Multi-disciplinary team meetings with specialist radiologists may improve pre-operative clinico-radiological diagnostic accuracy in patients requiring orbital biopsy and offer reciprocal educational opportunities

Eye ◽  
2021 ◽  
Author(s):  
Samantha Vicki Hunt ◽  
Ioana Pereni ◽  
Mandy Williams ◽  
Rebecca Ford ◽  
Helen Garrott
Keyword(s):  
Diagnostic Accuracy ◽  
Educational Opportunities ◽  
Team Meetings ◽  
Multi Disciplinary Team

261 Using Technology to Improve Inpatient Surgical Lists

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Gowda ◽  
Z Chia ◽  
T Fonseka ◽  
K Smith ◽  
S Williams
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Junior Doctors ◽  
Research Projects ◽  
Point Scale ◽  
Improvement Project ◽  
Surgical Department ◽  
Team Meetings ◽  
And Training ◽  
Multi Disciplinary Team

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.

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

2011 ◽  
Vol 30 (4) ◽  
pp. 467-471 ◽  
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

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

2014 ◽  
Vol 28 (12) ◽  
pp. 1237-1247 ◽  
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.

scholarly journals 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

2019 ◽  
Vol 7 ◽  
pp. 205031211987141 ◽  
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.

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

Lung Cancer ◽  
2005 ◽  
Vol 49 ◽  
pp. S24 ◽  
Author(s):  
D. Gilligan ◽  
L. Goodrum ◽  
L. Magee ◽  
S. Harris
Keyword(s):  
Lung Cancer ◽  
Team Meetings ◽  
Multi Disciplinary Team

Are psychiatric team meetings patient centred? A cross-sectional survey on patient views regarding multi-disciplinary team meetings

2014 ◽  
Vol 32 (2) ◽  
pp. 177-185
Author(s):  
C. Carey ◽  
J. Lally ◽  
A. Abba-Aji
Keyword(s):  
Social Services ◽  
Patient Involvement ◽  
Psychiatric Inpatient ◽  
Psychiatric Ward ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exact Test ◽  
Team Meetings ◽  
Parametric Data ◽  
Multi Disciplinary Team

ObjectivesThe system of weekly psychiatric ward rounds is being challenged and multi-disciplinary team meetings (MDTMs) involving inpatients have been developed. These aim to improve integration between medical and social services and increase patient involvement in their care. However, such large meetings are potentially threatening to the patient. This survey aimed to examine inpatient experience of MDTMs and identify factors that significantly alter this experience.MethodsIn this cross-sectional survey we assessed patient opinion regarding patient inclusive MDTMs in a psychiatric inpatient unit. A total of 27 participants (response rate 90%) were included. We utilised descriptive statistics and Fisher’s exact test for non-parametric data where appropriate.ResultsIn all, 85% (n=23) of patients identified the consultant psychiatrist as a member that they would like to have present at the MDTM. The ward nurse was identified by 63% (n=17) of patients. In all, 48% (n=13) of patients reported feeling anxious/threatened at the MDTM. In all, 70% (n=19) of patients stated that they would have felt less threatened at the MDTM if there were fewer people in attendance. A significant number of voluntary patients (n=11) felt threatened/anxious at the MDTM compared with involuntary patients (n=2) (χ2=4.921, df=1, p=0.026).ConclusionThe central findings of this study are that patients would prefer fewer people at the MDTM and would feel less threatened/anxious if they participated in selecting those in attendance. These findings suggest that greater patient involvement in preparation for the MDTM could result in a less anxiety filled experience for them.

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