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BLANKETS: a toasty tool to improve social history documentation for our older patients

A thorough social history is an important component of all medical clerkings and is particularly crucial when admitting an older patient. Standards exist to guide the social history content but are rarely referenced in practice. This quality improvement project conceived and implemented the novel BL...

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Autores principales: Warner, Bronwen E, Millar, Kate, Bolland, Mhairi, McNicholas, Jackie, Dani, Melanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234405/
https://www.ncbi.nlm.nih.gov/pubmed/37066511
http://dx.doi.org/10.1136/postgradmedj-2021-140207
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author Warner, Bronwen E
Millar, Kate
Bolland, Mhairi
McNicholas, Jackie
Dani, Melanie
author_facet Warner, Bronwen E
Millar, Kate
Bolland, Mhairi
McNicholas, Jackie
Dani, Melanie
author_sort Warner, Bronwen E
collection PubMed
description A thorough social history is an important component of all medical clerkings and is particularly crucial when admitting an older patient. Standards exist to guide the social history content but are rarely referenced in practice. This quality improvement project conceived and implemented the novel BLANKETS (Bladder and bowels, Legal arrangements, Activities of daily living, Neurology (cognition), Kit (dentures, hearing or visual aids), EtOH and smoking, Trips, walking aids and exercise tolerance, Setup at home) tool for social history documentation, derived from existing standards, at a specialist medical inpatient hospital setting. Over a 15-week period with two cycles of intervention involving 125 patients in total, there was good staff engagement and overall improvement in social history documentation with 194/403 (48.1%) vs 199/545 (36.5%) criteria met overall and on average 6.3/13 vs 4.7/13 criteria documented for each patient. The social history BLANKETS tool is a memorable acronym to prompt clerking doctors to take a thorough and focused social history which is intrinsic to determining appropriate rehabilitation goals for effective discharge planning and setting appropriate ceiling of care decisions.
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spelling pubmed-92344052022-07-11 BLANKETS: a toasty tool to improve social history documentation for our older patients Warner, Bronwen E Millar, Kate Bolland, Mhairi McNicholas, Jackie Dani, Melanie Postgrad Med J Quality Improvement Report A thorough social history is an important component of all medical clerkings and is particularly crucial when admitting an older patient. Standards exist to guide the social history content but are rarely referenced in practice. This quality improvement project conceived and implemented the novel BLANKETS (Bladder and bowels, Legal arrangements, Activities of daily living, Neurology (cognition), Kit (dentures, hearing or visual aids), EtOH and smoking, Trips, walking aids and exercise tolerance, Setup at home) tool for social history documentation, derived from existing standards, at a specialist medical inpatient hospital setting. Over a 15-week period with two cycles of intervention involving 125 patients in total, there was good staff engagement and overall improvement in social history documentation with 194/403 (48.1%) vs 199/545 (36.5%) criteria met overall and on average 6.3/13 vs 4.7/13 criteria documented for each patient. The social history BLANKETS tool is a memorable acronym to prompt clerking doctors to take a thorough and focused social history which is intrinsic to determining appropriate rehabilitation goals for effective discharge planning and setting appropriate ceiling of care decisions. BMJ Publishing Group 2022-07 2021-07-21 /pmc/articles/PMC9234405/ /pubmed/37066511 http://dx.doi.org/10.1136/postgradmedj-2021-140207 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Quality Improvement Report
Warner, Bronwen E
Millar, Kate
Bolland, Mhairi
McNicholas, Jackie
Dani, Melanie
BLANKETS: a toasty tool to improve social history documentation for our older patients
title BLANKETS: a toasty tool to improve social history documentation for our older patients
title_full BLANKETS: a toasty tool to improve social history documentation for our older patients
title_fullStr BLANKETS: a toasty tool to improve social history documentation for our older patients
title_full_unstemmed BLANKETS: a toasty tool to improve social history documentation for our older patients
title_short BLANKETS: a toasty tool to improve social history documentation for our older patients
title_sort blankets: a toasty tool to improve social history documentation for our older patients
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234405/
https://www.ncbi.nlm.nih.gov/pubmed/37066511
http://dx.doi.org/10.1136/postgradmedj-2021-140207
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