323 Post-Take Pause Quality Improvement Project
نویسندگان
چکیده
Abstract Aim To introduce a structured review of important clinical factors on the post-take surgical ward round for each patient, to reduce their risk adverse events. Method In assessment unit district general hospital, QI methodology was used gather baseline data from 31 interactions; monitoring 13 domains. Additionally, surveys were circulated among staff. Cycle two implemented ‘Post-Take Pause’, ten-point checklist requiring consultant signature, with all medical staff receiving information about its use. three incorporated further involvement nursing and advanced nurse practitioner team. The final fourth cycle revised based feedback users. Results Baseline collection showed that number not being routinely reviewed round. Areas particular concern included: medicine reconciliation, venous-thromboembolism prophylaxis, prescription chart review. Inadequate time documentation also highlighted. 21 interactions found completion 33% 66% respectively. four 18 72% checklists completed. Common themes identified through Post-Take Pause anticoagulant steroid use, missed thromboprophylaxis regular medicines, hyperglycaemia, ECG escalation plans. Conclusions ensures led systematic in Our results show wider team, alongside edits feedback, significantly improved compliance Pause.
منابع مشابه
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac269.250