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- W2790668891 abstract "Aims This ST2–3 Paediatric trainee led project aimed to provide structure to the medical Paediatric Day Case Unit (DCU), improving its effectiveness and patient safety. Methods I identified deficiencies in the organisation and patient flow of our medical DCU, which impacted on patient safety, work load, clarity of roles and responsibilities and support for the junior doctors. Suspicions were confirmed after completing an online survey from colleagues. To address those problems I analysed and documented the work flow. Two main patient groups of patients were identified; those attending as non-scheduled-outpatient appointments (NSOPs) for bloodletting and day admissions requiring a bed. Patient flow was rationalised using our electronic medical record system (TrakCare). To improve patient safety, efficiency and define roles and responsibilities with regards to patients attending as NSOPs, NSOP request forms were designed and implemented. To increase efficiency and patient safety for day admissions, self clerking history taking forms (completed by parents/carers) and junior doctor clerking proformas were designed and implemented. The proformas are specific for the different patient groups attending for infusions, vaccinations, oral challenges and oncology interventions. New doctor induction now includes a detailed handbook and a DCU teaching session. Results The medical Paediatric Day Case Unit is now more efficient with all the developed changes in place and delivering patient care. NSOP request forms have been officially adopted and re-auditing has led to an incremental increase in their use and evolution of their structure. Day admission proformas have been adopted and reviewed via feedback from speciality nurses and consultants. The effects of above changes were assessed by questionnaires to junior doctors and showed a reduction of patient safety concerns. I have initiated ongoing quality improvement projects that ensure that the unit’s performance is continuing to evolve. Conclusion This project demonstrates how a trainee led project over 18 months can make significant improvements and lasting change. The right environment and support can enable level 1 trainees to identify a need of improvement, develop improvement measures and implement those in collaboration with professionals at various levels." @default.
- W2790668891 created "2018-03-29" @default.
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- W2790668891 date "2018-03-01" @default.
- W2790668891 modified "2023-09-26" @default.
- W2790668891 title "G111(P) Trainee led improvement project in a paediatric day case unit" @default.
- W2790668891 doi "https://doi.org/10.1136/archdischild-2018-rcpch.107" @default.
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