Process Map for Patients Attending the Diabetes Clinic

Process Map for Patients Attending the Diabetes Clinic Run Charts for the Patient Information Leaflet Reliability of Patients Bringing Urine Samples to the Clinic Patient Information Leaflet A BMJ Quality Project Supervisors: Peter Davey, Vicki Tully, Geraldine Brennan Student: Alice Willison

Contents Slide 3 – Process Flow for a Patient Attending the Diabetes Clinic Slide 4 – Patient Satisfaction with the Kidney Disease Information Leaflet Slide 5 – Patients’ Understanding of Why They Bring in Urine Samples Before and After Reading the Information Leaflet Slide 6 – Patients' Motivation to Bring in Urine Samples After Reading the Information Leaflet Slide 7 – Reliability of Phlebotomist Handing a Leaflet to Every Patient Slide 8 – Reliability of Patients Bringing a Urine Sample to the Clinic Slide 9 – Patient Information Leaflet

Process Flow – Patient attending diabetes clinic Patient walks in to diabetes clinic Patient books in at reception 1 2 i od we o l b nd ER re a T AF essu pr Patient goes to phlebotomist to have bloods taken and give urine 6 sample g ht Blood pressure and weight/ Eye screening Patient takes a seat and waits 3 5 7 4 Eye screening Blood pressure and weight Patient has blood pressure and weight measured by nurse 4 Blood pressure and weight/ Patient leaves clinic Blood pressure and weight Leaves clinic Patient leaves clinic LAS T Patient’s Hb. A 1 c is processed for consultation Patient is seen by consultant 8 Patient has urine sample/ Patient does not have urine sample Separate clinic – patient has eyes screened Urine dipstick and sample sent for ACR – dipstick discussed in consultation, ACR takes days to process Sample No sample Urine is not checked for microalbuminuria Patient books in for next appointment at reception 9 ACR processed by lab and results sent to diabetes clinic, which uploads data to SCI-Diabetes If protein detected in the urine, patient is called in for an appointment Key: 1 - numerical order of the different rooms the patient visits - indicates a process relevant to the patient that the patient is not physically involved in

Patients’ Understanding of Why They Bring in Urine Samples Before and After Reading the Information Leaflet

Patient Information Leaflet