STAMP: a continuous improvement approach to improve paediatric prescribing and medication safety

2018 ◽  
Vol 104 (6) ◽  
pp. 332-336
Author(s):  
Katherine Styles ◽  
Ashifa Trivedi ◽  
Tristan Bate ◽  
Richa Ajitsaria
Keyword(s):  
Quality Improvement ◽  
General Hospital ◽  
Continuous Improvement ◽  
Medication Safety ◽  
District General Hospital ◽  
Error Rates ◽  
Prescribing Error ◽  
Improvement Project ◽  
Paediatric Prescribing ◽  
Ongoing Project

We describe an ongoing quality improvement project focusing on paediatric prescribing and medication safety for medical, surgical and oncology patients in a district general hospital. The project is called STAMP—Safe Treatment and Administration of Medicine in Paediatrics. The project has been running continuously for 24 months. No one factor has been identified to sustain a reduction in prescribing error rates. However, we have improved the quality and frequency of feedback to prescribers following errors. We believe that this ongoing project is changing the local prescribing culture, and with further Plan–Do–Study–Act cycles we hope to see improvement in prescribing error rates.

scholarly journals 1473 Urology Consent Forms at a District General Hospital – a Quality Improvement Project

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D Bernstein ◽  
A West ◽  
E Preston ◽  
P Premakumaran ◽  
N Suleyman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
General Hospital ◽  
District General Hospital ◽  
Quality Improvement Project ◽  
Consent Form ◽  
National Guidelines ◽  
Improvement Project ◽  
Consent Forms ◽  
Carbon Copy

Abstract Aim Consent is a core component of interaction between patients and healthcare professionals. Prior to surgery, forms are completed to record patient consent. As well as containing risks and benefits of the procedure, the consent form, as per guidelines1,2, must be legible and suitable to a patient’s capacity. To evaluate compliance with local and national guidelines, a quality improvement project was undertaken at a district general hospital. Method Over a three-week period 30 urology consent forms were selected to assess adherence to local and national guidelines. The appropriateness of consent form, patient signature, legibility, acronym use and whether the patient was offered a carbon copy were assessed. After initial data collection, all urology staff consenting patients were notified of the findings and how best to improve guideline adherence. A further three-week data collection was undertaken, though the sample set was small due to Coronavirus and Christmas. Results The results confirmed that patients had appropriate consent forms filled out and were signed appropriately. After intervention, there was clear improvement in legibility, with no low legibility consent forms, and 100% vs 83% high or moderate legibility between data sets. Intervention also resulted in significant reduction of acronym use; 33% vs 60%. More patients were also offered to retain a carbon copy; 89% vs 40%. Conclusions Through this intervention of highlighting local and national guidance as compared to current practice, compliance drastically improved. As the pandemic subsides, we hope regular emails to surgical teams will improve consent form completion to better patient care.

G537 A quality improvement project to address ineffective neonatal handover in a district general hospital

2016 ◽  
Vol 101 (Suppl 1) ◽  
pp. A318-A319
Author(s):  
N Thompson ◽  
C Mc Feely ◽  
L Mc Conaghy ◽  
D Leemon ◽  
T Dowling ◽  
...  
Keyword(s):  
Quality Improvement ◽  
General Hospital ◽  
District General Hospital ◽  
Quality Improvement Project ◽  
Improvement Project
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