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There has to be adequate staffing to deal with all the work that needs to be done during this time; it can’t be left to the small night team that is supposed to be dealing with emergencies only. Another reason why the system has not yet been applied successfully in more hospitals is that some trust managers have tried to adopt the same strategies in their own hospitals that have been applied in the pilot studies, suggests Dr Coakley. One size fits all approach doesn’t work; the first thing that trusts should do is to audit their own work load to find out what exactly they are dealing with and what resources they will need..
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