Discharge Planning Meeting Documentation
Change Model
‘Plan, Do, Study, Act’ (PDSA)
- Small-scale testing before implemented
- Saves time & resources
- Decreases risks
- Lessons learnt through feedback (NHS Institute for Innovation & Improvement, 2013)
- Paperwork produces best outcomes for child (Munro, 2011; Taylor et al., 2014)
Resources
- Mentors
- Safeguarding lead nurse
- NICU nurse
- Staff nurse email feedback
- Documentation panel
- Policies & guidelines
- Trial DPMs
Barriers
- Unread emails
- Time
- Few DPMs
- More paperwork (DTHFT, 2011; RCN, 2013; NMC, 2015)
references
Facilitators
- Mentors
- Safeguarding nurse
- NICU nurse
- Documentation panel
Background
Lessons learnt
- Safeguarding protocols
- Discharge planning
- Innovation implementation
- Holistic & comprehensive care
- Best outcomes for child
Cornwall Partnership NHS Foundation Trust (2015) Discharge planning meeting best practice guidance (children’s). Unpublished.
Department of Health (DH) (2002) What to do if you’re worried a child is being abused. London: DfES.
Derby Teaching Hospitals NHS Foundation Trust (DTHFT) (2011) Trust policy and procedure for the discharge of inpatients. Unpublished.
Intercollegiate Guidelines (2010) Safeguarding children and young people: roles and competencies for health care staff. London: RCPCH.
HM Governement (2010) Working together to safeguard children. London: DCSF.
Munro, E. (2011) The Munro review of child protection. London: The Stationary Office.
NHS Institute for Innovation and Improvement (2013) Plan, do, study, act (PDSA). Available at: http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/plan_do_study_act.html [Accessed 5 October 2015].
NHS Midlands and East (2012) Safeguarding children. Available at: http://lrsb.org.uk/uploads/safeguarding-children-prompt-card.pdf [Accessed 5 October 2015].
Nursing and Midwifery Council (NMC) (2015) The code: professional standards of practice and behaviour for nurses and midwives. London: NMC.
Royal College of Nursing (RCN) (2013) Nurses spend 2.5 million hours a week on paperwork- RCN survey. Available at: https://www.rcn.org.uk/newsevents/press_releases/uk/cries_unheard_-_nurses_still_told_not_to_raise_concerns [Accessed 7 December, 2015].
Taylor, M., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. and Reed, J. (2014) Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Quality and Safety. 23(4): pp. 290-298.
- DPMs bring together health care professionals
- Identify needs
- Develop action plan
- Identify implementers (CPNHSFT, 2015)
- E.g. complex needs or social concerns
- No structured documentation
Rationale
- Record keeping essential for:
- Accountability
- Assembly of facts
- Clarity over responsibilities
- Appropriate & timely interventions (HM Gov, 2010; NHS Midlands & East, 2012)
- Department of Health: careful & detailed notes (DH, 2002)
- Poor communication/ information-sharing identified in safeguarding enquiries (Intercollegiate Guidelines, 2010)