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Outpatient appointment
Key Process Non secure systemoccasionally leads to cancellations Check access Cons, CNS, Theatres, Admissions, ? Anaesthetists ? POAC ? Investigate placing the order direct on Cerner Issue with POAC not having enough info/legibility/ fining it- the procedure info may be in the clerking sheet in notes
Information
Ideas
JP 30/11/11
Information Technology Computer systems not user friendly leading to poor quality data collection. Data retrieval and analysis proved complicated and time consuming. Information governance issues around data release.
Results
Project progress Several rapid changes implemented quickly eg Solving technical problems that were preventing surgeons completing paperwork in theatre. Some changes have been slower to embed - eg Changing the way resources such as the ultrasound machine are allocated and tracked. The project is ongoing. The statistical analysis has been supported by hospital management and will be piloted in one specialty before incorporating into list management of several specialties We are already involved in taking this work beyond our hospital. Personal development Increased knowledge and experience of quality improvement methodology. Improved skills and understanding of psychological aspects of leadership.
Leadership Challenges
Change - Establishing the need and culture for change. Team - Establishing a committed team to work on the project Time - Ensuring that the team had enough time to meet and work on the project. Communication Improving communication along the patient care pathway, between clinic and admission staff, theatre staff and staff working on post-operative wards. It had been difficult for staff members from different areas to discuss ideas through current channels.
Contact Information Abigail Hine Specialty Registrar in Anaesthesia abigail.hine@gmail.com 07940 077228