A clinical process redesign project to improve outcomes and reduce care variance for people with Parkinson's disease

Harris, M; Fry, M; Fitzpatrick, L

A clinical process redesign project to improve outcomes and reduce care variance for people with Parkinson's disease

Harris, M Fry, M

Fitzpatrick, L

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Publication Type:: Journal Article
Citation:: Australasian Emergency Care, 2019, 22 (2), pp. 107 - 112
Issue Date:: 2019-06-01

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Field	Value	Language
dc.contributor.author	Harris, M	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.contributor.author	Fitzpatrick, L	en_US
dc.date.available	2019-02-19	en_US
dc.date.issued	2019-06-01	en_US
dc.identifier.citation	Australasian Emergency Care, 2019, 22 (2), pp. 107 - 112	en_US
dc.identifier.issn	2589-1375	en_US
dc.identifier.uri	http://hdl.handle.net/10453/134681
dc.description.abstract	© 2019 College of Emergency Nursing Australasia Background: Redesigning clinical processes is an iterative process that seeks to reduce care variance and improve quality, safety and satisfaction for patients. The aim of this project was to optimise multidisciplinary collaboration, management and integration of clinical processes for people with Parkinson's Disease (PD) in one Emergency Department (ED). Methods: The retrospective evaluation study design explored the outcomes of a clinical process redesign project. The project included: a pre-post medical record audit, a nurse survey and patient and carer telephone interviews. Results: The pre-post ED medical record audit revealed in favour of the post group a median reduction of 175 minutes (IQR 0:40 - 19:40) in length of stay, a 21% improvement in timely PD medication administration and 13% improvement in correctly prescribed PD medications. Patients and carers (n = 47) were satisfied with their ED experience, clinicians' knowledge and management and healthcare decision engagement. Nurses (n = 30) reported improved knowledge, confidence and management in caring for PD patients. Conclusion: This project led to enhanced multidisciplinary engagement and positive patient, clinician and service outcomes. Redesign principles can provide a pragmatic approach to improve the integration of care, change clinician behaviour, and reduce adverse outcomes within any clinical setting.	en_US
dc.relation.ispartof	Australasian Emergency Care	en_US
dc.relation.isbasedon	10.1016/j.auec.2019.02.001	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Parkinson Disease	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Program Evaluation	en_US
dc.subject.mesh	Caregivers	en_US
dc.subject.mesh	Nurses	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Continuity of Patient Care	en_US
dc.subject.mesh	Medical Audit	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	A clinical process redesign project to improve outcomes and reduce care variance for people with Parkinson's disease	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	22	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	22	en_US

Abstract:

© 2019 College of Emergency Nursing Australasia Background: Redesigning clinical processes is an iterative process that seeks to reduce care variance and improve quality, safety and satisfaction for patients. The aim of this project was to optimise multidisciplinary collaboration, management and integration of clinical processes for people with Parkinson's Disease (PD) in one Emergency Department (ED). Methods: The retrospective evaluation study design explored the outcomes of a clinical process redesign project. The project included: a pre-post medical record audit, a nurse survey and patient and carer telephone interviews. Results: The pre-post ED medical record audit revealed in favour of the post group a median reduction of 175 minutes (IQR 0:40 - 19:40) in length of stay, a 21% improvement in timely PD medication administration and 13% improvement in correctly prescribed PD medications. Patients and carers (n = 47) were satisfied with their ED experience, clinicians' knowledge and management and healthcare decision engagement. Nurses (n = 30) reported improved knowledge, confidence and management in caring for PD patients. Conclusion: This project led to enhanced multidisciplinary engagement and positive patient, clinician and service outcomes. Redesign principles can provide a pragmatic approach to improve the integration of care, change clinician behaviour, and reduce adverse outcomes within any clinical setting.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/134681