EPA-0822 - Physical Health & Venous Thrombo-Embolism Risk Assessment in Psychiatric Inpatients in Oxford, 2013.a National Priority

Abstract

Aims and objectives:

The re-audit was aimed to investigate whether physical health assessment and VTE risk assessment were routinely completed and documented for the inpatients admitted to adult and older adult psychiatric units within Oxford Health NHS Foundation Trust. The results will be used to develop plans around the prevention and management of VTE in inpatients, in conjunction with the Medicines Safety Group committee.

Methods:

Data collection focussed on assessing evidence that the physical health proforma has been completed and VTE risk identified.

Results and evaluation:

There was a good improvement (target 100%) in the documentation of the physical health assessments, this is clearly seen in 7 out of the 11 wards covered in the audit, compared to 5 wards which achieved the 100% target in 2012 reaudit.

There is a significant improvement in the completion and documentation of VTE risk assessments in Buckinghamshire parts of the trust across general adult and old age wards (90%, and 100% compared to 92% and 94% in 2012 audit).

There is a significant improvement Oxfordshire older adult wards in the completion and documentation of VTE risk assessments in the older adult wards in Oxfordshire (93% compared to 79% in 2012 audit).

Key learning points:

1. 1. We should be aiming at having our target of 100% achieved on all wards.

2. 2. Encourage conducting phyyscal health assessment within 24 hours of admission and clearly documenting that.