O-063 Do decisions made at lung cancer multi-disciplinary team meetings get carried out

Abstract Introduction Every day in our surgical department; prior to our quality improvement project, Junior Doctors spent on average 3.26 clinical hours maintaining 5 surgical inpatient lists of different specialities with accessibility of lists rated as “neutral” based on a 5-point scale from difficult to easy. Our hospital previously had lists stored locally on designated computers causing recurrent difficulties in accessing and editing these lists. Method We used surveys sent to clinicians to collect data. Cycle 1: Surgical Assessment Units list on Microsoft Teams Cycle 2: Addition of surgical specialities and wards lists onto Microsoft Teams. Cycle 3 (current): expand the use of Microsoft Teams to other specialities. Results Utilising technology led to a 25% reduction in time spent on maintaining inpatient lists, to 2.46 hours a day, and an improvement in the accessibility of lists to “easy”. Across a year, this saves over 220 hours clinician hours which can be used towards patient care and training. Furthermore, use of Microsoft Teams has improved communication and patient care, in the form of virtual regional Multi-Disciplinary Team meetings and research projects. Conclusions Microsoft Teams is currently free to all NHS organisations in England so there is potential for these efficiency savings to be replicated nationwide.

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Waiting times for cancer treatment: the impact of multi-disciplinary team meetings

Behaviour and Information Technology ◽

10.1080/0144929x.2011.553747 ◽

2011 ◽

Vol 30 (4) ◽

pp. 467-471 ◽

Cited By ~ 11

Author(s):

Tracy Goolam-Hossen ◽

Chris Metcalfe ◽

Alison Cameron ◽

Brett Rocos ◽

Stephen Falk ◽

...

Keyword(s):

Cancer Treatment ◽

Waiting Times ◽

Team Meetings ◽

The Impact ◽

Multi Disciplinary Team

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Multi-disciplinary team meetings in stroke rehabilitation: an observation study and conceptual framework

Clinical Rehabilitation ◽

10.1177/0269215514535942 ◽

2014 ◽

Vol 28 (12) ◽

pp. 1237-1247 ◽

Cited By ~ 14

Author(s):

SF Tyson ◽

L Burton ◽

A McGovern

Keyword(s):

Stroke Rehabilitation ◽

Participant Observation ◽

Leadership Skills ◽

Occupational Therapists ◽

Assessment Tools ◽

Structured Interviews ◽

Observation Study ◽

Team Meetings ◽

Measurement Tools ◽

Multi Disciplinary Team

Objective: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. Design: Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. Setting and participants: Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patient stroke rehabilitation units. Results: Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. Conclusions: The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed.

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Low provider and staff self-care in a large safety-net HIV clinic in the Southern United States: Implications for the adoption of trauma-informed care

SAGE Open Medicine ◽

10.1177/2050312119871417 ◽

2019 ◽

Vol 7 ◽

pp. 205031211987141 ◽

Cited By ~ 2

Author(s):

Jessica M Sales ◽

Kaitlin Piper ◽

Clara Riddick ◽

Betelihem Getachew ◽

Jonathan Colasanti ◽

...

Keyword(s):

Qualitative Interviews ◽

Self Care ◽

Safety Net ◽

Team Meetings ◽

Care Services ◽

Trauma Informed Care ◽

Complex Patients ◽

Trauma Informed ◽

Care Practices ◽

Multi Disciplinary Team

Objective: This mixed-methods needs assessment study examined self-care practices among providers, staff, and administrators at an HIV clinic and identified barriers and facilitators to strengthening self-care services in this setting. Methods: Surveys (n = 31) and qualitative interviews (n = 23) were conducted with staff, providers, and administrators at a large, safety-net HIV clinic. Results: Surveys indicated an overall absence of formal self-care services including resources to manage stress, opportunities to debrief, and formal mechanisms to voice concerns. Based on interviews with staff and providers, deficiencies in self-care services included support for dealing with complex patients, formal mechanisms for feedback, and time for self-care. Administrators recognized the need for more support, acknowledged that opportunities for employees to voice concerns were lacking, and felt that implementing multi-disciplinary team meetings could improve morale and reduce stress and burnout. Conclusion: This assessment revealed a need to enhance self-care in safety-net HIV services. Adoption of trauma-informed care, which includes activities to strengthen self-care, could reduce workplace burnout.

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Clinical impact of data feedback at lung cancer multidisciplinary team meetings: A mixed methods study

Asia-Pacific Journal of Clinical Oncology ◽

10.1111/ajco.13278 ◽

2019 ◽

Vol 16 (1) ◽

pp. 45-55 ◽

Cited By ~ 1

Author(s):

Emily Stone ◽

Nicole M. Rankin ◽

Shalini K. Vinod ◽

Mohan Nagarajah ◽

Candice Donnelly ◽

...

Keyword(s):

Lung Cancer ◽

Mixed Methods ◽

Multidisciplinary Team ◽

Clinical Impact ◽

Mixed Methods Study ◽

Team Meetings ◽

Data Feedback ◽

Multidisciplinary Team Meetings

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IBS29.01 Can a Multidisciplinary Team Meetings Improve Lung Cancer Survival?

Journal of Thoracic Oncology ◽

10.1016/j.jtho.2019.08.256 ◽

2019 ◽

Vol 14 (10) ◽

pp. S122

Author(s):

K. Fong ◽

E. Stone ◽

B. Page

Keyword(s):

Lung Cancer ◽

Multidisciplinary Team ◽

Cancer Survival ◽

Team Meetings ◽

Multidisciplinary Team Meetings ◽

Lung Cancer Survival

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What patient assessment skills are required by pharmacists prescribing systemic anti-cancer therapy? A consensus study

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155219841118 ◽

2019 ◽

Vol 25 (8) ◽

pp. 1933-1944

Author(s):

Jennifer Allison ◽

Julie Fisher ◽

Caroline Souter ◽

Marion Bennie

Keyword(s):

Lung Cancer ◽

National Health Service ◽

Cancer Therapy ◽

Nominal Group Technique ◽

Nominal Group ◽

Patient Assessment ◽

Competency Frameworks ◽

Anti Cancer ◽

Assessment Skills ◽

Multi Disciplinary Team

Background In the UK, pharmacist independent prescribers can prescribe for any condition within their clinical competence including systemic anti-cancer therapy. Competency frameworks have been developed but contain little detail on the patient assessment skills pharmacist independent prescribers require to prescribe systemic anti-cancer therapy with concern in the literature over current training on these skills. Aim To gain consensus on the patient assessment skills required by pharmacist independent prescribers prescribing systemic anti-cancer therapy for genitourinary cancer (prostate and renal) and lung cancer across National Health Service Scotland. Method Two phases were performed to generate patient assessment skill consensus. Initially, the Nominal Group Technique was performed within a local cancer network by discussion and participant ranking within genitourinary and lung cancer multi-disciplinary teams. Where consensus was achieved, patient assessment skills were carried forward to try to achieve national (National Health Service Scotland) consensus using a two-round Delphi questionnaire. Results Of the 27 patient assessment skills, consensus was gained for 21 and 23 patient assessment skills in the genitourinary and lung Nominal Group Technique groups, respectively. Within the genitourinary and lung national groups, 13/21 and 18/23 patient assessment skills were agreed as required for a pharmacist independent prescriber to prescribe systemic anti-cancer therapy in genitourinary and lung cancer, respectively. Eight common patient assessment skills were identified as core skills. Reasons for not reaching consensus included pharmacist independent prescriber competence, knowledge, skills and the roles and responsibilities of pharmacist independent prescribers within the multi-disciplinary team. Conclusion We identified the core and specific patient assessment skills required to prescribe systemic anti-cancer therapy within two tumour groups. Further work is necessary to develop patient assessment skill competency frameworks, training and assessment methods and to redefine the roles of pharmacist independent prescribers within the multi-disciplinary team.

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