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Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit

Our aim was to test the feasibility of interprofessional, workplace-based learning about improvement through a 4-week placement for one medical and two pharmacy final year students in an Acute Surgical Receiving Unit (ASRU). The target was insulin because this is a common, high-risk medicine in this...

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Autores principales: Tully, Vicki, Al-Salti, Suaad, Arnold, Amy, Botros, Shady, Campbell, Iona, Fane, Rachel, Rowe, Iain, Strath, Alison, Davey, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045703/
https://www.ncbi.nlm.nih.gov/pubmed/30019012
http://dx.doi.org/10.1136/bmjoq-2017-000305
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author Tully, Vicki
Al-Salti, Suaad
Arnold, Amy
Botros, Shady
Campbell, Iona
Fane, Rachel
Rowe, Iain
Strath, Alison
Davey, Peter
author_facet Tully, Vicki
Al-Salti, Suaad
Arnold, Amy
Botros, Shady
Campbell, Iona
Fane, Rachel
Rowe, Iain
Strath, Alison
Davey, Peter
author_sort Tully, Vicki
collection PubMed
description Our aim was to test the feasibility of interprofessional, workplace-based learning about improvement through a 4-week placement for one medical and two pharmacy final year students in an Acute Surgical Receiving Unit (ASRU). The target was insulin because this is a common, high-risk medicine in this ASRU and the intervention was medicines reconciliation. Baseline data were collected from 10 patients and used to construct a cause and effect diagram and a process map through feedback and discussions with staff. Hypoglycaemia occurred in four patients but hyperglycaemia occurred in eight patients, of whom six were placed on intravenous insulin infusion (IVII). We estimated that £2454 could be saved by preventing one patient from going on IVII. The students designed and tested a sticker to improve medicines reconciliation for insulin patients. An online form was created to capture clinician feedback on the layout and usability of the sticker. The intervention was associated with improvements in the reliability of medicines reconciliation. The students’ work contributed to a larger project to reduce the risk of hypoglycaemia in the ASRU. This proved beneficial in enabling the students to engage with the clinical team. Nonetheless, it was challenging for students from two Universities to get a shared understanding of improvement methods and work effectively with the clinical team. The students said that they learnt more about quality improvement in a working healthcare environment than they would ever learn in a classroom and they valued the opportunity to work with students from other healthcare backgrounds in practice. Despite the additional staff time required to support students from two Universities, both have supported continuation of this work.
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spelling pubmed-60457032018-07-17 Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit Tully, Vicki Al-Salti, Suaad Arnold, Amy Botros, Shady Campbell, Iona Fane, Rachel Rowe, Iain Strath, Alison Davey, Peter BMJ Open Qual BMJ Quality Education Report Our aim was to test the feasibility of interprofessional, workplace-based learning about improvement through a 4-week placement for one medical and two pharmacy final year students in an Acute Surgical Receiving Unit (ASRU). The target was insulin because this is a common, high-risk medicine in this ASRU and the intervention was medicines reconciliation. Baseline data were collected from 10 patients and used to construct a cause and effect diagram and a process map through feedback and discussions with staff. Hypoglycaemia occurred in four patients but hyperglycaemia occurred in eight patients, of whom six were placed on intravenous insulin infusion (IVII). We estimated that £2454 could be saved by preventing one patient from going on IVII. The students designed and tested a sticker to improve medicines reconciliation for insulin patients. An online form was created to capture clinician feedback on the layout and usability of the sticker. The intervention was associated with improvements in the reliability of medicines reconciliation. The students’ work contributed to a larger project to reduce the risk of hypoglycaemia in the ASRU. This proved beneficial in enabling the students to engage with the clinical team. Nonetheless, it was challenging for students from two Universities to get a shared understanding of improvement methods and work effectively with the clinical team. The students said that they learnt more about quality improvement in a working healthcare environment than they would ever learn in a classroom and they valued the opportunity to work with students from other healthcare backgrounds in practice. Despite the additional staff time required to support students from two Universities, both have supported continuation of this work. BMJ Publishing Group 2018-06-29 /pmc/articles/PMC6045703/ /pubmed/30019012 http://dx.doi.org/10.1136/bmjoq-2017-000305 Text en © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ CCBYNC
spellingShingle BMJ Quality Education Report
Tully, Vicki
Al-Salti, Suaad
Arnold, Amy
Botros, Shady
Campbell, Iona
Fane, Rachel
Rowe, Iain
Strath, Alison
Davey, Peter
Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title_full Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title_fullStr Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title_full_unstemmed Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title_short Interprofessional, student-led intervention to improve insulin prescribing to patients in an Acute Surgical Receiving Unit
title_sort interprofessional, student-led intervention to improve insulin prescribing to patients in an acute surgical receiving unit
topic BMJ Quality Education Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045703/
https://www.ncbi.nlm.nih.gov/pubmed/30019012
http://dx.doi.org/10.1136/bmjoq-2017-000305
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