Saqib Aaisha, Waugh William, Jayasinghe Rebecca, Banerjee Sandip
Medway Maritime Hospital, Gillingham, UK.
Future Healthc J. 2020 Oct;7(3):e30-e31. doi: 10.7861/fhj.2020-0021.
Our quality improvement project was designed to enable delivery of high-quality board rounds across the hospital with a view to improving patient flow. We designed a Patient Journey Champion campaign to enable this. As part of our campaign, we ran sessions with junior doctors. These comprised education on the structure of a board round, giving them an insight into the bigger picture on patient flow and eventually aiming to empower them to lead an effective board round on their respective wards, where they would act as 'Patient Journey Champions'. Following the workshops, we audited the quality of board rounds and compared it with baseline. The quality was measured against the hospital standard operating procedure. We noticed an improvement in the quality of board rounds and also a positive effect on length of stay on the acute admissions ward. We anticipate a continuing trend of improvement as this intervention is rolled out across more doctors and other staff groups, although this relies on the need to involve doctors in board rounds and empowering them with the appropriate skills. Simultaneously, work is now being undertaken by matrons of respective wards to upskill ward nurses and other allied healthcare professionals to aid delivery of improved board rounds.
我们的质量改进项目旨在实现全院高质量的交班查房，以改善患者流程。为此，我们设计了一项“患者就医流程倡导者”活动。作为活动的一部分，我们与初级医生开展了培训课程。这些课程包括关于交班查房结构的培训，让他们了解患者流程的整体情况，并最终旨在使他们有能力在各自的病房主持高效的交班查房，在那里他们将担任“患者就医流程倡导者”。培训课程结束后，我们对交班查房的质量进行了审核，并与基线进行了比较。质量是根据医院标准操作程序来衡量的。我们注意到交班查房质量有所提高，对急性入院病房的住院时间也产生了积极影响。我们预计，随着这项干预措施在更多医生和其他工作人员群体中推广，质量将持续改善，不过这依赖于让医生参与交班查房并赋予他们适当技能。与此同时，各病房的护士长目前正在开展工作，提升病房护士和其他相关医疗保健专业人员的技能，以协助进行更优质的交班查房。
