I'm still quite emotional. It is also important to note that the pharmacy team provides cover for the ED from 08:00 to 16:00. By 2008, the role of clinical pharmacists in EDs (based on a UK-wide 40-hospital site questionnaire) demonstrated that pharmacists were supporting clinicians with guideline development and review, patient group directions, provision of training, provision of advice and taking drug history[7] . Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Recently published research from Greenwood et al. Morriston Hospital - Main switchboard 01792 702222 Our Emergency Department in Morriston Hospital is receiving a high volume of phone calls from patients wishing to book an appointment. Her bedside manner is outstanding and she truly comforted me throughout my appointment with her. Reduce medicines reconciliation turnaround times for new patients; Increase the use of PODs, and onward transfer of PODs and individually dispensed patients drugs to wards; Improve the quality of prescribing (including ensuring a thromboembolism risk assessment is undertaken and the allergy section of the inpatient chart is completed); Improve adherence to hospital guidelines (including antibiotics guidelines); Improve identification of possible medicines-related admissions; Improve timeliness of medicines administration, especially critical medicines; Enhance education of junior and senior doctors relating to factors underpinning any prescribing advice offered (e.g. when planning decisions about prospective therapy or considering medicine-related causes for admission). Address Morriston Hospital Morriston Swansea SA6 6NL Telephone 01792 702222 Find other facilities close to Morriston Hospital, Swansea + Leaflet OpenStreetMap contributors We welcome correspondence and telephone calls in Welsh or English. Pharmacy Management 2016;32(1):37, [12] Hatton K, Grice K, Morgan L & Wright D. Evaluation of the pharmacist service to the emergency department at a large teaching hospital. You can reach them on 01792 702222. The data demonstrate an improvement in most of the governance standards assessed (see Table 1). "I was feeling very, very, very bad. from ward transfer to discharge) and their average length of stay in the ED (i.e. Hill House Hospital (19292013) originally an isolation hospital. Workforce planning in the NHS. As part of the medicines reconciliation process, technicians liaise with patients and their partners/carers to maximise the utilisation of PODs through requests to bring medicines into hospital for drugs not required urgently. Neath Port Talbot South CMHT (Forge Centre. However, while the value of clinical pharmacy services in reducing inpatient length of stay, reducing drug costs, improving the quality of prescribing and reducing readmissions have been demonstrated[4] , the impact of these services in EDs is less well established. Wales recorded its worst ever performance figures by hospital emergency departments and the ambulance service in November. Between 08:00 and 16:00, the impact of this effect (more unwell patients remaining in the ED longer than less unwell patients) is not as pronounced because pharmacists work in the ED to review all patients. Radiology at 111 Madison Avenue. Receive this service's adddress and phone number via email or mobile (free of charge) From NHS 111 Wales: Morriston Hospital - Emergency Department - Heol Maes Eglwys, Morriston, Swansea, SA6 6NL, Tel: 01792702222, Disabled Access: Yes. Available at: http://researchbriefings.files.parliament.uk/documents/CBP-7281/CBP-7281.pdf (accessed September 2019), [3] House of Commons Committee of Public Accounts. For all those who. Dr Keith Reid, the director of public health for the hospital's health board, warned: "The virus is running rampant in all communities in the Swansea Bay region. A pharmacy service in the ED provides intangible benefits. This includes undertaking medicines reconciliation; clarifying all the medicines a patient is prescribed and taking (or not) on admission to hospital; rectifying any prescribing errors made following admission and initial clerking; documenting intentional changes to prescribed therapy; and optimising therapy by contributing to therapeutic decision-making through the proactive provision of clinical advice. When is Eurovision and how do you get tickets? Complaints; Freedom of Information; Confidentiality; End User Licence Agreement . - geograph.org.uk - 404965.jpg, https://commons.wikimedia.org/w/index.php?title=Category:Morriston_Hospital&oldid=417112239, Creative Commons Attribution-ShareAlike License. Click to reveal Putting names to archive photos, The children left behind in Cuba's mass exodus, In photos: India's disappearing single-screen cinemas. waiting for a nursing home placement or carers to be organised in the community). (973) 971-5000. Providing pharmaceutical care in the emergency department (ED) facilitates safer, more appropriate patient care, while also being more efficient to pharmacists when resolving clinical queries and less disruptive to clinicians if undertaken later in the inpatient stay. The ambulance service responded to just half of immediately life-threatening calls within eight minutes. Overall, 309 patients referred to medicine from the ED were prospectively reviewed by pharmacists to establish if, following clerking by the medical team, the patient required any clinical contributions from the pharmacy team in relation to drug omissions, prescribing errors, therapy optimisation, drug selection or drug monitoring. We welcome correspondence and telephone calls in Welsh or English. They have been here 24-7. Neath Port Talbot Hospital Minor Injuries Unit [ edit] "We've got colleagues who had Covid in the first wave who are still not back to normal, and people who've had it early in the second wave who still haven't come back to work because they can't walk more than 15 yards because they're short of breath.". Staff, Nurse . It must be noted that while a Likert scale provides data regarding degrees of opinion, it does not provide understanding of the reason behind those numbers. Atebir gohebiaeth Gymraeg yn y Gymraeg, ac ni fydd hyn yn arwain at oedi. Media in category "Morriston Hospital" The following 2 files are in this category, out of 2 total. Phone: 01792 703395. Spot an error? These range from complex patients with multiple comorbidities to patients needing admission while greater provision is made to assist them in the community. Services covered: Hospital Dental Service . Always consult a medical provider for diagnosis and treatment. Its not just the bedded areas, theres a whole infrastructure and theyve worked extremely hard delivering it for us.. [1] In February 2019 it was decided to rename it Swansea Bay University Health Board and to alter the boundary with the Cwm Taf University Health Board (now Cwm Taf Morgannwg University Health Board).[2]. Furthermore, technicians also help ensure PODs and individually dispensed items are transferred with the patient when they are moved from the ED to a ward. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Abertawe Bro Morgannwg University Health Board: Major emergency departments. The feedback received from stakeholders in this service evaluation is similar to a previous evaluation, which assessed the satisfaction with, and confidence of, a range of staff (including 13 nurses and 11 doctors) in the pharmacist service to an ED at a large teaching hospital in England[12] . 973-540-9000. Rydym yn croesawu gohebiaeth a galwadau ffn yn y Gymraeg neu'r Saesneg. Radiology at Morristown Medical Center. At 08:00, the ED hosts a disproportionate number of patients who are more unwell awaiting senior review on the PTWR, having not been transferred from the ED overnight. The Welsh Ambulance Service (WAS) said it may be rolled out elsewhere. Last Updated: 15 December 2022 11:44 by NHS 111 Wales. The surgical ward has 21 beds for cardiac . The remaining patients who could not be cared for in community were moved out to learning disability bungalows to help them integrate with their local community. Heol Maes Eglwys Morriston, Cwmrhydyceirw Swansea, SA6 6NL. I waiting almost an house when I arrived with no explanation or apology. 05/01/2022 - Family thanks cardiac unit for 'wonderful' care. On this Wikipedia the language links are at the top of the page across from the article title. Ms D'Arcy said the pandemic was having a significant effect on staff morale too. Both activities help avoid the need to redispense medicines, thus saving money and reducing pharmacy workload while also ensuring the medicine is available for timely administration. We looked at the large waiting area and thought that could be converted. Clinicians of all grades value the service in terms of contributing to their medical education. Pharmaceutical care in the ED improves governance around prescribing and promotes greater adherence to hospital guidelines. The emergency department (ED) at Morriston Hospital if it's for serious and life-threatening conditions that need immediate medical attention including breathing difficulties, persistent severe chest pain, heavy blood loss, severe burns, loss of consciousness, suspected stroke, deep wounds. Morriston Hospital - Emergency Department Heol Maes Eglwys Morriston Swansea SA6 6NL Tel: 01792 702222 Disabled Access: Yes Website: http://sbuhb.nhs.wales/hospitals/our-hospitals/morriston-hospital/ Summary Patients with minor injuries are re-directed to the Minor Injury Unit at Neath Port Talbot Hospital only. The increase in length of inpatient stay was an unexpected finding and may have occurred as a result of the small number of patients studied. Mr Brooks also said that hospital handover delays remained "a serious and long-standing issue" affecting ambulance services across the UK. by searching our wide variety of specialty directories: Back and Neck Surgery (Except Spinal Fusion), Death in procedures where mortality is usually very low, Death following a serious complication after surgery, Collapsed lung due to a procedure or surgery in or around the chest, Excessive bruising or bleeding as a consequence of a procedure or surgery, Acute kidney dysfunction following surgery, Pressure sores or bed sores acquired in the hospital, Catheter-related bloodstream infections acquired at the hospital, Deep blood clots in the lungs or legs following surgery, Accidental cut, puncture, perforation or hemorrhage during medical care. 2023 BBC. In order to meet the unprecedented demand in unscheduled care, there was a requirement to work more efficiently. Morriston Hospital, Swansea. All that should be in place around mid-June. "It means that our crews, if it's safe and clinically appropriate to do so, can transfer their patient to one of these vehicles and then be available to respond to another patient in the community," he said. As a result, some organisations established new pharmacy services to provide pharmaceutical care and optimise medicines use in EDs in an effort to meet this target. Touch device users, explore by touch or with swipe gestures. Table 2: Feedback about the new pharmacy emergency department service at Morriston Hospital from 35stakeholders, including 11 consultants, 8 registrars and 8 junior doctors using a five-point Likert scale, ED: emergency departmentNote: the scores on the Likert scale range from 1 (strongly disagree) to 5 (strongly agree), Figure 2: Mode responses about the new pharmacy emergency department service at Morriston Hospital from 35stakeholders, including 11 consultants, 8 registrars and 16 junior doctors using a five-point Likert scale, ED: emergency department; PT: pharmacy team Note: the scores on the Likert scale range from 1 (strongly disagree) to 5 (strongly agree). Healthgrades awards tell you which hospitals deliver superior quality care. anticoagulants and anti-epileptics), and improving governance in relation to medicine storage. The same goes for her staff. Data from April 2018 onwards suggest that 200 patients are admitted as an inpatient under the care of an ED medical consultant each week, with an average length of inpatient hospital stay for each patient of eight days. Read about our approach to external linking. I've never been so scared in all my life. Available at: http://www.publications.parliament.uk/pa/cm201314/cmselect/cmpubacc/885/885.pdf (accessed September 2019), [4] Collignon U, Oborne CA & Kostrzewski A. Pharmacy services to UK Emergency Departments: a descriptive study. Available at: http://pharmacyresearchuk.org/6527-2 (accessed September 2019), [9] Greenwood D, Steinke D, Tully MP et al. . Morriston Hospital Address: Swansea Heol Maes Eglwys Cwmrhydyceirw SA6 6NL United Kingdom Telephone: 01792 702222 Type of establishment: Hospitals Services provided: Ionising radiation (e.g. doi: 10.1002/pds.4019, The official journal of The Royal Pharmaceutical Society, International Journal of Pharmacy Practice, Journal of Pharmaceutical Health Services Research, http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/Workforce-planning-NHS-Kings-Fund-Apr-15.pdf, http://researchbriefings.files.parliament.uk/documents/CBP-7281/CBP-7281.pdf, http://www.publications.parliament.uk/pa/cm201314/cmselect/cmpubacc/885/885.pdf, http://pharmacyresearchuk.org/wp-content/uploads/2018/09/Enhanced-clinical-pharmacy-practice-in-the-emergency-department-DGreenwood-VFinal.pdf, https://www.improvement.nhs.uk/documents/2126/reducing-length-of-stay.pdf. Public Safety and Security. This year nearly 50,000 people used its emergency department alone. Metro bus outside Morriston Hospital, Swansea (geograph 5945227).jpg 1,024 935; 194 KB. The only way we could do that was to explore open spaces we could convert because were very constrained onsite for space. Neath General Hospital (19162002) a former workhouse which became a district general hospital. While pharmacists at Morriston Hospital had participated in consultant post-take medical ward rounds (PTWR) for many years and provided a very limited service to the ED during office hours, there was increasing recognition that the pharmacy service had to change and adapt to meet the increasing demands being placed upon it. All types of adult cardiac surgery are performed including thoracoabdominal aortic surgery. OTHER PLACES NEAR MORRISTON HOSPITAL, PLASTIC SURGERY DEPARTMENT. These include the development of a Respiratory Assessment Unit and the Children's Emergency Unit. Now a critical care area has been unveiled in the large, open-plan waiting area in the outpatients department. Cefn Hirgoed Hospital (19061990) a former isolation hospital and infirmary for elderly and disabled patients, demolished to make way for Sainsbury and McArthur Glen Shopping Centre. Furthermore, the service improves governance around prescribing and there is greater adherence to hospital prescribing guidelines. In 2016, a baseline service evaluation was undertaken by pharmacists to try to quantify the pharmaceutical care provided to patients referred to medicine following admission from the ED. In 2018, five service evaluations were undertaken to assess the impact of the new service, comprising: A medicines reconciliation pro forma (see Supplementary file 1) was designed for use in the ED to document a complete list of medicines being taken by a patient on admission (including over-the-counter and herbal medicines), any compliance issues identified by thepharmacy team and any other drug-related information considered relevant to the admission. Hanoi University Bachelor's degree. 2014. In October 2017, the pharmacy service to medical patients changed to a new way of working that enabled earlier medicines reconciliation and earlier clinical contributions to patient care in the ED. Financial and conflicts of interest disclosure. Now there are dozens of beds, and space for even more where the most critically unwell patients can be cared for if there is a surge in admissions. Morriston Hospital Contact Numbers AMU (Assessment and Short Stay) - 01792 986814 A (Musculoskeletal) - (01792) 703402 or 703403 Anglesey (Plastic Surgery/Plastic Surgery Monitoring Unit (PSMU)) - (01792) 703832 B (Musculoskeletal) - (01792) 703405 or 703406 Burns & Plastic Surgery Outpatients Department - 01792 703885 All Rights Reserved. While the pharmacy role in an ED is a specialist one requiring a wide knowledge of medicines and evidence-based medicine for a variety of clinical conditions, interpersonal skills are equally as important to ensure the pharmacist is effective in successfully influencing changes in prescribing behaviour and practice. "That is why we welcomed the move to tier four restrictions on Saturday. Files are available under licenses specified on their description page. Is Morristown Medical Center highly rated with patients? "There is only so far people can go and this has been a really long year, and when you see people just flouting the rules and having parties and seemingly not having any grip on the reality of the situation, it's upsetting, it's frustrating.". The sources of information used to collate this are listed on the pro forma. Please note: From 1st March 2021 smoking in hospital grounds is against the law, Coming into hospital factsheet - What patients need to know when coming into hospital, Discharge factsheet - What patients need to know about leaving hospital. Website: http://sbuhb.nhs.wales/hospitals/our-hospitals/morriston-hospital/. This page was last edited on 4 May 2020, at 16:33. Furthermore, in 2018, an average of 12,835 people were admitted to hospital via an ED each day. Morriston Hospital Director Deb Lewis (right) with emergency care and hospital operations service group manager Alison Gallagher in the main outpatient waiting area. Profile; Cardiac; Thoracic; About the unit. The costs of supply (had supplies been made) were then calculated. Close menu, If youre concerned about Streptococcus A infections, you can find up-to-date information and advice in the following article - Streptococcus A infections. Out-of-hours medical cover for medical wards is more limited and there are usually fewer nurses available to undertake the intensive monitoring necessary to safely manage extremely unwell patients. Welsh language correspondence will be replied to in Welsh, and this will not lead to a delay. 2003 - 2004. The service is highly valued by clinicians of all grades and, in their opinion, contributes to their medical education and makes a significant contribution to patient care. The Welsh Ambulance Service scheme is in place in Morriston Hospital in Swansea, Worst-ever performance figures for A&E and ambulance service, worst ever performance figures by hospital emergency departments and the ambulance service, Harry: I always felt different to rest of family, Chris Rock jokes about Oscars slap in Netflix show, Everything Everywhere wins big ahead of Oscars, PM to end asylum claims from small boat arrivals, US-made cheese can be called 'gruyere' - court, Mbappe breaks PSG goal record in win over Nantes. drug selection decisions, drug interactions, evidence-based practice, adverse effects, therapeutic drug monitoring). My kids love Dr A. With Dr. Agathis you know you will see Dr Moshel was very patient and answered all of my questions and always asked if I understood.he answered my concerns and was very thorough. Back to Search Results The BBC is not responsible for the content of external sites. Prospectively, it would be interesting to evaluate responses from other healthcare professionals, most notably nursing staff in the ED. The service said the initiative means other ambulance crews are then able to respond to the next emergency quicker. He warned that the standard of care would suffer should the pressure continue to mount. Morriston Hospital is a Hospital facility based in Swansea. This resulted in a total saving of 759.91 (14.61 per hour worked), meaning that the activity of technicians in the ED in preventing unnecessary drug supply and additional workload almost pays for their costs alone, with the additional benefits outlined above being effectively free. You can email the site owner to let them know you were blocked. In May 2018, a paper questionnaire was circulated to medical clinicians working in the ED requesting their views and attitudes regarding the new pharmacy service provided by thepharmacy team in the ED. Major emergency departments: Morriston Hospital. The following 2 files are in this category, out of 2 total. "You've got to give up a little bit now to have a longer and better future.". Read about our approach to external linking. A stated aim of the research is to develop methods to evaluate the impact of pharmacists working in EDs on patient outcomes, including reducing medicine errors, improving prescribing appropriateness and reducing length of stay[8] . Which services are not offered? Very scared. In addition to assisting with medicines reconciliation, pharmacy technicians undertake several additional roles to assist in the smooth running of the ED. Emerg Med J 2015;32(12):998999. Several examples of good practice in UK EDs now exist, including those at Guys and St Thomas NHS Foundation Trust in London, Addenbrookes Hospital in Cambridge, and Lewisham and Greenwich NHS Trust in London[7] . Pharmacy technicians maintained a list of medicines and quantities that they would have had to supply from pharmacy to the ED or medical admissions units (MAUs) if they had not undertaken this activity. Subsequently, a review of 53 patients showed that the average time following referral of a patient from the ED to medicine for medicines reconciliation to be undertaken was 12 hours and 15 minutes. Morriston Hospital Swansea: Emergency care criticised 8 December 2022 Healthcare Inspectorate Wales has found 25 areas of improvement needed at Morriston Hospital's emergency department. All the medical gases and clinical infrastructure needed to move into that area are now in place., The main waiting area and (inset) how it looked before the pandemic. Three ambulances are being stationed at a Swansea hospital to care for patients and free up other paramedics. What's the least amount of exercise we can get away with? Check out this list of closest stops to your destination: Morriston School; Morriston School; Hospital Main Entrance. I highly recommend Dr. Jadeja. The pharmacy team divides its time between the ED, the acute medical-admission wards and other clinical commitments, depending on the workload in the ED. Although not all respondents to the questionnaire chose to answer the free-text questions (questions 13 and 14), all responses to the two supplementary questions were positive with no negative comments (see Supplementary file 3). Groeswen Hospital (Port Talbot) (19322006), demolished in 2006 and now a housing estate. Covid patients speak of their frightening experiences at people not following lockdown rules. 2015. Ysbyty Treforys. "Even for the fittest people that haven't had bouts of Covid strong enough to warrant an ICU stay, members of my team who have had Covid who didn't even have a hospital admission are still recovering weeks and months later, and that's affecting their work and obviously it's affecting the entire workforce then as well. This is an increase of 6.7% from 2017 and an increase of 22.9% from 2013[2] . The results of the baseline evaluation showed that a pharmacist made a clinical contribution to patient care in 83% of cases in the acute setting: Ensuring that interventions were actioned by medical staff in a timely manner proved challenging. Swansea West (Area 1) CMHT (Central Clinic. Digg out details of Morriston Hospital, Plastic Surgery Department in Swansea with all reviews and ratings support@placedigger.com; PlaceDigger - United Kingdom . "I wish they'd done it sooner to be honest, you can't mess around with things like this. Swansea Bay University Health Board (SBUHB) (Welsh: Bwrdd lechyd Prifysgol Bae Abertawe) is the local health board of NHS Wales for Swansea and Neath Port Talbot, in the south-west of Wales. Healthgrades has named Morristown Medical Center one of America's 50 Best Hospitals seven times in a row. Leighton Smith says having Covid-19 has made him realise what is important, Eleri D'Arcy says even younger people are "knocked for six" by the virus. While it is essential that patients in EDs receive the same standard of care as other inpatients[4] , there remain geographical variations in the provision of pharmacy services in EDs. 07/03/2017- Youngster hears birds singing for the first time after Morriston op. For these patients, the average time taken to undertake medicines reconciliation was two hours. In the United States, pharmacists working in EDs have been shown to reduce prescribing errors by up to 67%[8] . The analysis showed that patients reviewed by a pharmacist in the ED stayed almost twice as long in the ED (17 hours and 41 minutes; n=111) when compared with patients moving directly to MAU without pharmacist review (9 hours and 30 minutes; n=140). Do you know this baby? Read about our approach to external linking. The NHS is currently facing a range of complex pressures driven by the changing health and social care needs of the population, mainly owing to rising levels of chronic and complex conditions, and an increasing number of older people requiring long-term care[1] . It is managed by Swansea Bay University Health Board. Work meanwhile continues on a self-contained second area in the second waiting area located alongside the retail outlets, while the phlebotomy department has moved upstairs. 973-971-5555. In 2000, a government policy was launched requiring that 95% of patients attending EDs must be seen, treated and either discharged or admitted within four hours of arrival. It is only being piloted at the University Hospital of Wales in Cardiff. Penyfai Hospital (19361990s) a former mental health facility, Port Talbot General Hospital (19162002) based in Sandfields, Port Talbot, Afan District Nursing (Neath Port Talbot), Neath District Nursing (Neath Port Talbot), Upper Valleys District Nursing (Neath Port Talbot), Swansea Central District Nursing (Swansea), Neath Port Talbot Community Reablement Team. This was not only in terms of critical care but also the ability to move patients to other locations, such as the field hospitals, if they did not need to be in an acute hospital but could not yet return home. This page is available in Welsh by clicking Cymraeg at the top right of this page. Hospital Pharmacist 2005;12:6164, [7] Aiello M, Terry D, Selopal N et al. doi: 10.1211/CP.2017.20202238, [8] Pharmacy Research UK. The health board has a budget of 1 billion, and is a designated university local health board linked to Swansea University. Morriston Hospital 2018/2019 I took the DCT2 post as a 60% LTFT (part-time) post, coming into the role following my second baby who was 8-months old. In total, 56 patients were excluded from the analysis because their hospital inpatient stay exceeded their fit for discharge date, implying that their discharge was delayed for non-medical reasons (e.g. Please note that wards can be particularly busy in the morning so its best to ring in the afternoon. Nurses and healthcare workers are being asked to. The content on Healthgrades does not provide medical advice. Contact Details. Data were available for 251 patients. This page is available in Welsh by clicking Cymraeg at the top right of this page. Available at: http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/Workforce-planning-NHS-Kings-Fund-Apr-15.pdf (accessed September 2019), [2] Baker C. NHS key statistics: England, May 2019. Maer dudalen hon ar gael yn Gymraeg drwy bwysor botwm ar y dde ar frig y dudalen. In Prescribing and Research in Medicines Management (UK and Ireland) Conference 2016 Health Foundation London January 29th 2016 Ethics, Economics and the Future of Medicines A Population Perspective. Morriston has 720 beds, a cardiac centre and a burns department that covers a population of 10 million. around the time of clinical decision-making and the prescribing of drugs for newly admitted patients) from 08:00 to 16:00, five days per week. "People are tired from a personal perspective and through work. Opportunities and further service developments will arise from closer working relationships with clinicians. No writing assistance was used in the production of this manuscript. While the small number of respondents does not permit statistical analysis of any differences in the answers given by different grades of clinician (consultants, registrars and junior doctors), there was uniformity in the responses given to each question using the rating scale. time from presentation in the ED to ward transfer). However there will be no temporary alternative use of the main waiting area until its confirmed the increased critical care capacity is not needed. While this does not provide proof of the hypothesis outlined above, it supports the belief that front-loading pharmaceutical care first thing in the morning ensures that the most unwell patients receive pharmaceutical input at the earliest opportunity (i.e. Learn More Maps & Directions Plan your visit to Morristown Medical Center today. !!! We make riding on public transit to Hospital Outpatients, Morriston Hospital . Patients withminor medical conditions should contact their GP/Community Pharmacy. Atebir gohebiaeth Gymraeg yn y Gymraeg, ac ni fydd hyn yn arwain at oedi. This has caused bed shortages, Mr McNab said. "We were having days here, maybe four out of the last 10, when we felt the department was no longer a safe place to be looking after people, but there was nowhere else to look after them.". Pharmacoepidemiol Drug Saf 2016;25(S2):1213. Furthermore, the stakeholder questionnaire was only distributed to doctors.