-06-24" @default.
• W1940980411 creator A5081248342 @default.
• W1940980411 date "2014-01-01" @default.
• W1940980411 modified "2023-09-27" @default.
• W1940980411 title "Commissioning a Short Stay Observation Unit (SSOU) in a children’s facility within a Dublin Academic Teaching Hospital." @default.
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