OR The pitfalls of Audit Tim Rees Professional Lead Occupational Therapist September 2016 Content Outline of the audit proposal Developing the audit tool Data collection Findings What next ID: 1045032
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1. Discharge Planning Documentation AuditORThe pitfalls of Audit!Tim Rees Professional Lead Occupational TherapistSeptember 2016
2. ContentOutline of the audit proposalDeveloping the audit toolData collectionFindingsWhat next!
3. Audit ProposalReady to go: Planning the discharge and the transfer of patient from Hospital and Intermediate care (2010) Department of Health.Speed of discharges from the acute hospital.Exacerbated by ward transfers leading to changes of staff.Hypothesis: Can we improve the documentation of the patients/family discharge goals and the discharge planning which involves the therapy team throughout the stay in hospital?Observation: The plan was often present but difficult to follow, if patient was moved to another ward.
4. Health WarningWe are not the only people involved in discharge!
5. Developing the Audit Tool!!!Thank you to all the team who were involved in developing the questionnaire. (Twice!)We wanted to look at the process and see how transparent it was in the notes!!Consent/Patient and family perception /Equipment/Support!Looked simple on paper!
6. Data CollectionFirst trial! Second trial: Problem: Notes to be reviewed after discharge by colleague who did not know patient. (I would ask staff to do at one of our most busy periods!) Led to variation in data.Did the data help with the hypothesis?
7. Findings (Demographics) Five patients first trialTen patients second trial
8. Demographics
9. When was patient expectation documented?
10. When where carers consulted?
11. Equipment provision
12. Discharge Planning documentation
13. Onward Support
14. Discharge Venue
15. Dilemma!! Both trials showed that we do follow and document process. BUT Finding the data in the notes was problematic and it is not standardised.
16. Hind sightToo many questions.Should have asked the obvious question: How accessible is the information for staff to find? (not just therapy staff!)Does it matter, the process is there (MDT do not read it anyway!)Wanted to involve staff, but the data not uniform.
17. What next?Discharge Goal: The patient/carers preferred outcome when leaving hospital.Discharge Plan: The steps leading to discharge which should be regularly referred to in treatment notes. (Should this be highlighted in some way?) Document equipment and support /referrals made. Paperwork gets lost in the notes so please document.Agreed standards.
18. Any Questions?