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business process management
Pages 6 (1506 words)
Introduction In 2010, the UK National Health Service (NHS) published the March 2009 Francis report on the failures of the Mid-Staffordshire NHS Foundation Trust as stated by Francis (2010a). This report was released by an inquiry chaired by Robert Francis which focused on the standards of care at the Trust.
These recommendations were fully accepted by the Trust Board and the Department of Health. There were shortcomings in different aspects in the Trust that are explained below. Failures in Operations management The hospitals lacked well established protocols and pathways for the management of patients admitted in A&E (Accident and emergency) as expressed by (Francis 2010a). This department was understaffed and lacked proper equipment such as defibrillators for resuscitation trolleys. This left very few nurses to conduct urgent assessment of patients and receptionists who had no medical training were forced to take up this job. Nurses in the A&E did not have enough training and the hospital had weak leadership. The number of consultants to provide daily on call cover was insufficient and there were only few middle level doctors. The middle level doctors and junior medical practitioners were not adequately supervised. They were frequently under pressure to make prompt decisions in order to meet the set target of attending all patients in four hours and go through the A&E. This had resulted to a situation whereby patients are taken to the EAU (Emergency Assessment Unit) without necessary diagnosis and assessment. The situation of the EAU was not any different from that of the A&E. The EAU was outsized and had a poor layout and this made it difficult for nurses to tend to patients. ...
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