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ABSTRACT: Background
Psychiatric in-patients are often transferred to an emergency department for care of minor wounds, incurring significant distress to the patient and cost to the service.Aims
To improve superficial wound management in psychiatric in-patients and reduce transfers to the emergency department.Method
Thirty-four trainees attended two peer-led suturing and wound management teaching sessions, and a suturing kit box was compiled and stored at the Royal Edinburgh Hospital. Teaching was evaluated using Kirkpatrick's model, and patient transfer numbers were acquired by reviewing in-patient Datix reports and emergency department case notes for 6 months before and after teaching.Results
The proportion of patients transferred to the emergency department decreased significantly from 90% 6 months before the workshop to 30% 6 months after (P < 0.05). Trainees engaged positively and there was a significant increase in self-confidence rating following the workshop (P < 0.05). The estimated cost saving per transfer was £183.76.Conclusion
The combination of a peer-led workshop and on-site suturing kit box was effective in reducing transfers to the emergency department and provided a substantial cost saving.Declaration of interest
None.
SUBMITTER: Buick TA
PROVIDER: S-EPMC6189990 | biostudies-literature | 2018 Oct
REPOSITORIES: biostudies-literature
Buick T A TA Hamilton D D Weatherdon G G O'Shea C I CI McAlpine G G
BJPsych bulletin 20181001 5
<h4>Background</h4>Psychiatric in-patients are often transferred to an emergency department for care of minor wounds, incurring significant distress to the patient and cost to the service.<h4>Aims</h4>To improve superficial wound management in psychiatric in-patients and reduce transfers to the emergency department.<h4>Method</h4>Thirty-four trainees attended two peer-led suturing and wound management teaching sessions, and a suturing kit box was compiled and stored at the Royal Edinburgh Hospit ...[more]