scholarly journals QI project: Improvement in quality of Seclusion Medical Review

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S218-S219
Author(s):  
Shumaila Shahbaz ◽  
Richard Ward
Keyword(s):  
Side Effects ◽  
Physical Health ◽  
Patient Care ◽  
Mental State ◽  
Improve Patient Care ◽  
Medical Review ◽  
Record Keeping ◽  
Review Management ◽  
State Examination

AimsTo establish the improvements in the quality of seclusion medical review after introducing a template to complete the review.BackgroundThe Mental Health Act – Code of Practice outlines the standards of patient care while in seclusion. It also emphasis that supportive engagement/observation schedules should be reviewed in person and continued at the point an episode of seclusion was initiated.Furthermore, NICE also set up standards to monitor side effect profile while prescribing psychotropic for such patients and regular management review. It also gives importance to staff training to ensure these standards.To improve the quality of the seclusion medical review, we completed an audit in July 2019 to ascertain whether medics are following Trust Policy.We identified good results (above 90%) in the following areas:Time of seclusion reviewRecord keepingManagement planGood documentation of risk, mental state examination and physical health.We also noticed that the following areas can be improved:Prescribed Medications. (60%)Medication side effects. (40%)Physical Observations (40%)We used the following audit standards for our audit after our last audit and a template was designed and after discussion with medics incorporated into the existing documentation template.Time of reviewReason and duration for seclusionPsychiatric diagnosisMental State Examination/BehaviourPhysical health (including physical observations)/EnvironmentMedication (prescribed, rapid tranquilisation, side effects, or adverse effects)Risk (to self-DSH or accidental) (risks to others)Plan :(frequency of physical obs./medical review, management, restrictions, exit plan for terminating seclusion, patient's capacity to understand it)MethodWe considered the following aspects:Retrospective data collection from 01.03.2020 to 30.08.2020.Sample selection: random selection of mixture of clinicians on different times and days of the week.Data analysis was carried out by using Microsoft Excel.ResultWe noticed a marked improvement in the quality of seclusion medical review (between 95% and 100%) after introducing a template for it. There were no major concerns identified during the re-audit.ConclusionTo continue to use the template for Seclusion Medical Review which has shown significant improvement in the quality of the reviews which will improve patient care.It also helped us to deliver person centred care and safe practice.To continue teaching and training of doctors.This QIP project motivated nurses to do an audit on nursing seclusion review and made necessary changes.

An audit of the care of 266 patients with schizophrenia in 16 general practices

1998 ◽  
Vol 15 (2) ◽  
pp. 61-63 ◽  
Author(s):  
John Holden
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Mental State ◽  
Family Care ◽  
Care Family ◽  
General Practices ◽  
Examination Quality ◽  
State Examination ◽  
Physical Care

AbstractSixteen general practices completed an audit of the care of their patients with schizophrenia. This resulted in improved levels of recording of six different aspects of patient care; family care, Mental State Examination, quality of life, preventive physical care, co-ordinated care and details of medication.

scholarly journals Why psychiatric discharge summaries do not contain the mental state examination at discharge

1992 ◽  
Vol 16 (4) ◽  
pp. 216-217
Author(s):  
Marco Akerman ◽  
Mark McCarthy
Keyword(s):  
Mental State ◽  
Clinical Notes ◽  
Institutional Incentives ◽  
State Examination ◽  
Discharge Summaries

In an era where computerised information is dominant, it may seem an eccentric enterprise to assess the quality of case-notes and to propose changes in the notekeeping process. There are no institutional incentives for clinicians to provide organised and standardised clinical notes (Casper, 1987) and there is no clear evidence that poor notekeeping means that satisfactory care has not been provided.

Implementation of a new patient health questionnaire into standard practice in outpatient cancer clinics to improve patient care and quality of treatment.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 214-214
Author(s):  
Kathryn Estey ◽  
Catherine Brown ◽  
Andrea Perez-Cosio ◽  
Gursharan Gill ◽  
Mindy Liang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Patient Care ◽  
Treatment Options ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Electronic Version ◽  
Clinic Visit ◽  
Additional Information ◽  
Risk Factor Information

214 Background: Patient socio-demographic, lifestyle, and risk factor information at the Princess Margaret Cancer Centre (PM) is routinely collected for clinical purposes. The only standardized patient information presently being gathered in the outpatient cancer clinics at the PM is symptom management data, which is linked directly into the electronic medical records. Collecting and recording additional data can improve the quality of patient care, help identify risk factors, and guide treatment options. Our aim was to determine the feasibility of collecting this additional information in a clinical setting. Methods: This pilot cohort study was implemented in the thoracic outpatient oncology clinic at the PM. It involved developing a questionnaire utilizing literature sources, expert review, and pilot testing. Adult cancer patients completed the questionnaire and a complementary acceptability survey during their first clinic visit. Results: 170 patients with thoracic tumours, primarily lung cancer, took part in the feasibility study. Of these, 51% were female, 67% were Caucasian, and the median age was 65 (range 32 to 88) years old. The acceptability survey demonstrated that: 76% of respondents found that the questionnaire did not make their clinic visit more difficult, 68% found that it asked the right questions, 79% thought the questionnaire contained pertinent information for their doctor and other healthcare providers to know, and 51% found that it was time consuming to complete. Conclusions: This study determined that it is feasible to implement a standardized questionnaire that gathers patient socio-demographic, lifestyle, and risk factor information in routine clinical cancer care. Since half of the study population found the questionnaire time consuming to complete it should be administered prior to patient visits, in an electronic format, and with greater explanation/education. The next phase is converting the questionnaire into an electronic version, which aligns with the preferences of study participants and will allow the information to be more easily accessible by clinicians/researchers.

Know the score: management of patients with a new diagnosis of acute pulmonary embolism

2020 ◽  
Vol 81 (11) ◽  
pp. 1-4
Author(s):  
D'Marieanne Koomson ◽  
Neil Smith ◽  
Simon McPherson ◽  
Vivek Srivastava
Keyword(s):  
Patient Outcome ◽  
Pulmonary Embolism ◽  
Quality Of Care ◽  
Patient Care ◽  
Acute Pulmonary Embolism ◽  
Improve Patient Care ◽  
Confidential Enquiry ◽  
New Diagnosis ◽  
Improve Patient

The National Confidential Enquiry into Patient Outcome and Death review into the quality of care provided to UK patients with a new diagnosis of acute pulmonary embolism highlights both clinical and organisational changes that should be made to improve patient care and outcomes.

scholarly journals Improving the quality of healthcare data through information design

2017 ◽  
Vol 23 (1) ◽  
pp. 104-122 ◽  
Author(s):  
Guillermina Noël ◽  
Janet Joy ◽  
Carmen Dyck
Keyword(s):  
Patient Care ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Quality Of Healthcare ◽  
Healthcare Data ◽  
Advantages And Disadvantages ◽  
Quality Of Patient Care ◽  
Improve Patient ◽  
Insight Into

Improving the quality of patient care, generally referred to as Quality Improvement (QI), is a constant mission of healthcare. Although QI initiatives take many forms, these typically involve collecting data to measure whether changes to procedures have been made as planned, and whether those changes have achieved the expected outcomes. In principle, such data are used to measure the success of a QI initiative and make further changes if needed. In practice, however, many QI data reports provide only limited insight into changes that could improve patient care. Redesigning standard approaches to QI data can help close the gap between current norms and the potential of QI data to improve patient care. This paper describes our study of QI data needs among healthcare providers and managers at Vancouver Coastal Health, a regional health system in Canada. We present an overview of challenges faced by healthcare providers around QI data collection and visualization, and illustrate the advantages and disadvantages of different visualizations. At present, user– centred and evidence–based design is practically unknown in healthcare QI, and thus offers an important new contribution.

scholarly journals Efficacy of pramipexole combined with levodopa for Parkinson’s disease treatment and their effects on QOL and serum TNF-α levels

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052092244
Author(s):  
Jinzhong Huang ◽  
Wei Hong ◽  
Zhilong Yang ◽  
Jian Ding ◽  
Yi Ren
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Control Group ◽  
Study Group ◽  
Tnf Α ◽  
State Examination

Purpose To investigate the efficacy of combining the dopamine receptor agonist pramipexole with levodopa for Parkinson’s disease (PD) treatment and to measure their effects on quality of life and tumor necrosis factor (TNF)-α levels in PD patients. Basic Procedure In total, 160 PD patients who were admitted to our hospital were equally randomized into a control treatment group (levodopa alone) and the study group (pramipexole combined with levodopa). Both groups were treated for 12 weeks. Findings After treatment, scores from the Unified Parkinson’s Disease Rating Scales (1–3), the Hamilton Depression Scale, and the Parkinson’s Disease Questionnaire (PDQ-39) were significantly decreased in both groups, whereas Mini-Mental State Examination scores were significantly increased. After treatment, the study group had significantly lower scores for all scales except the Mini-Mental State Examination, for which those who received combined treatment had significantly higher scores than the control group. The incidence of adverse reactions was significantly lower in the study group than in the control group. Furthermore, after treatment, serum TNF-α levels were significantly decreased in both groups compared with pre-treatment levels. Conclusion Pramipexole combined with levodopa relieved PD symptoms and improved the quality of life of PD patients, potentially by suppressing serum TNF-α levels.

scholarly journals A community integrated respiratory team can improve patient care, quality of life and reduce hospital stays

2016 ◽  
Vol 16 (Suppl 3) ◽  
pp. s33-s33
Author(s):  
Michael Apps ◽  
Jan Minter ◽  
James Whitfield ◽  
Sue Field ◽  
Ronni Pearce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Improve Patient Care ◽  
Care Quality ◽  
Patient Care Quality ◽  
Hospital Stays ◽  
Improve Patient

Quality of the Rating of Mini-Mental State Examination in a Well-Defined Population of French General Practitioners

2011 ◽  
Vol 59 (11) ◽  
pp. 2182-2184
Author(s):  
Karl Mondon ◽  
Saousen Ben Zid ◽  
Emilie Beaufils ◽  
Charlotte Eudo ◽  
Thierry Constans ◽  
...  
Keyword(s):  
General Practitioners ◽  
Mental State ◽  
Mini Mental State Examination ◽  
State Examination
Sign in / Sign up

Export Citation Format

Share Document