Transcript Slide 1

Learning To Make a Difference
IMPROVING THE PRESCRIPTION OF END
OF LIFE MEDICATIONS FOR PATIENTS ON
THE INTEGRATED CARE PATHWAY (ICP)
RACHAEL AYRES
IVIE GBINIGIE
KATE MILLS
Buckinghamshire Hospitals
NHS Trust
Learning To Make a Difference
Project Aim
• To improve the prescription of end of life medications for
patients on the ICP
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
Learning To Make a Difference
Action Planning
What are we trying to
accomplish?
How will we know that a
change is an improvement?
What changes can we make
that will result in
improvement?
To improve the prescription of
end of life medications for
patients on the ICP
If compliance with
prescription of medications
improves, end of life care for
patients will also improve
Education of junior doctors
Increasing awareness of end
of life medications with
posters and teaching sessions
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
Act
Plan
Study
Do
Learning To Make a Difference
Process mapping
 Patient recognised to be dying
 Started on ICP
 End of life drugs prescribed
 End of life drugs administered for symptomatic relief
 Patient dies comfortably
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
Learning To Make a Difference
Runchart
90
80
Goal (75%)
10
0
Sep-11
Oct-Dec-11
Jan-12
Feb-12
Time
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
2nd Review 
20
FY2 Teaching 
30
FY1 Teaching 
40
1st Review 
50
Posters 
60
National audit 
Percentage (%)
70
Mar-Apr-12
Learning To Make a Difference
What difference has been
made?
Improved prescription of ICP medications
Increased awareness and understanding of the
importance these prescriptions
Meeting national targets
Improved end of life care
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
Learning To Make a Difference
•
Next Steps
What do you plan to do next?
 Cross-site education with posters and teaching
 Ongoing audit of prescription of end of life medications
 Review reasons why certain medications aren’t prescribed
•
What do you need?
 Regular teaching slots for FY1s and FY2s at both sites
•
•
Recommendations:
 As above
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust
Learning To Make a Difference
Team Members
• RACHAEL AYERS
• IVIE GBINIGIE
• KATE MILLS
NAME
Buckinghamshire
OF TRUST Hospitals
NHS Trust