Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T08:11:19.128Z Has data issue: false hasContentIssue false
  • English
  • Français

Creating a high quality consultant led psychiatric intensive care unit multidisciplinary team ward round

Published online by Cambridge University Press:  25 March 2013

Peter Curtis ,
Faisil Sethi  and
Farhana Ahmed
Peter Curtis*
Affiliation:
Specialty Registrar, South London and Maudsley NHS Foundation Trust
Faisil Sethi
Affiliation:
Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust
Farhana Ahmed
Affiliation:
Locum Consultant Psychiatrist, South West London and St Georges Mental Health Trust
*
Correspondence to: drpetercurtis@doctors.org.uk
Get access

Abstract

Ward round is an integral platform for patients and the multidisciplinary team to communicate, assess and plan treatment. With such a key process, it is vital that the effectiveness of the ward round is maximised and that reliable follow of information is addressed. This can be achieved using lean methodology.

Aim

: To improve the quality of ward rounds, particularly reliability and patient experience.

Method

: This is a quantitative quality improvement study that used a plan-do-study-act cycle, including process mapping. The improvements were measured by an objective patient survey, staff survey and a checklist.

Results

: Process mapping identified the use of templates for the ward round plan, nursing and medical summaries. There was an increase in the reliability of ward round relating to flow of information measured by the checklist. Patient experience improved, rated by both patient and staff surveys, after series of changes were put in place.

Conclusions

: Checklists in the form of templates improved the reliability of information flow for patient treatment. If the multidisciplinary team is clear about what information and tasks are necessary, there will be a more reliable assessment. With the implementation of the plan template, more treatment plans are fully comprehensive enabling the consistent delivery of high quality of care.

Keywords

Quality improvementleanplan-do-study-actward roundpsychiatric intensive care
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 10 , Issue 1 , April 2014 , pp. 13 - 22
Copyright
Copyright © NAPICU 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Berenholtz, S.M., Milanovich, S., Faircloth, A., Prow, D.T., Earsing, K., Lipsett, P., Dorman, T., Provenost, P.J. (2004) Improving care for the ventilated patient. Joint Commission Journal on Quality and Safety. 30(4): 195–204.Google Scholar
Care Quality Commission (2010) Position statement and action plan for mental health 2010–2015. Care Quality Commission.Google Scholar
Cresswell, J., Hinchcliffe, G., Lemmey, S. (2010) Accreditation for Inpatient Mental Health Services (AIMS): Standards for Psychiatric Intensive Care Units (PICU), 2nd ed.Royal College of Psychiatrists.Google Scholar
Cresswell, J., Beavon, M. (2010) Accreditation for Inpatient Mental Health Services (AIMS): Standards for Inpatient Wards – Working-Age Adults, 4th ed.Royal College of Psychiatrists, CRTU040.Google Scholar
Haynes, A.B., Weiser, T.G., Berry, W.R., Lipsitz, S.R., Breizat, A.-H., Dellinger, E.P., Herbosa, T., Joseph, S.et al. (2009) A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine. 360: 491–499.Google Scholar
Herring, R., Desai, T., Caldwell, G. (2011) Quality and safety at the point of care: how long should a ward round take? Clinical Medicine. 11(1): 20–22.Google Scholar
Jones, D., Mitchell, A. (2006) Lean Thinking for the NHS. NHS Confederation. http://www.leanuk.org/downloads/health/lean_thinking_for_the_nhs_leaflet.pdfGoogle Scholar
Langley, G.L., Moen, R., Nolan, K.M., Nolan, T.W., Norman, C.L., Provost, L.P. (2009) The Improvement Guide: A Practical Approach to Enhancing Organizational Performance, 2nd ed.San Francisco: Jossey-Bass.Google Scholar
Lloyd, R. (2004) Quality Health Care: A Guide to Developing and Using Indicators. Boston: Jones & Bartlett.Google Scholar
Provost, L., Murray, S. (2007) The Data Guide: Learning from Data to Improve Health Care. San Francisco: Jossey-Bass.Google Scholar