[Insert hospital name] owns the timeline study’ data collection ‘Who Admin data: Data recorded Patient sticker no sticker record MRN – by: Walk-in or * ambulance: Patient MRN: Timeline data. Steps in bold should be collected Step Event DTG Date Time Circle best fit or Comments 1 Arrival 2* Triage 3* Enters ED Location: Resusc Acute Sub-acute Fast Track First seen Doctor 4* Doctor NP Physio or NP First seen decision 5 making ED doctor A1 First Test request Pathology CT US Plain XRay First Test results A2 available Specialist Specialty: B1 referral Number of referrals: First Specialist B2 review Admit or discharge 6 decision Bed request 7 (admit only) Bed ready 8 Ward: (admit only) Bed ready 9 (admit only) Bed & ward ready 10 advised to ED Patient transfer 11 (ED) 12 Orderly called 13 Patient departs ED 1st test Number of Destination type” Tests: Ward: 1st specialist Number of Sheet reference referral group: referrals: number: Delays to patient journey and other comments:
[Insert hospital name] ‘Who owns the timeline study’ data collection Admin data: Data recorded by: Patient sticker – no sticker record MRN Walk-in or ambulance: * Patient MRN: Timeline data. Steps in bold should be collected Step Event DTG Date Time Circle best fit or Comments 1 Arrival 2* Triage 3* Enters ED Location: Resusc Acute Sub-acute Fast Track 4* First seen Doctor or NP Doctor NP Physio 5 First seen decision making ED doctor A1 First Test request Pathology CT US Plain XRay A2 First Test results available B1 Specialist referral Specialty: Number of referrals: B2 First Specialist review 6 Admit or discharge decision 7 Bed request (admit only) 8 Bed ready (admit only) Ward: 9 Bed ready (admit only) 10 Bed & ward ready advised to ED 11 Patient transfer (ED) 12 Orderly called 13 Patient departs ED 1st test type” Number of Tests: Destination Ward: 1st specialist referral group: Number of referrals: Sheet reference number: Delays to patient journey and other comments:
template1-who-owns-the-timeline.docx