1 / 16

Abscond Service Improvement Project

Abscond Service Improvement Project. A Joint Project between NHS Walsall and Dudley and Walsall Mental Health Partnership Trust (DWMHPT) Roger Abnett Alison Hawkins Kirstie Macmillan. Background. Service improvement project Subject choice Joint approach. Background.

mala
Télécharger la présentation

Abscond Service Improvement Project

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. Abscond Service Improvement Project A Joint Project between NHS Walsall and Dudley and Walsall Mental Health Partnership Trust (DWMHPT) Roger Abnett Alison Hawkins Kirstie Macmillan

  2. Background • Service improvement project • Subject choice • Joint approach

  3. Background • Definition of “abscond” • Clarity of serious incident (SI) category

  4. Aims • To identify risk reduction strategies across DWMHPT in order to reduce the incidence of absconds • To identify any cost incurred as a result of an abscond.

  5. Objectives • Apply Healthcare Failure Mode and Effects Analysis (HFMEA) to the abscond process • Identify recommendations to reduce the risk of absconding • Develop abscond risk reduction strategies within DWMHPT • Apply costings to the process of an abscond

  6. Literature Review • City 128 research • Costing model • Adopted to support initial aims • FMEA adapted in Healthcare

  7. Methodology • Healthcare Failure Mode and Effects Analysis (HFMEA) • Proactive risk assessment technique • Drills down to the minutia

  8. Sectioned Patient Admission Process Abscond Process

  9. Findings • Costings • Annual cost per ward £4,761

  10. Findings • Key themes • Lack of suitable and sufficient risk assessments • Lack of effective MDT meetings • Lack of appropriate and timely provision of patient information • Failure to follow local policies and procedures • Lack of assurance on the competencies of agency/ locum staff • Lack of assurance on the appropriateness and adherence with internal policies/ processes and protocols

  11. Recommendations • Review the structure and purpose including the terms of reference of the MDT meetings within DWMHPT • Review the provision of risk assessment training • Audit the quality aspect of risk assessments • Ensure missing persons policies and observation policies are fit for purpose • Review the DWMHPT embedding lessons process to include audit of the process

  12. Conclusion • Multifaceted process • Robust methodology • Underpinned by good governance • Improved patient safety • Value for money

  13. References • The City 128 Study of Observation and Outcomes on Acute Psychiatric Wards www.sdo.nihr.ac.uk/files/project/61-final-report.pdf • Joint Commission: Using Healthcare Failure Modes and effects Analysis (2002) • VA National Centre for Patient Safety: The Basics of Healthcare Failure Mode and Effect Analysis (2002)

  14. Contacts • Roger.Abnett@dwmh.nhs.uk • Alison.Hawkins@walsall.nhs.uk • Kirstie.Macmillan@walsall.nhs.uk

  15. Any Questions?

More Related