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Breach avoidance facilitator--managing the A&E 4-hour target.

J G Cronin·J Wright
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Abstract

This paper aims to explore the concept of the breach avoidance facilitator (BAF) within the Accident & Emergency (A&E) department. This is a role that has been introduced utilising Senior Nursing staff on a supernumerary basis to predominantly provide a trouble-shooting role to manage the A&E 4-hour target. The paper will explore the initial practical difficulties that were encountered during the introduction of the role. The associated benefits of the role including monitoring of the 4-hour target, co-ordination of resources, increased communication with a variety of staff members, and the completion of a real time electronic hand-over form will be explored. The paper will also discuss how the role will evolve to provide support and clinical supervision for junior and ancillary staff.

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Attitude of Health PersonnelCommunicationContinuity of Patient CareEfficiency, OrganizationalEmergency NursingEmergency Service, HospitalEnglandGuideline AdherenceHealth Care ReformHumansInterprofessional RelationsNurse AdministratorsNurse's RoleNursing Evaluation ResearchNursing Methodology ResearchNursing, SupervisoryOrganizational CultureOrganizational InnovationPractice Guidelines as TopicQuality Assurance, Health CareState MedicineSurveys and QuestionnairesTime FactorsWaiting ListsEvaluation StudyJournal Article

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BibTeXRIS

J G Cronin, J Wright. 2006. Breach avoidance facilitator--managing the A&E 4-hour target.. https://doi.org/10.1016/j.aaen.2005.11.005

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