scholarly journals 16 A service evaluation to examine the effectiveness of a rapid process improvement workshop focusing on suppertimes on an acute elderly care ward

2020 ◽  
Author(s):  
Gabriella Quiney
Keyword(s):  
Process Improvement ◽  
Elderly Care ◽  
Service Evaluation ◽  
Rapid Process ◽  
Care Ward

74 Improving Handover Between Doctors and Nurses on An Elderly Care Ward

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
K Suseeharan ◽  
T Vedutla
Keyword(s):  
High Risk ◽  
Patient Care ◽  
Positive Impact ◽  
Elderly Care ◽  
Task Completion ◽  
Risk Area ◽  
High Risk Area ◽  
Staff Members ◽  
Care Ward ◽  
Doctors And Nurses

Abstract Background The Royal College of Physician guidelines (2011) identified handover as a “high risk step” in patient care, especially in recent times within the NHS where shift patterns lead to more disjointed care with a high reliance on effective handover by all staff members. Introduction At Cannock Chase hospital, Fairoak ward is an elderly care rehabilitation ward where there is a large multi-disciplinary team. While working on the ward as doctors we noticed that handover between the MDT was poor. Anecdotal evidence from both doctors and nurses felt that this was a high risk area in need of improvement. Aim to improve handover between doctors and nurses on this elderly care ward. Method To measure the quality of current handover practice we did a questionnaire. A total of 12 questionnaires were completed which showed that 92% of staff felt that handover on the ward was very poor and 50% preferred both written and verbal handover. We measured the number of tasks verbally handed over between doctors and nurses over 3 days. On average 65% of the tasks were completed. We then made the below interventions and re-audited to see if there was any improvement. Interventions over 3 week period: Results Questionnaire: Measuring task completion after interventions; Conclusion This project has made a positive change qualitatively and quantitatively to the ward handover practice. Staff satisfaction regarding handover has improved and the number of “handed over” tasks completed daily has significantly improved. The written handover sheet had poor utilisation by staff but in 4 months we are going to re-audit and trial the handover sheet again to further improve service delivery. We hope this improvement will have a positive impact on patient care on this elderly care ward.

scholarly journals Nosocomial or not? A combined epidemiological and genomic investigation to understand hospital-acquired COVID-19 infection on an elderly care ward

2021 ◽  
Vol 3 (3) ◽  
pp. 100165
Author(s):  
R.D. Wenlock ◽  
M. Tausan ◽  
R. Mann ◽  
W. Garr ◽  
R. Preston ◽  
...  
Keyword(s):  
Elderly Care ◽  
Hospital Acquired ◽  
Care Ward

scholarly journals Are the benefits of lean rapid process improvement workshops in healthcare worth the investment?

2020 ◽  
Vol 9 (2) ◽  
pp. 1
Author(s):  
James G. Chan ◽  
Jalil Safaei ◽  
Thomas Rotter
Keyword(s):  
Process Improvement ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Interrupted Time Series ◽  
Conclusive Evidence ◽  
Post Intervention ◽  
Process Measures ◽  
Rapid Process ◽  
Lean Tools ◽  
And Control

Background: Many organizations have adopted Lean tools to improve healthcare, but few studies adequately evaluate the effectiveness of Lean tools, such as Rapid Process Improvement Workshops (RPIWs).Objective: To evaluate the effectiveness of RPIWs conducted in surgical services at two hospital sites from economic and statistical perspectives.Methods: Retrospective data over three years from the two interventions sites were used for a cost-benefit analysis in the form of Return on Investment (ROI). The Interrupted Time Series (ITS) method was used to analyze the trends of selected process measures such as surgical volumes, overtime, and sick time hours during intervention and post-intervention periods at the two sites. Also, comparable data from two control sites were used to statistically compare the trends of some of the process measures between the intervention and control sites.Results: The cumulative effects of the six RPIWs performed at each site were examined. The results did not produce any evidence to indicate that the outcomes justify the investments. The ITS analysis revealed no indication of systematic and sustained change in the pattern of process measures at the intervention sites as a result of RPIWs. Nor did they provide significant or conclusive evidence when comparing the process measures between the intervention and control sites.Conclusions: This study identifies some of the difficulties of empirically calculating the ROI of RPIWs, and provides evidence that any realized benefits due to RPIWs implemented in two hospitals were not worth the investment. Such a result may lead us to challenge any unfounded claims of high monetary benefits from Lean tools or similar quality improvement initiatives.

Rapid Process Optimization

2016 ◽  
Vol 32 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Jennifer L. Wiler ◽  
Kelly Bookman ◽  
Derek B. Birznieks ◽  
Robert Leeret ◽  
April Koehler ◽  
...  
Keyword(s):  
Health Care ◽  
Length Of Stay ◽  
Process Optimization ◽  
Process Improvement ◽  
Care Delivery ◽  
Health Care Systems ◽  
Process Redesign ◽  
Rapid Process ◽  
Left Without Being Seen ◽  
Care Systems

Health care systems have utilized various process redesign methodologies to improve care delivery. This article describes the creation of a novel process improvement methodology, Rapid Process Optimization (RPO). This system was used to redesign emergency care delivery within a large academic health care system, which resulted in a decrease: (1) door-to-physician time (Department A: 54 minutes pre vs 12 minutes 1 year post; Department B: 20 minutes pre vs 8 minutes 3 months post), (2) overall length of stay (Department A: 228 vs 184; Department B: 202 vs 192), (3) discharge length of stay (Department A: 216 vs 140; Department B: 179 vs 169), and (4) left without being seen rates (Department A: 5.5% vs 0.0%; Department B: 4.1% vs 0.5%) despite a 47% increased census at Department A (34 391 vs 50 691) and a 4% increase at Department B (8404 vs 8753). The novel RPO process improvement methodology can inform and guide successful care redesign.

Antibiotic prescribing on an Elderly Care ward: closing the audit loop

2011 ◽  
Vol 63 (6) ◽  
pp. e5-e6
Author(s):  
Pamela Sarkar ◽  
Sani Aliyu ◽  
Margaret Gillham
Keyword(s):  
Elderly Care ◽  
Antibiotic Prescribing ◽  
Care Ward

scholarly journals 56 Quality Improvement Project on the Bowel Charts in An Elderly Care Ward in Basildon University Hospital

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i14-i17
Author(s):  
R A Hakim ◽  
M Ali ◽  
I Wijenyake
Keyword(s):  
Elderly Care ◽  
Oral Intake ◽  
University Hospital ◽  
Improvement Project ◽  
Memory Problems ◽  
Sustained Change ◽  
Initial Survey ◽  
Care Ward ◽  
Measurable Change

Abstract Background To improve the rate of documentation on bowel charts on an elderly care ward with a significant percentage of patients suffering from dementia. Importance As a junior doctor working on an elderly care ward with patients who often had memory problems and were unable to recall their bowel patterns, it was extremely challenging to establish whether a particular patient has constipation or diarrhoea. Constipation in an elderly patient can lead to multiple complications like urinary retention, intestinal obstruction and often decreased oral intake. Methods An audit was carried out to see the rate of completion of the Bowel charts on the ward. Only about 23% of the bowel charts on the ward were complete in the initial survey. Then interventions were introduced in steps and three more audits were done. At each step, we were able to show how the interventions introduced changed the degree of completion of the bowel charts. Outcome We have seen a marked improvement of 37% since the start of the project 5 months ago. From 23% to 60% completion of bowel charts. There appeared to be a sustained change only falling short at the weekends (due to staffing issues) Overall awareness had increased vastly. We were able to make a measurable change and improvement in the quality of care provided.

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