The West Australian Point Prevalence Survey 2014: Medication Safety
|
|
- Eugene Marsh
- 6 years ago
- Views:
Transcription
1 The West Australian Point Prevalence Survey 2014: Medication Safety
2 The Western Australia Point Prevalence Survey (WAPPS) State-wide survey conducted in May 2014, co-ordinated by the Quality Improvement and Change Management Unit, Patient Safety and Clinical Quality Division. 14 metropolitan and 6 country public hospitals 40 beds Examined adherence to 6 safety and quality topic areas based on the National Safety and Quality Health Service (NSQHS) standards, including medication safety. Survey data was linked to hospital morbidity data prior to detailed statistical analysis.
3 Analysis of Data from the WA Point Prevalence Survey (WAPPS) 2014 Prepared by the Collaborative for Healthcare Analysis and Statistical Modelling (CHASM) Iteration 5 29 th May 2015
4 WAPPS MODULE F : Medication Safety - survey questions focused on Medication Reconciliation process Medication reconciliation process involves: 1. Best Possible Medication History (BPMH) 2. Confirm with two sources 3. Reconcile differences identified
5 The Western Australia Point Prevalence Survey (WAPPS) Exclusions dialysis patients psychiatric patients (on a mental health ward) unqualified newborns hospital in the home clients day surgery patients day procedure patients patients admitted less than 24 hours Teams of two surveyors: Hospital clinical team member + survey volunteer Direct patient contact, data collection Examining the medical record Education Session 4 hour sessions on NSQHC standards and survey tool. What happened with the data? Raw data provided to hospitals Data linkage and statistical analysis by UWA
6 Cohort
7 Percentage of Patients with a Medication History Documented for Current Admission Univariable analysis: percentage of patients in each WA hospital examined who had their medication history documented for the current admission.
8 Percentage of Patients with a Medication History Documented for Current Admission Patient Characteristic (risk factor) Reference Group Adjusted OR (LCL, UCL) Estimated change in the number of patients with the outcome (LCL, UCL) Estimated annual change in the number of patients with the outcome* (LCL, UCL)** Estimated annual change as a percentage of the estimated annual number of patients with the risk factor + (LCL, UCL) Adult Paediatric LOS 0-5 days Birthing mothers Older adult Older adult LOS 6+ days (0.343, 0.653) (0.066, 0.268) (0.356, 0.658) (0.157, 0.402) 74 (42, 105) 26 (17, 35) 92 (55, 129) 40 (26, 53) Multi-variable logistic model of the probability of a patient having their medication history documented during the current admission 2502 (1399, 3548) 1055 (681, 1420) 6141 (3631, 8559) 3046 (2024, 4041) 8 (4, 11) 20 (13, 27) 7 (4, 10) 26 (17, 35)
9 Was a Medication History Documented? Multivariable logistic model of the probability of a patient having their medication history documented during the current admission
10 Was a Medication History Documented? Higher likelihood of paediatric patients being documented at PMH compared to paediatric patients at other hospitals (OR 3.9 ( )). Higher likelihood of birthing mothers being documented at KEMH compared to birthing mothers at other hospitals (OR 4.5 ( )).
11 Medication History Documentation In 2010 the Pharmaceutical Review Policy follow-up audit was undertaken. A medication history was documented for 77% (2010) of all patients audited (WAPPS: 88% in 2014), with only 50% of patients at regional sites having evidence of a medication history documented. This demonstrates improvement in this process for medication reconciliation (11.2%, 95% CI: 8.5% to 13.8%); p-value < ) on admission across WA Health, especially for regional patients.
12 Confirmation of medication history with a second source improves the accuracy and completeness of the medicines list. Documentation of sources used to confirm the medication history is important as it provides a reference of the information obtained, as well as minimising the risk of using a source more than once. The WA MMP provides a consistent approach to documenting this information. Documentation of the medication history on the NIMC does not adequately capture the confirmation of the medication history with another source.
13 Was the Medication History Confirmed By At Least Two Sources? Univariable analysis: percentage of patients in each WA hospital examined who had their medication history confirmed by at least two sources.
14 Was the Medication History Confirmed By At Least Two Sources? Patient Characteristic (risk factor) Reference Group Adjusted OR (LCL, UCL) Estimated change in the number of patients with the outcome (LCL, UCL) Estimated annual change in the number of patients with the outcome* (LCL, UCL)** Estimated annual change as a percentage of the estimated annual number of patients with the risk factor + (LCL, UCL) Paediatric Older adult (0.093, 0.905) Adult LOS 0-5 days Older adult LOS 6+ days (0.354, 0.565) (0.539, 0.838) 14 (2, 24) 101 (70, 128) 66 (31, 104) 547 (79, 948) 3402 (2353, 4307) 4416 (2077, 6906) 28 (4, 48) 16 (11, 20) 8 (4, 12) Multi-variable logistic model of the probability of a patient having at least two sources of confirmation of their medication history
15 Was the Medication History Confirmed By At Least Two Sources? Multivariable logistic model of the probability of a patient having at least two sources of confirmation for their medication history
16 Where was the medication history documented? 5 possible options for survey question: WA Medication History and Management Plan ( WA MMP) National Inpatient Medication Chart (NIMC) Medical Record (MR) Paediatric Inpatient Medication Chart (PIMC) Other
17 Where was the medication history documented?
18 Was The Medication History Reconciled? Identified Medication Management Issues Reconciled with NIMC column
19 Was The Medication History Reconciled? Univariable analysis: Percentage of patients with a WA MMP who had their medication history reconciled.
20 Was The Medication History Reconciled? Multivariable logistic model of the probability of a patient with a WA MMP having their medication history reconciled Patient Characteristic (risk factor) Reference Group Adjusted OR (LCL, UCL) Estimated change in the number of patients with the outcome (LCL, UCL) Estimated annual change in the number of patients with the outcome* (LCL, UCL)** Estimated annual change as a percentage of the estimated annual number of patients with the risk factor + (LCL, UCL) Adult Older adult (0.380, 0.683) 45 (25, 64) 1517 (837, 2155) 12 (7, 17) 0 prior admissions 1+ prior admissions (0.253, 0.639) 17 (8, 26) 487 (222, 759) 19 (8, 29)
21
22 Summary Report Recommendations 2014 Health Services/Sites: 1. Adopt the WA Medication History and Management Plan 2. Sites with paediatric patients should review processes for documentation of medication history. 3. Sites with mothers being admitted for childbirth should review processes for documentation of medication history and clinical handover of this information at point of admission to hospital. 4. Review process of medication reconciliation to ensure that two sources of confirmation are used (unless deemed unnecessary by the clinician conducting the medication reconciliation) and sources are documented on the WA Medication History and Management Plan. (WA MMP). State-wide: A method of risk assessment should be developed to assist with prioritising the medication reconciliation service to those patients deemed at higher risk of experiencing medication-related adverse events. This would assist sites impacted by resource limitations.
23 Acknowledgements: WA Data Linkage Unit WAPPS Project Team WAPPS Steering Group Quality Improvement and Change Management (QICM) Unit Matthew Tuson Kerry Fitzsimons (QICM Unit) Berwin Turlach Alistair Vickery
Chapter 13. Documenting Clinical Activities
Chapter 13. Documenting Clinical Activities INTRODUCTION Documenting clinical activities is required for one or more of the following: clinical care of individual patients -sharing information with other
More informationelectronic Medication Management (emm) Innovation and Systems Research
electronic Medication Management (emm) Innovation and Systems Research Presented by Stephen Kalyniuk Senior Project Manager 1 Australian Commission on Safety and Quality in Health Care (ACSQHC) Implementing
More informationSTRATIFICATION GUIDE 2018
STRATIFICATION GUIDE 2018 The ACHS, in collaboration with relevant medical colleges, associations and specialty societies have developed the following stratification variables to enable like organisations
More informationHIGH VALUE DATA COLLECTIONS: PRIORITIES FOR DEVELOPMENT OF LINKED DATA RESOURCES IN AUSTRALIA
HIGH VALUE DATA COLLECTIONS: PRIORITIES FOR DEVELOPMENT OF LINKED DATA RESOURCES IN AUSTRALIA September 2017 Except for the PHRN logo and content supplied by third parties, this copyright work is licensed
More informationNeurosurgery. Themes. Referral
06 04 Neurosurgery The following recommendations were produced by the British Society of Neurological Surgeons to highlight where resources could be released in NHS neurological services, while maintaining
More informationPricing and funding for safety and quality: the Australian approach
Pricing and funding for safety and quality: the Australian approach Sarah Neville, Ph.D. Executive Director, Data Analytics Sean Heng Senior Technical Advisor, AR-DRG Development Independent Hospital Pricing
More informationMental Health Short Stay
Mental Health Directorate Central Adelaide Local Health Network Mental Health Short Stay Model of Care January 2016 Extracted from Improving Unplanned Emergency Access pathways (IUEAP) Model of Care: Mental
More informationCase study: how reliable are our healthcare systems?
Case study: how reliable are our healthcare systems? CMSSQ Centre for Medication Safety & Service Quality Professor Bryony Dean Franklin Centre for Medication Safety and Service Quality Imperial College
More informationStandard of Care for MTC inpatients
Standard of Care for MTC inpatients The following document is intended to summarise the model of care for patients admitted under the care of the Leeds Major Trauma System. It will outline expected duties
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More informationYORKSHIRE AND HUMBER CLINICAL PHARMACY BENCHMARKING
YORKSHIRE AND HUMBER CLINICAL PHARMACY BENCHMARKING Chris Acomb BSc MPharm FRPharmS Clinical Pharmacy Manager (Professional Development) Leeds Teaching Hospitals With thanks to all my fellow Clinical Pharmacy
More informationPaediatric Assessment Unit (PAU) Authors: Dr Tariq Bhatti; Helen Sibley; Julie-Anne Dowie
Paediatric Assessment Unit (PAU) Authors: Dr Tariq Bhatti; Helen Sibley; Julie-Anne Dowie Reviewed: January 2013 Next review date: January 2014 CONTENTS Page OVERVIEW 3 SCOPE OF THE SERVICE 3 SERVICE DESCRIPTION
More informationSupplementary Online Content
Supplementary Online Content Kaukonen KM, Bailey M, Suzuki S, Pilcher D, Bellomo R. Mortality related to severe sepsis and septic shock among critically ill patients in Australia and New Zealand, 2000-2012.
More informationImplementation of the National Safety and Quality Health Service Standards
Implementation of the National Safety and Quality Health Service Standards The Experience and Lessons Learnt by the Australian Council on Healthcare Standards July 2012 Introduction and overview This information
More informationAPPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
More informationChan Man Yi, NC (Neonatal Care) Dept. of Paed. & A.M., PMH 16 May 2017
The implementation of an integrated observation chart with Newborn Early Warning Signs (NEWS) to facilitate observation of infants at risk of clinical deterioration Chan Man Yi, NC (Neonatal Care) Dept.
More information2018/19 QUALITY IMPROVEMENT PLAN. Markham Stouffville Hospital Indicators Posted: April 1 st, 2018
2018/19 QUALITY IMPROVEMENT PLAN Markham Stouffville Hospital Indicators Posted: April 1 st, 2018 Overview of Markham Stouffville s - Quality Improvement Plan 2018/19 2018/19 Quality Improvement Plan Quality
More informationRequired Organizational Practices Resources for 2016
Required Organizational Practices Resources for 2016 ROPs Tests for Compliance Things to Consider Available Resources CLIENT IDENTIFICATION Working in partnership with clients and families, at least two
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationPolicy on Admission of Children To The Acute Children s Wards Within the WHSCT August 2012
Policy on Admission of Children To The Acute Children s Wards Within the WHSCT August 2012 Page 1 of 9 Title Acute Children s Wards Within the WHSCT Reference Number WC12/007 Implementation Date August
More informationAcute Hospital Bed Review:
Acute Hospital Bed Review: A review of acute hospital bed use in hospitals in the Republic of Ireland with an Emergency Department (Summary, conclusions and recommendations). Introduction and overview
More information2017/18 Quality Improvement Plan Improvement Targets and Initiatives
2017/18 Quality Improvement Plan Improvement Targets and Initiatives AIM Measure Change Effective Effective Care for Patients with Sepsis % Eligible Nurses who have Completed the Sepsis Education Bundle
More informationPart 3. Condition of medical equipment
Part 3 Condition of medical equipment 27 INTRODUCTION 3.1 As medical equipment assets have to be replaced or upgraded at some point in time, it is important to identify the life expectancy of each item
More informationOrganisational factors that influence waiting times in emergency departments
ACCESS TO HEALTH CARE NOVEMBER 2007 ResearchSummary Organisational factors that influence waiting times in emergency departments Waiting times in emergency departments are important to patients and also
More informationWhy is this Job Description being written? Exisiting Position Replacement Position Current Position Position not previously described.
Why is this Job Description being written? Exisiting Position Replacement Position Current Position Position not previously described P O SITION DET AI L S: Position Title: R E SEA RC H NUR SE F OR VA
More informationFamily Integrated Care in the NICU
Family Integrated Care in the NICU Shoo Lee, MBBS, FRCPC, PhD Scientific Director, Institute of Human Development, Child & Youth Health, Canadian Institutes of Health Research Professor of Paediatrics,
More informationIntroduction of EPMA in paediatric practice in UK:
Introduction of EPMA in paediatric practice in UK: REALISING THE CLINICAL BENEFITS AND ENGAGING CLINICAL STAFF Stephen Marks Consultant Paediatric Nephrologist and EPMA lead Great Ormond Street Hospital
More informationApril Clinical Governance Corporate Report Narrative
April 14 - Clinical Governance Corporate Report Narrative ITEM 7B Narrative has been provided where there is something of note in relation to a specific metric; this could be positive improvement, decline
More informationTowards a national model for organ donation requests in Australia: evaluation of a pilot model
Towards a national model for organ donation requests in Australia: evaluation of a pilot model Virginia J Lewis, Vanessa M White, Amanda Bell and Eva Mehakovic Historically in Australia, organ donation
More informationfâvvxáá fàéüy NOT JUST GOOD VERY GOOD St John of God Health Care Subiaco, Western Australia Because good ideas should be recognised
fâvvxáá fàéüy NOT JUST GOOD VERY GOOD St John of God Health Care Subiaco, Western Australia Because good ideas should be recognised Press Ganey's Success Storie s and testimonials acknowledge and reward
More informationPCMH 2014 Recognition Checklist
1 PCMH1: Patient Centered Access 10.00 points Element A - Patient-Centered Appointment Access ~~ MUST PASS 4.50 points 1 Providing same-day appointments for routine and urgent care (Critical Factor) Policy
More informationCDU. Clinical Decision Unit Ward for
CDU Clinical Decision Unit Ward for Can t Observational Decide Medicine Unit What are observation medicine units? Observation medicine delivers intensive shortterm assessment, observation or therapy to
More informationMedicines Reconciliation Policy
Medicines Reconciliation Policy Lead executive Medical Director Authors details Senior Clinical Pharmacy Technician - 01244 39 7494 Document level: Trustwide (TW) Code: MP19 Issue number: 3 Type of document
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationChapter 1: Medication Reconciliation
Chapter 1: Medication Reconciliation INTRODUCTION Medication reconciliation is a formal process intended to prevent medication errors and medicines-related problems at transition points in patient care.
More informationAndrew Shin MD Claudia Algaze MD
Andrew Shin MD Claudia Algaze MD Cost Volume-Driven Healthcare Value-Driven Healthcare Quality Massive variation in clinical practice High rates of inappropriate care Unacceptable rates of preventable
More informationMERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES. What we do to check the accuracy of inpatient prescription charts. MM04
MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES Medicines Management Services aim to ensure that (i) Service users receive their medicines at times that they need them and in a safe way. (ii) Information
More informationTransitions of Care from a Community Perspective
Transitions of Care from a Community Perspective ACMA Utah Chapter 2nd Annual Education Session Dr. Larry Garrett, PhD, MPH, BSN Sr. Project Manager, HealthInsight Presenting with the 5 I s Interactive
More informationAppendix 5. PCSP PCMH 2014 Crosswalk
Appendix 5 Crosswalk NCQA Patient-Centered Medical Home 2014 July 28, 2014 Appendix 5 Crosswalk 5-1 APPENDIX 5 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice () standards with
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7.Optional to use, detail for local determination
More informationMedication Reconciliation Harmonization
Medication Reconciliation Harmonization June 5, 2018 Context Fall 2017 Behavioral Health SC discussion about medication reconciliation Desire for greater alignment in measure specifications April 2018
More informationNHS TAYSIDE MORTALITY REVIEW PROGRAMME
NHS TAYSIDE MORTALITY REVIEW PROGRAMME Aim Primary Drivers Processes, Rules of Conduct, Structure MEASUREMENT Secondary Drivers Components, Activities Understand how mortality rates/ratios are measured
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationAdvanced practice in emergency care: the paediatric flow nurse
Advanced practice in emergency care: the paediatric flow nurse Development and implementation of a new liaison role in paediatric services in Australia has improved services for children and young people
More information17. Updates on Progress from Last Year s JSNA
17. Updates on Progress from Last Year s JSNA 3. The Health of People in Bromley NHS Health Checks The previous JSNA reported that 35 (0.5%) patients were identified through NHS Health Checks with non-diabetic
More informationDATE APPROVED SEPTEMBER 2010
REASON FOR POLICY To delineate the Most Responsible Physician (MRP) key accountabilities and responsibilities for the admission, ongoing care, transfer of care, consultation and discharge processes for
More informationSPSP Medicines December 2016 WebEx NHS Lothian Reducing medicines harm across transitions
SPSP Medicines December 2016 WebEx NHS Lothian Reducing medicines harm across transitions Welcome AIM: Support the learning and sharing between boards regarding medication reconciliation as a whole system
More informationProposal to Develop a Specialist Outpatient Referral Management Service. Draft Business Rules Discussion Paper
Proposal to Develop a Specialist Outpatient Referral Management Service Draft Business Rules Discussion Paper May 2017 Executive Summary SA Health is developing and implementing a range of statewide outpatient
More informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationHands Off Clinical Handover Project
Poster Session HRT11420 Innovation Awards November 2014 Melbourne Hands Off Clinical Handover Project Presenter: Jillian Waring, Donna Robertson, Margaret Murphy, Jennifer Fitzsimons & Kate Hackett Westmead
More informationWales Critical Care & Trauma Network (North)
Wales Critical Care & Trauma Network (North) CRITICAL CARE ADMISSION & DISCHARGE GUIDELINES Revised 2016 1 CONTENTS: 1.0 Introduction 1.1 Scope of the Guideline 1.2 Levels of Care 2.0 Admission Guidance
More informationStandard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit
Standard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit DOCUMENT CONTROL: Version: 1.1 Ratified by: Quality Assurance Sub Committee Date ratified: 2 February
More informationPharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02
Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 V02 issued Issue 1 May 11 Issue 2 Dec 11 Planned review May
More informationCommunity Care of North Carolina
Community Care of North Carolina 2007 Community Care of North Carolina Mail Service Center 2009 Raleigh, NC 27699-2009 (919) 715-1453 www.communitycarenc.com Background Several networks in the Community
More informationManagement of Violence and Aggression Policy
Management of Violence and Aggression Policy Approved by: Trust Health and Safety Committee Date First Issued: August 2000 Reviewed July 2006 TABLE OF CONTENTS Section Page No 1 STATEMENT OF POLICY 2 SCOPE
More informationAdvanced SPC for Healthcare. Introductions
Advanced SPC for Healthcare December 5, 20 Brent James, MD, Intermountain Healthcare James Benneyan, PhD, Northeastern University Victoria Jordan, PhD, UT MD Anderson Cancer Center Introductions Who are
More informationPatients Own Medications Policy
Department of Health and Human Services SYSTEM PURCHASING AND PERFORMANCE - MEDICATION STRATEGY AND REFORM SDMS Id Number: Patients Own Medications Policy Effective From: June 2014 Replaces Doc. No: Custodian
More informationJune 25, Shamis Mohamoud, David Idala, Parker James, Laura Humber. AcademyHealth Annual Research Meeting
Evaluation of the Maryland Health Home Program for Medicaid Enrollees with Severe Mental Illnesses or Opioid Substance Use Disorder and Risk of Additional Chronic Conditions June 25, 2018 Shamis Mohamoud,
More informationIntegrated health services, integrated data sets, what comes first?
Integrated health services, integrated data sets, what comes first? 23 rd PCSI Conference, Lido, Venice Lisa Fodero & Joe Scuteri Introduction Integrating health services will not only improve patient
More informationHealthcare costing standards for England. Costing methods. Development version 2. Mental health
Healthcare costing standards for England Costing methods Development version 2 Mental health We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationQuality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination
Quality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:
More informationExperiences of using routinely collected medical data in a cardiovascular safety trial?
Experiences of using routinely collected medical data in a cardiovascular safety trial? Ian Ford Robertson Centre for Biostatistics and Glasgow Clinical Trials Unit Issues in clinical trials Study feasibility
More informationPaper 5.0 SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE.
SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE December 2015 Version 2.2 Paper 5.0 1 Purpose This document sets out the proposed new
More informationExcellent Care for All Quality Improvement Plans (QIP): Progress Report for the 2015/16 QIP
Excellent Care for All Quality Improvement Plans (QIP): Progress Report for the 2015/16 QIP ID Measure/Indicator from 2015/16 1 Overall, how would you rate the care and services you received at the hospital?
More informationDoes Computerised Provider Order Entry Reduce Test Turnaround Times? A Beforeand-After Study at Four Hospitals
Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-527
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with the
More information2017/18 Quality Improvement Plan
2017/18 Improvement Plan Aim Change Enough information at discharge. Readmissio ns CHF Readmissio ns COPD Did you receive enough information from hospital staff about what to do if you were worried about
More informationSeven Day Services Clinical Standards September 2017
Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared
More information2018/19 Quality Improvement Plan
2018/19 Quality Improvement Plan Headwaters Health Care Centre, 100 Rolling Hills Drive, Orangeville, Ontario, L9W 4X9 AIM Measure Change Quality dimension Issue Measure/Indicator Type Unit / Population
More informationSUBSTANCE ABUSE & HEALTH CARE SERVICES HEALTH SERVICES. Fiscal Year rd Quarter
HEALTH SERVICES To administer and manage contracted services to eligible persons in need of health care or related support services, and to promote health maintenance through education and intervention.
More informationAustralian emergency care costing and classification study Authors
Australian emergency care costing and classification study Authors Deniza Mazevska, Health Policy Analysis, NSW, Australia Jim Pearse, Health Policy Analysis, NSW, Australia Joel Tuccia, Health Policy
More informationNATIONAL HEALTHCARE AGREEMENT 2011
NATIONAL HEALTHCARE AGREEMENT 2011 Council of Australian Governments An agreement between the Commonwealth of Australia and the States and Territories, being: the State of New South Wales; the State of
More informationInnovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
More informationPCSP 2016 PCMH 2014 Crosswalk
- Crosswalk 1 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice (PCSP) 2016 standards with NCQA s Patient-Centered Medical Home (PCMH) 2014 standards. The column on the right identifies
More informationInnovative Practice in a regional hospital - Clinical unit based pharmacist and a ward based pharmacy assistant
Innovative Practice in a regional hospital - Clinical unit based pharmacist and a ward based pharmacy assistant Sunshine Coast Hospital and Health Service (SCHHS) Nambour Hospital Pharmacy Department Presenter:
More informationMedication Reconciliation Review
The Medication Reconciliation Review tool provides step-by-step instructions for conducting a review of closed patient records to identify errors related to unreconciled medications. Organizations that
More informationIMCI at the Referral Level: Hospital IMCI
Integrated Management of Childhood Illness (IMCI) Implementation in the Western Pacific Region IMCI at the Referral Level: Hospital IMCI 6 IMCI at the Referral Level: Hospital IMCI Hospital referral care:
More informationA Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned
A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned Stephen Rosenthal, MBA President and COO, Montefiore Care Management
More informationNorth Gwent Crisis Resolution & Home Treatment Team Operational Policy
North Gwent Crisis Resolution & Home Treatment Team Operational Policy Mission Statement The purpose of the Crisis Resolution & Home Treatment Team (CRHTT) is to provide emergency assessment and intervention
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationReducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU. Change Package.
Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU Change Package January 2012 Background The ultimate goal of medication reconciliation is to prevent adverse
More informationMEDICINES RECONCILIATION GUIDELINE Document Reference
MEDICINES RECONCILIATION GUIDELINE Document Reference G358 Version Number 1.01 Author/Lead Job Title Jackie Stark Principle Pharmacist Clinical Services Date last reviewed, (this version) 29 November 2012
More informationThe STAAR Initiative
The STAAR Initiative A quality effort at the heart of system redesign Amy E. Boutwell, MD, MPP The Center for Innovative Healthcare Strategies amy@innovativehealthcarestrategies.org Please note: Dr Boutwell
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients
The Newcastle upon Tyne Hospitals NHS Foundation Trust Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients Version.: 2.0 Effective From: 15 March 2018 Expiry Date: 15 March
More informationJH-CERSI/FDA Workshop Clinical Trials: Assessing Safety and Efficacy for a Diverse Population
JH-CERSI/FDA Workshop Clinical Trials: Assessing Safety and Efficacy for a Diverse Population Use of Epidemiologic Studies to Examine Safety in Diverse Populations Judy A. Staffa, Ph.D, R.Ph. Director
More informationNurse Consultant, Melbourne, Victoria, Australia Corresponding author: Dr Marilyn Richardson-Tench Tel:
Comparison of preparedness after preadmission telephone screening or clinic assessment in patients undergoing endoscopic surgery by day surgery procedure: a pilot study M. Richardson-Tench a, J. Rabach
More informationPRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH The aim of this report is to provide NHS Borders Board with a thematic review of:-
Appendix-15-35 Borders NHS Board PRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH 15 Aim The aim of this report is to provide NHS Borders Board with a thematic review of:- Avoidable hospital developed
More informationPatient survey report National children's inpatient and day case survey 2014 The Mid Yorkshire Hospitals NHS Trust
Patient survey report 2014 National children's inpatient and day case survey 2014 National NHS patient survey programme National children's inpatient and day case survey 2014 The Care Quality Commission
More informationGuidance notes to accompany VTE risk assessment data collection
Guidance notes to accompany VTE risk assessment data collection April 2015 1 NHS England INFORMATION READER BOX Directorate Medical Nursing Finance Commissioning Operations Patients and Information Human
More informationChanging for the Better 5 Year Strategic Plan
Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationREFERRAL TO TREATMENT ACCESS POLICY
Directorate of Strategy & Planning REFERRAL TO TREATMENT ACCESS POLICY Reference: DCP175 Version: 7.0 This version issued: 17/12/15 Result of last review: Major changes Date approved by owner (if applicable):
More informationElaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing
Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationMIU support will continue with staff calling the professional line as usual to book cases into the Shropdoc system.
Standing Operating Procedure for Clinical Management of Patient Admissions to Community Hospital Inpatient Wards Ludlow, Bridgnorth, Bishops Castle & Whitchurch Document Details Title Clinical Management
More informationBoarding Impact on patients, hospitals and healthcare systems
Boarding Impact on patients, hospitals and healthcare systems Dan Beckett Consultant Acute Physician NHSFV National Clinical Lead Whole System Patient Flow Project Scottish Government May 2014 Important
More informationThe non-executive director s guide to NHS data Part one: Hospital activity, data sets and performance
Briefing October 2017 The non-executive director s guide to NHS data Part one: Hospital activity, data sets and performance Key points As a non-executive director, it is important to understand how data
More informationMedicines Reconciliation: Standard Operating Procedure
Clinical Medicines Reconciliation: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation
More information