Page 57 - HA Convention 2016 [Abstracts (Day 1)]

Service Enhancement Presentations HOSPITAL AUTHORITY CONVENTION 2016

F2.5 Staff Engagement and Empowerment 10:45 Room 421

Fast Track Protocols Driven Service
Tung WK, Fan KP, Ng HY, Leung YF, Law CW, Mok SM, Yang SF, Ng WC, Siu CB
Accident and Emergency Department, Kwong Wah Hospital, Hong Kong

Introduction Tuesday, 3 May

The Fast Track Protocol Driven Service (FTPDS) in the Accident and Emergency Department of Kwong Wah Hospital of
Hong Kong was commenced in the mid of 2013 due to an increased service demand for complex client condition, aging
population with longer life expectancy and skill mix in healthcare professionals. This initiative aimed at reducing long waiting
time for registration at emergency department to commence treatment, and reducing length of stay for treating patients with
minor condition by experienced registered nurses who got post-registration emergency nursing qualification and extensive
practical-based in-house training.

Objectives

(1) To reduce waiting time of patients; (2) to reduce length of stay in accident and emergency department; (3) to alleviate
overcrowding; (4) to increase client satisfaction; and (5) to enhance staff morale.

Methodology

Trained nurses would assess clients’ condition with lower priority for suitability of FTPDS based on established inclusion and
exclusion criteria of respective working protocol. Trained nurses would then carry out comprehensive history taking, focused
physical examination and providing appropriate treatment. Emergency medicine specialist would support on areas such as
the need of further investigation, drug prescription and medical certificate.

Results

From May 2013 to October 2015, 4,501 patients received FTPDS. In 2015, the average waiting time from registration to
commence of treatment was shortened to 3 hours 41 minutes when compared with subsequent non fast-tracked client in the
same triage category. The percentage of client served within our scope of service were as follows: Minor wound - 43.2% (1,012);
fish bone in throat - 16.7% (391); minor scald - 9.1% (215); animal bite and insect sting - 7.3% (170); ankle sprain - 7% (165);
acute urinary retention - 6.8% (159); limbs abscess incision and drainage - 3.7% (87); needle stick injury/muscoal contact with
others’ body fluid - 1.8% (42); minor head injury - 1.7% (40); nasogastric tube insertion - 1.5% (36); back sprain - 1.1% (26).

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