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hospital

Two roads, fever, speculation and biases

Heuristics are the pathways or grooves laid down in our subconscious that make us behave in a certain way; habit. Something works this way, I will do it again, and again and so long as all things are equal, I am ok. If a variable changes and I don’t notice, I can be in trouble.

Hospital

You see, The Plan says that more will be invested into community care, yet, the cumbersome nature of the NHS, again, the upside-down system of health and social care has resulted in lots or organisation and reorganisation but little transformational thought, little concept of how we can do things differently.
Hospital

My Job

Mostly, my approach is to consider that we, that is the community services (those outside the acute hospital) can and do support a far broader range of patients than people realise and, when working well together, can care for a significant proportion of the people who otherwise arrive at the door of A&E.
My Job

Discharge

This is when we can behave in ways that are counter to our usual preferences; the quiet guy shouts, the woman obsessed with detail makes rash and sweeping assessments, the emotional soul becomes a tyrant.
Discharge

To send home or not?

It is funny however when people consider the fevered hospital atmosphere where cries of ‘discharge!’ often ring-out on Monday afternoon as the system like the mind of the poor doctor or nurse is sludging-up, a fat-ball of actions and risk mitigation.
To send home or not?