Departmental Issues Flashcards
(14 cards)
RADAR
New software to replace DATIX system - easier to use and report. Better feedback for users and focus on non blame culture
How is sustainability addressed in anaesthetics?
Removal of Desflurane
phasing out N20 - leakage from pipes
- ventilation and lights off overnight
- TIVA
- reduce reuse recycle
- procurement of kit - ETT change - removal of unused kit
- Sue Walwyn involvement in sustainability projects
- patient bringing plastic bag with them for surgery for belongings
ACSA accreditation what are the issues
ACSA accredited 18 months ago
- It allows depts to measure their performance against defined standards and guidelines
- Work to improve cover for paediatric emergencies in DDH
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How is obstetrics run?
6200 births
birth centre DDH and LW PGH plus birth centre
What are national issues for obstetrics?
Shrewsbury/Telford
Nottingham now under Ix
Leeds recent media concern re infant mortality
Increasing LSCS rate - need for more sessions
Obesity
Comrobid population with GUCH - New maternal medicine dept 18 months ago
MDT working and culture on LW
Three words to describe yourself?
Calm
Patient
Thoughtful
What things would you change or introduce in your dept?
Weekly education tool - would highlight gaps in knowledge
- help with patient safety, guidelines, staff cohesiveness, shared learning
- More guidelines
- Simulation and MDT working on LW - teaching and training for midwives
- example of difficult airway - hard to find guidance and report
- example of lost to follow up allergy testing
What is PSIRF?
Patient safety incident response framework
- idea is to learn from mistakes and improve
- better forms of data collection eg RADAR
- previous focus only on serious incidents leading to repetition
- oversight previously seen as punitive - more collaborative and no blame
- provider and oversight can work together to improve systems
- response plans are unique to each trust
- all involved in the incident are involved and invited to be part of solution
What is GIRFT?
Getting it right first time
National incentive
1 - data gathering and analysis - get picture of national practice
2 - clinical engagement - examine a trust and compare to national average
3 - guidance and support then provided for mainly high volume low complexity work
eg which equipment to use ie best practice
Issues for surgery
- improving ERAS
Integrating periop care across all surgical specialties
- focus on regional
- expansion of day case
- electronic anaesthetic charts
- collaboration and MDT training
What are issues with staffing DDH and paeds cover?
23k paeds attendances/yr
10-12 day need immediate resus
11 transfers to PGH in 1 yr 3 needing anaesthetics
Options
- more funding for cover in DDH
- centralise to PGH
- separate anaes DDH on call
How can productivity be managed in theatres?
Need anaes/surgeon/patient
AIm to use all 25 theatres
Productivety starts at booking/pre assessment
Ensure mix of patients listed to fill list
On the day productivity - staffing timing effeciency
GIRFT and HVLC
Post op - day case bed availability PACU space and staffing
How can quality of anaesthetic performance be measured in a department
Post op pain/PONV/ patient feedback
Eating and drinking post op
readmissions and length of stay
cancellations on the day
Audit such as NELA
What issues are affecting anaesthetic dept at the moment?
ACSA
Preferential rostering
CLW rota
DDH hub
Sustainability - N20 DEs TIVA ventilation off overnight
Reduce reuse recycle
