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Improving the Assessment and Triage of Patients with Mental Illness ...

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5.5 Conclusion<br />

<strong>Improving</strong> <strong>the</strong> triage <strong>and</strong> assessment <strong>of</strong> patients <strong>with</strong> mental illness attending <strong>the</strong><br />

Emergency Department was <strong>the</strong> principle objective <strong>of</strong> this change management project. The<br />

change process was carried out using <strong>the</strong> steps <strong>of</strong> <strong>the</strong> Health Service Executive Change<br />

Model (2008). I believe <strong>the</strong> project was a success as <strong>the</strong> objective was achieved.<br />

The engagement <strong>of</strong> key stakeholders <strong>and</strong> relentless clear communication are two<br />

fundamentally important elements that must be cultivated. The success <strong>of</strong> <strong>the</strong> project was due<br />

to <strong>the</strong> constant communication <strong>of</strong> <strong>the</strong> vision <strong>and</strong> <strong>the</strong> empowerment <strong>of</strong> staff through change<br />

teams <strong>and</strong> champions <strong>of</strong> change.<br />

The use <strong>of</strong> a structured framework helped to improve <strong>the</strong> assessment <strong>of</strong> patients <strong>with</strong><br />

mental illness <strong>and</strong> accordingly increased staff confidence. In conjunction <strong>with</strong> this <strong>the</strong><br />

introduction <strong>of</strong> <strong>the</strong> computerised triage pop-up screen reduced triage assessment times whilst<br />

obtaining <strong>the</strong> most relevant details from <strong>the</strong> patient.<br />

This change management project set out to improve <strong>the</strong> triage <strong>and</strong> assessment <strong>of</strong><br />

patients <strong>with</strong> mental illness. I consider <strong>the</strong> project a success as it achieved its objective<br />

through managing <strong>the</strong> change process in conjunction <strong>with</strong> <strong>the</strong> steps <strong>of</strong> <strong>the</strong> HSE change<br />

model.<br />

‘Wise men change <strong>the</strong>ir minds,<br />

fools never’<br />

(Unknown)<br />

39

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