ED seen as improving

Mike Ardagh
Mike Ardagh
Dunedin Hospital's emergency department is a happier place these days, and fewer patients face long waits, emergency department specialist Prof Mike Ardagh says.

Prof Ardagh, of Christchurch, is national clinical director of emergency department services with responsibility for the six-hour target.

He has taken an especially close interest in Dunedin, one of the poorest performers in the six-hour target for patients to be treated or transferred. The department has experienced open hostility between doctors and Southern District Health Board senior management in recent years.

''It's certainly a lot happier,'' Prof Ardagh said.

''There's a lot of history with Dunedin, which has been described [in the Otago Daily Times] over the years.''

Prof Ardagh visited the Dunedin and Invercargill emergency departments last month.

He believed periods of open tension could be healthy for hospitals long term, because it brought things into the open. For the past year, the Dunedin department consistently topped 90% in the six-hour target.

While Southern was still one of the poorest-performing boards on the ED measure, it was a big improvement on the about 75% achieved when the six-hour benchmark started in 2009.

This should be celebrated, while acknowledging work was needed to meet the target of 95%, Prof Ardagh said. The New Zealand approach to the emergency time target was better than some other countries, he said.

It focused on putting good systems in place, not on ''gaming'' the system. He acknowledged the age of the Dunedin facility, and agreed a redevelopment could help patient flow, although it was possible to achieve the target without a new facility, he said.

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