The Clinical Effectivness Team work to ensure that the hospital uses best practice and evidence to inform patient safety and quality improvement initiatives.
Advertising #clinicalaudit for #CAAW18 - the team will be in the @Medway_NHS_FT restaurant on Thursday lunchtime to answer questions and offer support.
@AuditSfh @cascleicester Interesting - is that for all levels of staff? I think there’s a problem with people focusing on responding to Safety incidents to the detriment of clinical audit and QI - an effective CA and QI programme should reduce patient safety incidents, so are equally important. #qihikers
@blackmoonsam@cwwalker10 There would need to be some kind of data validation process for this to be accepted, I think. Data is only as good as the person who entered it, and we have seen situations where key data was missing due to administrative confusion, which then skews results. #qihikers
@blackmoonsam@cwwalker10 No, I think of the results didn’t fit local expectation then it would be a ‘data glitch’ rather than seen as a genuine issue. We already see this with some of the national audits that are mostly HES linked. #qihikers
@cwwalker10 Consultants have SPA time, but none for junior doctors or other disciplines, to my knowledge, and generally it is these people who do the actual data collection/analysis etc for the most part. #qihikers
@blackmoonsam@cascleicester @AuditSfh @NELANews It’s about enabling the jobbing clinicians (of all disciplines) to own their data, and enables them to proactively address shortcomings. But this relies on being able to easily access audit data. #QIHikers
@blackmoonsam@cascleicester @AuditSfh @NELANews The reports we do are customised to address the issues raised by the relevant teams - so MINAP data is@reviewed monthly by the cardiology team, and NELA is reviewed by the surgeons and anaesthetists.
@blackmoonsam @AuditSfh @cascleicester We’ve been told that you need to audit at least 100 patients if you want to publish the findings, which seems to be a secondary driver for some clinicians. It may be that we need to forge closer relationships with the journals and periodicals to address this. #qihikers
@cascleicester @AuditSfh We are trying to use the mandated NCAs more proactively where data collection is prospective - we have monthly performance reports for both @NELANews and NICOR’s heart failure audit. Takes too long to get national reports and then implement change! #qihikers
@AuditSfh @cascleicester You’d be surprised how hard it is to talk people into smaller samples - we advise a maximum of 50, but clinicians think they need to do more. Anecdotally, if you’re seeing a trend after 10 to 20 patients, increasing the sample size is unlikely to change the trend. #qihikers
@CherylAGuest @cascleicester Often, it’s flow of staff - because a lot of projects are undertaken by junior doctors for portfolio purposes, when they move on there is no one to pick up where they left off. We ask for senior clinician sponsorship to try and avoid this, but it doesn’t always work #qihikers
@MaggieNHS Implement actions, re-audit and adjust as necessary. Actions are also often not SMART - things like ‘introduce sticker’ or ‘education’ #qihiker
The posters are up! Thank you to all who submitted entries to our Clinical Audit & Quality Improvement Awards on Wednesday @Medway_NHS_FT - we are looking forward to seeing you there!
We are getting very excited about our annual competition, Staff @Medway_NHS_FT are warmly invited to join us for the event, featuring some amazing projects, and home baked goodies in the refreshment break - #creamtea, anyone?!
The #Clinicalaudit team undertook analysis of news coverage of the #ENGCOL match - we identified an interesting data point - namely a supporter with literal #beerglasses - did anyone else see this?!
Baking is a big thing in the @Medway_NHS_FT Clinical Effectiveness Office - we're currently planning our bakes for the annual Clinical Audit & Quality Improvement Awards on 11 July, https://t.co/SbUY5n6Gds