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An open referral, rapid access service for patients with jaundice can
shorten time to diagnosis and treatment and length of stay in hospital.
By installing a system for referring patients with acute jaundice
through a 24 hour telephone answering machine and fax line, Mitchell
and colleagues (p 213) reduced mean length of stay in hospital from
11.5 days to 6.1 days. The authors say that the most important lesson
they learnt was that, with a combination of teamwork and flexibility,
major improvements can be made in health service without the need for
extra resources.