Authors (including presenting author) :
Chan CY (1), Chan C (1), Chan KL (1), Chan YW (1), Cheung SK (1), Ho WL (1), Lau SH (1), Ng SC (1), Wong KY (1), Wong MY (1), Wong WM (1), Wong WY (1), Wong YK (1), Yim LK (1), Leung MY (2), Tso PS (2), Ho SF (3)
Affiliation :
(1)APN, (2) WM, (3) DOM, Kowloon West Cluster Family Medicine & Primary Health Care (KWC FM & PHC)
Introduction :
In 2018, there were a total of 132,366 wound dressing attendances in 13 GOPCs of KWC FM & PHC and around 7.3% wound dressing cases (9,646) attended during Sundays and public holidays. This service demand is expected to further increase in view of increasing chronic care cases and early discharge of patients from hospitals. A patient satisfactory survey on wound dressing service was conducted in 4Q 2017, it revealed that most of patients opted for wound dressing booking if this system would be in place. In response to the increasing service demand and to maintain the quality of care to patient with limited resources, wound dressing booking system was implemented.
Objectives :
1. To arrange subsequent booking for wound dressing cases
2. To minimize the waiting time for wound dressing cases 3. To have a well-planned of nursing manpower in wound dressing service during Sundays and public holidays
Methodology :
A working group on wound dressing booking was formed in May 2018. Discussion with frontline and collection of their feedback with pilot implementation were done between June to August 2018. The project was fully implemented in 11 GOPCs on September 2018.
Result & Outcome :
(1)From September to December 2018, there were 17,792 wound dressing booking arranged. The attendance rate was 85%. (2)Overall patient’s waiting time for wound dressing was decreased from 8.7-27.8 (mean=20.5) minutes to 7.9-27.8 (mean=19.3) minutes. For booked dressing cases, the waiting time was significant improved to 7.9-15.4 (mean=12.3) minutes, which potentially reduced the conflict between patients and frontline staff.
(3)The number of wound dressing attendances in Public Holiday Clinic was reduced by 29% (decreased from 889 to 633 attendances per month). In conclusion, the initiative of wound dressing booking system in primary health care settings could decrease patients’ waiting time, minimize the conflicts between patients and frontline staffs, and improve nursing manpower arrangement in wound dressing service.
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