Endoscopy - conducting a start and stop time audit
•
0 likes•977 views
Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013 http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx Conducting a start and stop time audit Janet Bates, Endoscopy Department Digestive Diseases Centre Brighton and Sussex University Hospitals NHS Trust
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Endoscopy - conducting a start and stop time audit
Similar to Endoscopy - conducting a start and stop time audit (20)
More from NHS Improvement
More from NHS Improvement (20)
Endoscopy - conducting a start and stop time audit
- 1. Endoscopy Department Digestive Diseases Centre January 29th 2013 Endoscopy Improvement Programme
- 2. Jane McNevin Clinical Service Manager Sister Janet Bates Acting Endoscopy Nurse Manager
- 3. Service covers 2 sites: Royal Sussex County Hospital Brighton Princess Royal Hospital Haywards Heath
- 4. Circa 1000 patients per month come through the Endoscopy department Struggled to reduce our backlog but current waiting time is down to 6 weeks Achieved by running Saturday & Sunday WLI lists Every effort made to utilise existing weekday slots
- 5. Start & Stop Audit Undertaken for 3 weeks (150 sessions) Data includes that for Bronchoscopies, Cystoscopies, ARPs & Inpatient lists Out of 150 sessions, 127 started late (84.7%) Variety of reasons cited but one clear leader, further analysis needed
- 6. 3 Top reasons for late starts Doctors not ready (50) = 39.4% - reasons cited by doctors themselves were: Ward rounds / clinics overrunning Meetings Nurses / patients / rooms not ready Multiple reasons (22) = 17.3% Patients not ready (14) = 11%
- 7. Patients not ready – reasons cited: Missing paperwork / no referrals Difficult cannulation Capacity / consent issues Patients late Enema on unit
- 8. Service Improvement Initiatives 07:30 start for 2 nurses each day (previous 08:00) First patient in at 07:45 (previous 08:00) Telephone pre-assess first patient on each morning list Expected outcome - to speed up admissions & enable an 08:30 start in all rooms
- 9. Doctors job plans to be reviewed Start & stop times to be adjusted to reflect multidisciplinary requirements e.g radiographer input for ERCPs & doctors other commitments
- 10. Start stop audit to continue with monthly results clearly on display & reported to staff at unit meetings
- 11. Happy to take questions