Staff Planning- Medicine (2022)

Type of publication:
Service improvement case study

Author(s):
*Rachel Webster (Deputy Divisional Director of Nursing Medicine), *Richard Worthington (Workforce Planning)

Citation:
SaTH Improvement Hub, June 2022

Abstract:
In order to improve the assurance and support for ward areas, an automated staffing plan was created.

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Ward 24 5S of Ward Stores and Relatives Room (2023)

Type of publication:
Service improvement case study

Author(s):
*Bethany Toop (Ward Manager), *Peter Schofield (EDC),* Ward and Pharmacy Colleagues

Citation:
SaTH Improvement Hub, May 2023

Abstract:
Ward 32 and 22RE combined and moved into the space on Ward 24. As a result, a number of changes have been made to the layout and storage available on the ward in order to maximise the safety and efficiency.

Link to PDF poster [no password required]

Improve flow of discharge information between staff on Ward 18 (2022)

Type of publication:
Service improvement case study

Author(s):
*Karen Foster (Ward Manager)

Citation:
SaTH Improvement Hub, November 2022

Abstract:
To ensure all tasks required for discharge are communicated at ward level by the 21/02/2023 to ensure a safe and efficient discharge.

Link to PDF poster [no password required]

Improvement to issuing and returning of T-34 Syringe pumps (2022)

Type of publication:
Service improvement case study

Author(s):
*Kev Malton (EBME), *Ian Morris-Jones, *Jon Ashcroft, *Debbie Snooke

Citation:
SaTH Improvement Hub, 2022

Abstract:
It had been identified that delivery of T-34 Syringe pumps, used to provide analgesia for our end-of-life patients, were taking too long to be delivered out of hours, sometimes resulting in not being received in time to provide the care needed. Additionally, it had been identified that compliance in returning the pumps was extremely poor, resulting in lost, or unaccounted for pumps. This in turn resulted in additional costs in the region of £1500 per unit for Wards that had misplaced them. Following a series of improvements, including re-prioritising the Teletracking process, and updating the loans/returns process, a significant improvement was seen. Rather than taking hours to deliver the pumps, this has been reduced to approximately 5 minutes, and now all pumps on loan are returned, which has resulted in cost efficiency as well as increasing the stock held in Medical devices from 6 to 16.

Link to PDF poster [no password required]

Improved efficiency and safety Drugs Trolley – Ward 7 (2022)

Type of publication:
Service improvement case study

Author(s):
*Sara Gibson (Staff Nurse) and *Tracy Parish (Ward Manager)

Citation:
SaTH Improvement Hub, June 2022

Abstract:
Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

Link to PDF poster [no password required]

Improved efficiency and safety Drugs Trolley - Ward 17 (2022)

Type of publication:
Service improvement case study

Author(s):
*Louise Jenkinson (Staff Nurse) *Michelle Edgar (Sister) and *Sarah Sivill (Ward Manager)

Citation:
SaTH Improvement Hub, June 2022

Abstract:
Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

Link to PDF poster [no password required]

Improved efficiency and safety Drugs Trolley - Ward 35 (2022)

Type of publication:
Service improvement case study

Author(s):
*Sharon Main (Ward Manager)

Citation:
SaTH Improvement Hub, September 2022

Abstract:
Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

Link to PDF poster [no password required]

Emergency Care 5S Stores (2023)

Type of publication:
Service improvement case study

Author(s):
*Joyce Christopher/ *Lisa Matthews (Ward Manager), *Ryan Davies (EDC)

Citation:
SaTH Improvement Hub, April 2023

Abstract:
The Emergency Department have a number of storage areas within the department and have expressed concerns around missing/ over stock of items. A move to daily EDC top up has reduced complaints and issues within the department.

Link to PDF poster [no password required]

The Allergy Alert Process (2022)

Type of publication:
Service improvement case study

Author(s):
*Sam Richardson, *Catherine Williams, *Lauren Hallas, *Ashely May, *Linda Bradbury and *Sally Orrell.

Citation:
SaTH Improvement Hub, 2023

Abstract:
To improve the timeliness and quality of new alerts being uploaded to Semahelix by the end of March 2023 as evidenced by data collected by the team inputting the data.

Link to PDF poster [no password required]

Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study (2023)

Type of publication:
Journal article

Author(s):
Healey, Emma L.; Lewis, Martyn; Corp, Nadia; Shivji, Noureen A.; van der Windt, Danielle A.; Babatunde, Opeyemi O.; *Simkins, Joanna; Bartlam, Bernadette; Rowlands, Gill; Protheroe, Joanne

Citation:
BMC Musculoskeletal Disorders, June 2023, 24(1): 1-21

Abstract:
Background: Supported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those with limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was to develop a model for inclusive supported self-management intervention(s) for MSK pain that take account of health literacy. Methods: A mixed methods study with four work-packages was conducted: work package 1: secondary analysis of existing data to identify potential targets for intervention; work package 2: evidence synthesis to assess effective components of self-management interventions taking into account health literacy; work package 3: views of community members and healthcare professionals (HCPs) on essential components; work package 4: triangulation of findings and an online modified Delphi approach to reach consensus on key components of a logic model. Findings: Findings identified targets for intervention as self-efficacy, illness perceptions, and pain catastrophizing. A range of intervention components were identified (e.g. information in diverse formats offered at specific times, action planning and visual demonstrations of exercise). Support should be multi-professional using a combination of delivery modes (e.g. remote, face-to-face). Conclusions: This research has developed a patient-centred model for a multi-disciplinary, multi-modal approach to supported self-management for patients with MSK pain and varying levels of health literacy. The model is evidence-based and acceptable to both patients and HCPs, with potential for significant impact on the management of MSK pain and for improving patient health outcomes. Further work is needed to establish its efficacy.

Link to full-text [open access, no password required]

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