Regal College of Obstetricians and Gynecologists

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Great Communication is the Key to Delivering High Quality Clinical Care and Reducing Complaints. Dr M Adishesh, ST1 TraineeMr. EC Nwosu, Consultant Obstetrician and Gynecologist, Whiston Hospital. Presentation .

Presentation Transcript

Slide 1

Setting norms to enhance ladies' wellbeing Royal College of Obstetricians and Gynecologists Risk Management and Medico-Legal Issues In Women's Health Joint RCOG/ENTER Meeting Please kill every single cell phone and pagers

Slide 2

Good Communication is the Key to Delivering High Quality Clinical Care and Reducing Complaints Dr M Adishesh, ST1 Trainee Mr. EC Nwosu, Consultant Obstetrician and Gynecologist, Whiston Hospital

Slide 3

Introduction 'Offering data to other medicinal services experts is critical for sheltered and viable patient care' GMC, Good restorative Practice(2006) " The quick release report is an essential instrument for viable correspondence amongst optional and essential care " SIGN rule no 65 The Immediate Discharge Document(2003)

Slide 4

Background Recently got protestations from GP's in regards to crisis rundowns/not got/not intelligible/contain insufficient data Formal release letters - set aside opportunity to achieve GP's Formal transcription Typing Signature Postage To lessen delay, written by hand release outlines are finished (in triplicate) by specialists First duplicate - given to patient to provide for GP Middle duplicate - faxed to GP Third duplicate - recorded in patient notes

Slide 5

Aims and Objectives To survey the nature of crisis release synopses to general professionals Determine explanations behind grumblings Make proposals required to enhance interchanges

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Materials and Methods Prospective review Obstetrics & Gynae Unit – Whiston Hospital Affiliated to Univ of Liverpool Information was assembled from 100 crisis release outlines finished by junior specialists in the unit Over three months time span ( Dec 07-Feb 08) 10 synopses were utilized as controls and faxed (5 beat & 5 center duplicates) to an in-house number to check the nature of faxed materials got by GP's

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Information preoccupied Full patient subtle elements Consultant Date of affirmation and release Diagnosis Procedure/complexities Treatment Follow up course of action Signature/neatness/status

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Results – General Details

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Admission points of interest

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Diagnosis and different points of interest

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Conclusions Discharge rundowns finished properly, there is opportunity to get better 84 % of cases had rectify GP subtle elements Some GP's didn't get the correspondence Patients neglected to submit release synopsis to GP Incorrect GP fax number Surgery had moved Only half of faxed rundowns (control) were clear All top duplicates were decipherable Middle duplicates - for the most part faxed to GP's were not extremely readable (fundamental driver of grievances)

Slide 13

Recommendations Ensure all parts of release are finished satisfactorily Top duplicate of triplicate shape be faxed to GP's ? Taken after by a telephone call/diffic ends of the week/One duplicate release outline (just), documented in patients notes in the wake of being faxed to GP for: -consistency/environ neighborly/lessen dissensions Use electronic release rundown framework that can be electronically sent to enhance consistency, consistence and neatness (issue as of now being tended to by Trust) Communicate with GP's to redesign unit routinely with their surgery subtle elements on migration and phone & Fax points of interest Re-review in 12 months

Slide 14

Thank You For Listening Any Questions ?

Slide 15

Setting measures to enhance ladies' wellbeing Royal College of Obstetricians and Gynecologists Risk Management and Medico-Legal Issues In Women's Health Joint RCOG/ENTER Meeting Please kill every cell phone and pagers

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