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Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative

Poorly organised clinical equipment can waste significant amounts of time otherwise available for direct patient care. As a group of foundation year one doctors, we identified the organisation of clinical equipment across surgical wards at North Bristol NHS Trust to be poor with stocks often low and...

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Autores principales: Ward, Joseph, Spencer, Robin, Soo, Eleanor, finucane, katherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645941/
https://www.ncbi.nlm.nih.gov/pubmed/26734373
http://dx.doi.org/10.1136/bmjquality.u208308.w3441
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author Ward, Joseph
Spencer, Robin
Soo, Eleanor
finucane, katherine
author_facet Ward, Joseph
Spencer, Robin
Soo, Eleanor
finucane, katherine
author_sort Ward, Joseph
collection PubMed
description Poorly organised clinical equipment can waste significant amounts of time otherwise available for direct patient care. As a group of foundation year one doctors, we identified the organisation of clinical equipment across surgical wards at North Bristol NHS Trust to be poor with stocks often low and items frequently difficult to locate. Time-motion studies (n=80) were confirmatory demonstrating that the mean time to collect equipment necessary for venepuncture, cannulation, arterial blood gases, or blood cultures ranged from 121 to 174 seconds between different areas. By applying a plan-do-study-act (PDSA) methodology, surveying peers as well as working with nursing staff and senior managers, we were able to purchase and implement clinical equipment trolleys on 10 surgical wards across the trust to reduce the time-taken to locate clinical equipment to between 38 to 45 seconds (p=0.01). We feel the key factors for the success of our initiative were strong multidisciplinary engagement and a simple uniform idea. Clinical equipment trolleys organised in a standardised manner have now been rolled out hospital-wide in the new Southmead Hospital Brunel building.
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spelling pubmed-46459412016-01-05 Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative Ward, Joseph Spencer, Robin Soo, Eleanor finucane, katherine BMJ Qual Improv Rep BMJ Quality Improvement Programme Poorly organised clinical equipment can waste significant amounts of time otherwise available for direct patient care. As a group of foundation year one doctors, we identified the organisation of clinical equipment across surgical wards at North Bristol NHS Trust to be poor with stocks often low and items frequently difficult to locate. Time-motion studies (n=80) were confirmatory demonstrating that the mean time to collect equipment necessary for venepuncture, cannulation, arterial blood gases, or blood cultures ranged from 121 to 174 seconds between different areas. By applying a plan-do-study-act (PDSA) methodology, surveying peers as well as working with nursing staff and senior managers, we were able to purchase and implement clinical equipment trolleys on 10 surgical wards across the trust to reduce the time-taken to locate clinical equipment to between 38 to 45 seconds (p=0.01). We feel the key factors for the success of our initiative were strong multidisciplinary engagement and a simple uniform idea. Clinical equipment trolleys organised in a standardised manner have now been rolled out hospital-wide in the new Southmead Hospital Brunel building. British Publishing Group 2015-05-15 /pmc/articles/PMC4645941/ /pubmed/26734373 http://dx.doi.org/10.1136/bmjquality.u208308.w3441 Text en © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Ward, Joseph
Spencer, Robin
Soo, Eleanor
finucane, katherine
Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title_full Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title_fullStr Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title_full_unstemmed Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title_short Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative
title_sort standardising the organisation of clinical equipment on surgical wards at north bristol nhs trust: a quality improvement initiative
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645941/
https://www.ncbi.nlm.nih.gov/pubmed/26734373
http://dx.doi.org/10.1136/bmjquality.u208308.w3441
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