Reducing Interruptions to Medicines Rounds Ali Holmes CLP

Reducing Interruptions to Medicines Rounds Ali Holmes CLP 2011

WHO AM I ?

Aims What do we see as interruptions? n Before figures n Intervention n After figures n Have we saved time? n Where do we go from here? n

Interruptions to Medicines Rounds 1) What do you feel are the biggest interruptions to Medicines Rounds? 2) How do you think these could be improved?

Do you recognise this?

What did we do? n n n Baseline audit – February 2011 Feedback to staff Implement basic improvements Re audit in 3 months Final Audit July 2011

Baseline Audit Feb 11 n n n Time taken per round 20 – 75 mins Average time taken overall 46 mins Average time taken: - Breakfast 60 mins Lunch 31 mins Teatime 40 mins Night 70 mins

Interventions n Feedback to staff – increase awareness of reducing the number of times we interrupt n Tidy the trolley – arranged it so it was easier to use n Introduced a trolley checklist – to ensure restocking etc

Does this look better?

Repeat Audit July 2011 n n n Time taken per round 20 - 70 mins Average time taken overall 39 mins Average time taken: - Breakfast 56 mins Lunch 23 mins Teatime 23 mins Night 46 mins

OUTCOMES n 7 minutes saved on average per medication round = 28 minutes per day = 3 hours & 16 minutes per week. n These 3 simple interventions could potentially free up 170 hours of trained nursing time a year to allow more time with the patients!

THANK YOU!! Ali Holmes Senior Sister Alison. holmes@wales. nhs. uk Contact no - 01597828731