Urgent Care

What does your baseline data show?

What changes have you tried? What difference have these made? What did your data show? What have been you key successes? What have been the challenges? How have the challenges been overcome? What changes have you made? What are you going to do next?

What challenges have you faced? How have these been addressed?

What do you plan to do next?

Thank you

Finding patients Each audit bundle had a document developed with the rationale/evidence for why the question was used. The bundles all follow a similar process: Run a query in patient management system Randomly select 10 patients from list Complete audit on 10 patients Add data to the spread sheet Submit data to project team

Aim and measures Aim: All patients being admitted acutely to general medicine will have all basic observations recorded at triage Level of consciousness Respiratory rate Oxygen saturation Heart rate Systolic blood pressure Temperature All observations

Complete data collection Practice Name   Note: This sheet is not for entering data on your computer, it is only for printing and completing by hand. Once you have done this, enter your data on the appropriate data collection form. Review Month Please circle response as appropriate Comments Patient Is there evidence that the last advice on Warfarin dosing given to patient followed current local guidelines or used computer assisted decision making? Is the target INR and duration of treatment clearly documented in the notes? Since the last blood test, has the patient been taking the correct dose as ordered by the treating GP? Has the INR been taken within 7 days of the planned date? Is it recorded that the patient has received education about warfarin in the last 12 months? 1 Y N 2 3 4 5 6 7 8 9 10 The data can be collected in two ways; either by printing and completing the Bundle Data Collection Form Data or by entering directly into the Data Collection Form tab on the spread sheet. Each question has defined responses, generally yes or no. A decision must be made on whether the patient being reviewed meets these criteria. If it is unclear if they do, select No.

Complete data collection Review Date- please type date beside each individual record for current month Has Medication Reconciliation occurred within 7 (calendar) days of the EDS being received? Has the patient's regular medication list been updated? Is it documented that any significant medication changes have been discussed with the patient or their representative within 7 (calendar) days of receipt? Overall Compliance Comments 01/08/2017 N y n/a n   Y 01/09/2017 Please fill in the data collection sheet using excel and email to audit@safetyinpractice.co.nz by 10th of each month, i.e. August data is due by 10th September