Abstract
Introduction
There is a drive for same day emergency care (SDEC) assessments of older frail patients attending hospitals. Multiple documents suggest how frailty SDEC services could work.
Methods
A trial of a mobile frailty SDEC, the Frailty Intervention Team (FIT) took place for 4 weeks in October 2020.. Data were collected manually but most of the presented data was indirect, such as length of stay of all older frail patients, rather than directly related to who FIT had seen. As FIT developed it was clear that data collection required automation. This was achieved through use of specific “Clinical Data Capture” (CDC) forms on the Trust’s Electronic Patient Record (EPR). Utilising a combination of emergency care and admitted patient datasets, a bespoke dashboard has been produced which visualises the data using Statistical Process Control methodology. A CDC form was developed that enabled identification of patients assessed by FIT.
Results
Initially the success depended on where the patient was when the CDC form was completed with 135 patients identified a month from ED dropping to 73 after the establishment of a SDEC unit (non significanton SPC) and 51 identified a month among inpatients, with 160 after the SDEC unit opened (p<.05 on spc) . through collaborative working, adjustments were made to how the data was extracted and transformed for reporting. there no significan diferenceinthenumbersofin november 2024, 284 patients seen with 260 cdc forms. of these 250 recognized by developed dataset (96%).
Conclusion
Collaborative working between analyst & fit clinical lead has led bespoke dashboard allow demonstrate value system trust board. work is ongoing generate reports demonstrating levels compliance girft standards aligned model hospital sets benchmarking.