Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services.
Georgia Bell BlackAngus I G RamsayRobert SimisterAbigail Baim-LanceJeannie EngMariya MelnychukNaomi J FulopPublished in: BMJ quality & safety (2023)
Patients need temporally consistent high quality of care. Temporal consistency stems from the design of services, including staffing, targets and patient pathway design as well as cultural attitudes to working patterns. Improvements to consistency of care will be limited without changes to structures such as rotas and ward rounds, but also social norms around weekend work for certain professional groups.
Keyphrases
- healthcare
- quality improvement
- palliative care
- affordable care act
- mental health
- primary care
- end stage renal disease
- ejection fraction
- high resolution
- newly diagnosed
- pain management
- atrial fibrillation
- prognostic factors
- mass spectrometry
- chronic kidney disease
- patient reported outcomes
- health insurance
- case report
- patient reported