143 GOSH patient safety toolkit: development of a mobile application (App) to improve compliance with staff mandatory training

Introduction and aimsConcerns had been raised at clinical governance regarding the safety of our inpatient ward rounds with particular reference to: documentation of clinical observations and National Early Warning Score (NEWS), compliance with Trust guidance for venous thromboembolism (VTE) risk assessment, antibiotic stewardship, palliative care and treatment escalation plans (TEP). This quality improvement project was conceived to ensure these parameters were considered and documented during the ward round, thereby improving patient care and safety. These parameters were based on Trust patient safety guidance and CQUIN targets.MethodThe quality improvement technique of plan–do–study–act (PDSA) was used in this project. We retrospectively reviewed ward round entries to record baseline measurements, based on the above described parameters, prior to making any changes. Following this, the change applied was the introduction of a ward round template to include the highlighted important baseline parameters. Monthly PDSA cycles are performed, and baseline measurements are re-examined, then relevant changes were made to the ward round template.Summary of resultsDocumentation of baseline measurements was poor prior to introduction of the ward round template; this improved significantly following introduction of a standardised ward round template. Following three cycles, documentation of VTE risk assessments increased from 14% to 92%. Antibiotic stewardship documentation went from 0% to 100%. Use of the TEP form went from 29% to 78%.ConclusionsFollowing introduction of the ward round template, compliance improved significantly in all safety parameters. Important safety measures being discussed on ward rounds will lead to enhanced patient safety and will improve compliance to Trust guidance and comissioning for quality and innovation (CQUIN) targets. Ongoing change implementation will focus on improving compliance with usage of the template on all urology ward rounds.

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Putting an end to Black Wednesday: improving patient safety by achieving comprehensive trust induction and mandatory training by day 1

Clinical Medicine ◽

10.7861/clinmedicine.16-2-124 ◽

2016 ◽

Vol 16 (2) ◽

pp. 124-128 ◽

Cited By ~ 6

Author(s):

Natalie Gaskell ◽

Richard Hinton ◽

Tristan Page ◽

Tracy Elvins ◽

Adam Malin

Keyword(s):

Patient Safety ◽

Mandatory Training

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Evaluation of the mobile applications efficiency in compliance control in patients with glaucoma

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-2-105-110 ◽

2021 ◽

pp. 105-110

Author(s):

K.K. Abulkasimova ◽

Keyword(s):

Mobile Applications ◽

Mobile Application ◽

Primary Open Angle Glaucoma ◽

Open Angle Glaucoma ◽

Test Method ◽

Control Group ◽

Open Angle ◽

Improve Compliance ◽

Improvement Method ◽

A Prospective Study

Purpose. Our aim was adaptation and assessment of the efficiency of the method for monitoring and improving compliance in patients with primary open-angle glaucoma by the means of a mobile application. Material and methods. For this purpose, a prospective study of the dynamics of the glaucoma process included fifty patients (main group) with primary open-angle glaucoma (POAG). In this group, an intervention was carried out in the form of the mobile application «Eye Drop Reminder Lite 1.8». Thirty patients with POAG of a similar gender and age group, who did not undergo intervention in the form of a mobile application, constituted the control group. The study was conducted from 2019 to 2021 based on the Central Polyclinic of JSC «UZBEKISTAN RAILWAYS» in Tashkent. Observation over the patients was made within two examination periods: first visit and after two years. Patients' adherence during treatment was assessed by using a modified clinical and psychological test method – the Morisky-Green compliance scale. All questions were adapted by us considering the specifics of glaucoma. Results. The results of the study showed that implementation of the compliance improvement method in the form of mobile application «Eye Drop Reminder Lite 1.8» in patients with POAG made it possible to increase the proportion of compliant patients by 34%, achieve stabilization of the glaucomatous process and increase the average number of planned visits to an ophthalmologist in an outpatient facility. Conclusion. Thus, we can conclude that the mobile application allowed not only to improve compliance, but also to increase the interest and alertness of patients about their condition. Key words: glaucoma; compliance; method of improving compliance; mobile applications.

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958 Pre-operative Pregnancy Testing in Paediatric Patients

British Journal of Surgery ◽

10.1093/bjs/znab134.514 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

S Ashraf ◽

M Bogden

Keyword(s):

Patient Safety ◽

Surgical Procedures ◽

Current Practice ◽

Sexually Active ◽

Staff Education ◽

Pregnancy Testing ◽

Improve Compliance ◽

Safety Precaution ◽

One Year ◽

The Uk

Abstract Introduction NICE emphasises the importance of pregnancy testing before surgical procedures as a patient safety precaution, especially in 13-16-year-olds. This is because, in the UK, a third of females will have been sexually active by the age of 16, meanwhile, in England there are 67,000 operations involving females aged 12-15 annually. Method Guidance from NICE and RCPCH was used to create standards to compare against current practice. Surgical admissions involving females aged 13-16 were retrospectively analysed over a one-year period and compared to these standards. Changes, including creation of a protocol, revision of the clerking proforma and staff education, were implemented to improve compliance and patient data was re-audited following this. Results Initially, 27% of patients did not have pregnancy testing before their procedure and consent for pregnancy testing was not documented. However, when pregnancy tests were performed, the result was documented 100% of the time. After implementing changes, 100% of patients had pregnancy testing before their procedure and documentation of consent had improved. Conclusions Initial practice showed poor compliance with NICE and RCPCH standards. Changes implemented have shown increased compliance to NICE and RCPCH standards and these changes could be used as a model to improve clinical compliance in further areas.

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A new handover protocol between old age admission and rehab wards

BJPsych Open ◽

10.1192/bjo.2021.92 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S12-S13

Author(s):

Aileen Carmen ◽

Thanurshan Mahenthran ◽

Jemma Hazan ◽

Ioana Popescu

Keyword(s):

Patient Safety ◽

Old Age ◽

Improve Patient Safety ◽

Fluid Restriction ◽

Coordinated Care ◽

Brain Scans ◽

Open Questions ◽

Pdsa Cycle ◽

Improve Compliance ◽

Medication Reviews

AimsEfficient handovers are integral to patient care. Challenges to handover for wards include high patient turnover and varied handover approaches between wards, as well as admissions out of hours. Patients on Old Age Wards often have multiple comorbidities and can deteriorate rapidly without coordinated care. Our focus was on improving handover of patients transferred between the Old Age Admissions Ward and Rehabilitation Ward. We aimed to create a ward handover protocol to improve compliance with documenting a pretransfer plan and ensure there was an 80% compliance with completing this plan within 3 months.MethodAn MDT discussion took place in order to explore change ideas. Questionnaires were filled out post implementation of protocol. A handover proforma was designed to capture important patient data and continuing plans. A PDSA cycle was designed to deliver a structured handover.Per patient measures were collected including: whether a handover took place, recording of current medical and psychiatric issues, documentation of plan and was the plan put into action or reviewed.MDT feedback was collected on satisfaction with the protocol and handover process using open questions and Likert scale.ResultPrior to the establishment of the proforma there was no verbal or written handover between wards. In 28% of cases prior to the intervention, blood results were checked and medication reviews took place within the timeframe written in the patient's notes. A proforma was initiated and used for 93% of patient handovers between wards. Blood results were checked according to the planned timeframe in 86% of cases. Where the handover proforma took place, 100% of patients had a medications review. Qualitative detail revealed that key patient appointments such as MRI Brain scans and important plans such as fluid restriction limits were missed before implementing the protocol. Aftewards complex patient plans were recorded and implemented accordingly.Questionnaire feedback was positive and MDT found the proforma to be helpful and to improve patient safety.ConclusionThe team viewed the new handover pathway as a positive patient safety tool. Compliance with completing the protocol in the longer term and maintaining change is an area for ongoing improvement.

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1097: Implementation of ECMO Safety Rounds to Improve Compliance and Promote Patient Safety

Critical Care Medicine ◽

10.1097/01.ccm.0000730276.25157.3d ◽

2020 ◽

Vol 49 (1) ◽

pp. 550-550

Author(s):

Bridget Toy ◽

Thomas Beaulieu ◽

Jason Fisher ◽

Mia Maldonado ◽

John Markham ◽

...

Keyword(s):

Patient Safety ◽

Improve Compliance ◽

Promote Patient Safety

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Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Daily Workflow Increases Adverse Event Reporting by Physicians

American Journal of Medical Quality ◽

10.1177/1062860619891995 ◽

2019 ◽

Vol 35 (5) ◽

pp. 374-379 ◽

Cited By ~ 1

Author(s):

Joseph Delio ◽

Jillian S. Catalanotti ◽

Kathryn Marko ◽

Courtney Paul ◽

Myles Taffel ◽

...

Keyword(s):

Adverse Event ◽

Patient Safety ◽

Mobile Application ◽

Adverse Event Reporting ◽

Physician Education ◽

Free Text ◽

Event Reporting ◽

Time Burden

Adverse event (AE) reporting is a key component of patient safety and physicians are known to underreport. The authors hypothesized that integrating AE reporting into a mobile application used in daily physician workflow would increase physician reporting of AEs. After integrating AE reporting into a free-text mobile application used for daily workflow, the change in AE reporting by physicians was analyzed using Mann-Whitney U tests. AE reporting by physicians increased more than 37-fold (21 to 806; U = 7.5, P < .0001). AE reporting by physicians as a proportion of all AE reports received increased 120-fold (from 0.1% to 12% of all reports, U = 10, P < .0001). Integrating AE reporting into a free-text mobile application used in daily physician workflow markedly increased their reporting of AEs. This approach shifted time burden from physicians to quality officers. Implementation should be coupled with physician education about identifying AEs and content to include in reports.

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