St John's Hospital Clinical Change Forum
17th March 2017
The clinical change forum event at St John's Hospital featured presentations about three pieces of improvement work based in and around St John's.
You can find the presentations below:
- Dynamic Discharge Planning
- Quality Improvement in Mental Health
- Quality Improvement in Death Certification
The group heard from Megan Reid, Service Improvement Manager for Unscheduled Care at St John's. Megan gave a presentation on a discharge planning pilot she and colleagues across multi-disciplines such as physiotherapy, pharmacy and medicine carried out in Ward 9 a general medical ward. The pilot has been influenced by the six essential actions in the Scottish Government’s Unscheduled Care Plan.
The team met twice a day for around 10 minutes to discuss discharge planning for patients that would see patients discharged safely and in a timely manner, helping to free up beds for admissions. The pilot has been very successful and is now being rolled out to other wards at the hospital. Similar work is also being done at the Western General and Royal Infirmary in order to help standardise practice. A case study has also been written up and will be shared with interested colleagues.
The second presentation was delivered by Dr Hosakere Aditya and described quality improvement work currently being conducted in Psychiatry in West Lothian. Hosakere explained the process through which his department has increased consultant capacity, and discussed some of the challenges with the approach.
The group also heard from Dr James McCallum, GP and Associate Medical Director, who presented work undertaken by an FY2 doctor, Pauline McAleer. She carried out an audit looking at the record keeping of patients who had died as it needed to be improved. A form allowing medics to put the information on the TRAK system was developed leading to a marked improvement in record keeping from 20 percent to 90 percent. In addition, it has provided significant other benefits including helping GPs to be kept informed of the death of their patients in a more timely manner, helped inform relatives and is particularly helpful in providing information for reviews under the new death certification process.
James McCallum, GP and Associate Medical Director, is giving the above presentation, around work undertaken by an FY2 doctor, Pauline McAleer. She carried out an audit looking at the record keeping of patients who had died as it needed to be improved. A form allowing medics to put the information on the TRAK system was developed leading to a marked improvement in record keeping from 20 percent to 90 percent. In addition, it has provided significant other benefits including helping GPs to be kept informed of the death of their patients in a more timely manner, helped inform relatives and is particularly helpful in providing information for reviews under the new death certification process.