Abstract
Introduction:
A midday board round was introduced on 19 bedded frailty unit to allow the multi-disciplinary team (MDT) to discuss each patient. The information shared verbally allowed us to learn about our patients, and, to facilitate a comprehensive geriatric assessment. However this information was not being captured within the medical notes. This was sub-optimal, it meant these details were subject to uncertainty later in the day, resulting in possible repetition of work or could even compromise patient care.
Method:
A sticker was developed, we were cognisant that this should not add unnecessary administration burden and be accessible for any member of the MDT. We completed the plan, do, study, act cycle twice. The 4 domains captured included 1=medically optimised, 2=ongoing physiotherapy goals, 3=ongoing occupational therapy goals, 4=discharge plan.
Results:
Pre-intervention, n=19, compliance across 4 domains 0%, demonstrated we had not robustly recorded the board round outcomes agreed with the wider MDT. Post-intervention at 1 month n=19, compliance across 4 domains 100% (P<0.001). Post-intervention at 2 months, n=19, compliance across domains varied with 1=21.1% (P<0.03), 2=78.9% (P<0.001), 3=63.1% (P<0.001), 4=63.1% (P<0.001).
Conclusions:
We demonstrated the ability to provide a useful way to record the information discussed during our board round- importantly with the support from our MDT colleagues, who were involved in each step of this QIP project. Noting that data has been recorded less well after the initial introduction of the sticker demonstrates the importance of embedding this process within the ward routine- particularly with a high turnover of staff. We hope to encourage the use of the sticker on a more consistent basis with support from the more regular members of staff, who will encourage this going forward.