Testing the ED Capacity Management Guidance document within Hairmyres Hospital

In July 2015 NHS Lanarkshire offered to test the implementation of the Emergency Department (ED) Capacity Management Guidance within Hairmyres Hospital. This case study outlines the process and methodology that NHS Lanarkshire adopted to test the ED Capa


Improvement method

A short-life working group was established and chaired by the Chief Executive. Membership included senior clinicians and managers from Hairmyres initially, and then extended to Monklands and Wishaw once testing had been established.

Improvement methodology was used to test the guidance and measures for crowding. Multiple tests of change were carried out at each stage of the process within Hairmyres Hospital using the Model for Improvement framework (figure 1) [1] .

Figure 1: Model for Improvement

Figure 1: Model for Improvement

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