Summary of PDSA cycles and Integrated Care Flash Curriculum of Flash Teaching Topics to improve Interdisciplinary Documentation of Aspirations.
| PDSA Cycle | PERIOD | Intervention | Team Development | Integrated Care Flash Curriculum of Flash Teaching Topics (Topics highlighted in bold relate to team development) | Cases with Individualised goals documented | Caseload N=181 | % |
|---|---|---|---|---|---|---|---|
| 1 | 14/06/14 – 03/08/14 | Enhanced Clinical Supervision (ECS) | Cohesion (Period of high team turnover) | Case based review | 0 | 21 | 0 |
| 2 | 04/08/14 – 12/04/15 | ECS+Flash Teaching (FT) | Communication (Period of high team turnover) | 24 Flash Teaching Topics Strength Based Approaches (Solution Focused Therapy, Mindfulness); Chronic Non-malignant Musculo-skeletal Pain; Allow Natural Death /DNACPR; Vitamin D Deficiency; Bereavement; Healthy Prescribing /Polypharmacy; Domestic Violence; Kindness; Recognising Dying; Managing Sleep Disorders in the Elderly; Occupational Therapy/ Empowered Living; Social Prescribing; Consent; Lower Urinary Tract Symptoms - Incontinence and Falls in Elderly People; Restoring ‘Pride and Joy’ and abandoning fear, in our work in the NHS; Time Management; Daily Self Care in our Teams; Schwarz Rounds; 'Hello my name is …"; Systemic Inflammatory Response Syndrome[SIRS] screening and evaluation for Red Flag Sepsis; Delirium; Subdural Haematoma in the elderly; Health Literacy; 'What your patient is thinking' | 5 | 50 | 10 |
| 3 | 13/04/15 – 01/11/15 | ECS+FT+ Handy Approach (HA) | Role and Goal Clarity (Period of high team turnover but onset of Team Consolidation (TC) | 20 Flash Teaching Topics Social Capital; Medicalising unhappiness; Type 2 Diabetes - Self-monitoring of blood glucose; Mini-Cog; Social Capital in our Teams; High INR on warfarin; Labels in Older People; Sexuality in the Older Person; How would you know that what we have offered has been useful?; Hungry, Angry, Late, Tired? So H.A.L.T./Pause and Self Care; Antibiotics for Uncomplicated UTI; End of Life Care. The neglected core business of medicine; Protecting resources, promoting value; Bridge over Diagnosis; Adverse Drug Reactions and hospital admissions; DoLS - Deprivation of Liberty Safeguards in the home setting; HUDDLES ‘Improvement in health care is 20% technical and 80% human’; Personal Health Budgets; Hydration and Dehydration; Living and Dying with Dementia: Advance Preparation. | 35 | 83 | 42 |
| 4 | 02/11/15 – 04/01/16 | ECS+FT+HA | Team Primacy +TC + Team Stability | 9 Flash Teaching Topics - all relate to Team Development Medicine waste - enormous potential for savings in the NHS; Heart Failure; How can GPs and Community Health Services work more effectively together?; Medical Care for the Final Years of Life: “When you're 83, it's not going to be 20 years”; Loneliness; Staying with older people overnight in hospital; Social Deprivation and Costs of Care; Improving care in complex systems – ‘if quality isn't your job, then what is your job?’; Co-production. What does this mean? | 27 | 27 | 100 |