Discharge Alerts: Standard Operating Procedure

Transcript:Discharge Alerts: Standard Operating Procedure:
Discharge Alerts: Standard Operating Procedure Feb-2024 v3.0 Due for review Sep-24 Introduction This document is designed to standardize the operational procedure for all North Central London (NCL) Hospitals Discharge Systems when an incident or near miss occurs on discharge from hospital. It contains the following sections: Introduction Why do we need discharge alerts? Roles and Responsibilities Discharge Alert Process Stage 1: Notification, screening and investigation Stage 2: Reporting Ownership of this document sits with the North Central London Discharge Operational Leadership Group. Why do we need an NCL discharge alert SOP? To help implement discharge best practice across all NCL hospitals (Community/Acute) and Community settings; and will aim to do this in the following ways: A standardised process for managing discharges alerts in NCL which aligns with partner organisations. These are designed to minimise the reoccurrence of failed discharges and to be used as a learning tool. New clear NCL Discharge Alert Form used by all NCL acute and community hospitals & community settings. Clear oversight of the number of patients who have experienced reported issues with their discharges. Centralisation of referrals to enable a single point of contact within the ICB for referrer/community services. Reduction in occurrences of reported issues. Learning and improving patient’s experience of Discharge to Assess pathways both locally and system wide Improving patients’ outcomes and safety. Roles and Responsibilities Discharge Alert Process Stage 1: Notification, screening and investigation 8. Quarterly report shared with NCL Operational Lead Group (at quarterly meeting) Stage 2: Reporting 9. Insights synthesised for system learning 1. Error identified (and the post discharge escalation process) Any issues regarding a discharge should be raised immediately to prevent a failed discharge, and we encourage all teams to work proactively to resolve any issues, then report it as a discharge alert. Typical errors include: Lack of medications Inappropriate equipment District nursing issue Contact details for post discharge escalation are found in the appendix for this document (last slide). Stage 1: Notification, screening and investigation 2-3. Raising an alert and sending it The NCL Discharge Alert form should be completed on the same day as the issue was identified and sent to the responsible organisation. The Discharge Alert form lists where it should be sent for each Trust (the ToCH for most Trusts except UCLH, where it should be sent to them directly). Stage 1: Notification, screening and investigation What if the issue is resolved? For