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MTP2.11 Can an Advanced Clinical Practitioner (ACP) led Open Access (OA) Pathway provide a safety net for Emergency General Surgical (EGS) Patients?

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Implementation of an ACP-led open access pathway improved patient support in emergency general surgical care, highlighting reduced reattendances.

The open access pathway provided a safety net that facilitated early patient discharge and reduced re-attendances to the ED.
During the third PDSA cycle, 69 patients received open access, with 35% utilizing the advice line, demonstrating a practical application of ACPs.
The methodology involved multiple PDSA cycles to identify eligible patients, improving the efficiency of the surgical assessment unit.
Ensuring all eligible patients are offered this service is crucial, indicating potential areas for improvement and further implementation.

Phillips et al. (2025) studied this question.

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Implementation of an ACP-led open access pathway improved patient support in emergency general surgical care, highlighting reduced reattendances.