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Examines the concept of patient‐focused care and how it fits into hospital process re‐engineering. Describes the project undertaken at the Derbyshire Royal Infirmary, to implement patient‐focused care and care pathway development in accident and emergency, and trauma and orthopaedics. Concludes with an insight into how care pathways have been used to improve hospital documentation, reduce duplication of information and provide a rich source of data for effective clinical audit.

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