1 / 11

SPSP Fellowship Project Charter

SPSP Fellowship Project Charter. To create, implement and maintain a medicines reconciliation process in an outpatient Pain Clinic David Hill. What are we trying to accomplish ? (context and problem). NPSA “Safety in Doses” Medication errors common Local problems:

tracen
Télécharger la présentation

SPSP Fellowship Project Charter

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SPSP Fellowship Project Charter To create, implement and maintain a medicines reconciliation process in an outpatient Pain Clinic David Hill

  2. What are we trying to accomplish ?(context and problem) • NPSA “Safety in Doses” • Medication errors common • Local problems: • Wasted clinic time trying to achieve accurate meds • Had to book repeat visits • Patients phone confused about changes • GP’s phone confused about changes • Have allowed harm by not recognising hazardous medication

  3. What are we trying to accomplish ?(benefits of improvement) • Ensure every consultation based on medications patient actually taking • Successfully communicate changes to: • Patient • GP • Ensure interventions are only carried out when: • Patient not taking anticoagulants • Patient not on antibiotics • All allergies identified

  4. What are we trying to accomplish ?(Aims) • To accurately & completely reconcile medications in at least 95% of Chronic Pain Clinic patients by September 2010 • To identify hazardous medication & allergies in 100% of patients by September 2010

  5. What are we trying to accomplish (Goals) • Engage clinical team & reach agreement to improve • by end of December 2009 • Collect some baseline data • by end of Jan 2010 • Test initial changes • by end of Feb 2010 • Reconcile medications in 95% • by Sept 2010 • Identify anticoagulants/antibiotics/allergies in 100% • by Sept 2010 • Compensate for extra consultation time • by Dec 2010

  6. How will we know that change is an improvement?

  7. How will we know that change is an improvement? • Measurement plan- • 20 charts/patients a month • By DH & CF • Data loaded onto Trust “extranet” • Analysis • Annotated monthly run charts and graphs • Financial impact • Cost of forms & secretary time • Prevention of revisits

  8. What changes can we make that will result in improvement? • Initial activities • Form team • Collect baseline data • Convene focus group • Process map flow of medication information • Create ideas to achieve goals • Discuss adapting changes from other settings • Review available literature & discuss

  9. What changes can we make that will result in improvement? Initial PDSA cycles • Test letter to get patient to bring meds • Test Meds Rec Form (MRF) • Test checklist to detect hazardous meds • Test communication to GP

  10. Participation Improvement Team • Improvement advisor: NoeleenDevaney • Sponsor: Charlie Martyn (MD) • Process owner: Bob Darling (CD) • Team Leader: David Hill • Team members: • Conor Farrell (Pain Fellow) • Kerry Wade (CNS) • Karen Armstrong (secretary) • Neville McMullan (GP) • Erika Hughes (pharmacist) • Patient?

  11. Baseline data: Jan 2010

More Related