Enhancing Emergency Department Care with Physiotherapy-Led Clinic
The introduction of a Physiotherapy-Led Clinic in the Emergency Department aims to improve clinical outcomes, provide a safe and expedited pathway of care, and offer an alternative option for patients. Results show streamlined referral processes, high patient satisfaction rates, and a significant decrease in the need for additional imaging or consultant reviews. Ongoing initiatives focus on quality improvement, staff expansion, and future plans for service development.
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Presentation Transcript
Can the introduction of a Physiotherapy Led Clinic in the Emergency Department enhance clinical and patient outcomes and offer an alternative, safe and expedited pathway of care? Rosie Quinn Advanced Physiotherapy Practitioner Emergency (MSK) Anna Farren Senior Physiotherapist Emergency (MSK) Niall O Connor Consultant in Emergency Medicine Emergency Department Our Lady of Lourdes Hospital Drogheda
BACKGROUND AIM CHANGE INITIATIVE
Key Outcomes Mon- Fri Physiotherapy Led Clinic Streamlined referral criteria and pathway Same day service First Contact Practitioner service Results 909 attendances in 2021 4.18 % required additional imaging - 1.1 % required Consultant review 95% discharged within 2 visits 4.2 % DNA rate 100% patient satisfaction questionnaire PDSA Cycles MDT agreement on Cohort of MSK acute presentations Agreed Measurements Minimum data sets Clinical and Patient Reported Outcome Measures
Service embedded Regular audit, presentations to ED governance Updated MSK Patient Information Leaflets Improvement sustained High satisfaction for patients and staff Choice of care pathways Patient centred onward referral in line with Sl intecare Improved PETs Value to patients, staff and service Expansion of First Contact Practitioner / Advanced Physiotherapy Practice Roles Business case for Increased staff in ED OLOL and Louth Minor Injury Unit Quality improvement Initiative with Radiology / Emergency / Physiotherapy Plans for the future
