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Prioritisation GP Teaching HDR 14/9/10

Prioritisation GP Teaching HDR 14/9/10. Hayley Faries (ST1). Overview. Importance of prioritisation Stephen Covey matrix Tools Tips References. Definition. Prioritisation prioritise [praɪˈɒrɪˌtaɪz] vb (tr) 1. to arrange (items to be attended to) in order of their relative importance

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Prioritisation GP Teaching HDR 14/9/10

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  1. PrioritisationGP Teaching HDR 14/9/10 Hayley Faries (ST1)

  2. Overview • Importance of prioritisation • Stephen Covey matrix • Tools • Tips • References

  3. Definition • Prioritisation • prioritise [praɪˈɒrɪˌtaɪz] vb(tr)1. to arrange (items to be attended to) in order of their relative importance • 2. to give priority to or establish as a priority prioritisation, n • Collins English Dictionary – Complete and Unabridged • Closely linked with time management • Time management is commonly defined as the management of time in order to make the most out of it

  4. Why bother? • Patient safety = #1 • Efficient use of time • Develop other skills • Delegation/ leadership/ teamwork • Own well being • E.g. fit in lunch breaks • Ability to cope with stress • Applicable to • Hospital and primary care • Acute and less immediate work load e.g. dictations/referrals • Lifelong skill • Potential interview Question!

  5. Stephen Covey Matrix

  6. Matrix examples • Important and urgent • E.g. Pt with chest pain (in surgery waiting room/on ward or A+E) • Important and not urgent • E.g. Chase bloods on pt • Not important and urgent • E.g. Prescribe maintenance IVI that ran out • Not important and non urgent • E.g. Email to request rota swap for holiday

  7. Tools • Make a list • Helpful to visualise; can go back and re-assess; prevents things getting missed/forgotten • Chasing jobs check box system • Electronic versus paper and pen • Consider time constraints • E.g. TTO pharmacy closes in 30 mins • Consider people constraints • Is someone waiting for you to complete the job? • E.g. GP waiting for discharge summary to issue new meds for pt

  8. Tools (2) • Consider the consequences • Not promptly seeing an A+E referral that may breech – trust financial implications • Re-prioritise as necessary • Managing frequent interruptions • Remove unimportant items • E.g. Jobs not appropriate for on call Dr • E.g. in A+E trying to obtain correct list of pts meds • Keep the list small • Use of delegation

  9. Tips • Be flexible • Try to concentrate on one task at a time • Use the morning • E.g. read reason for attending/pts prev notes in GP • Chase bloods/ investigations before WR • Take breaks • Recognise when and who to ask for help from • Be respectful of other staff/colleagues • (no matter how tired/annoyed you may be!) • You catch more flies with honey than vinegar • Take care of yourself • Destress activity/ sleep/ eating breakfast etc.

  10. References • Covey, stephen ‘The 7 Habits of highly effective people’ • Mindtools.com • EZinearticles • http://ezinearticles.com/?How-to-Prioritize-Your-Work&id=219970

  11. Thank you.Any comments?

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