1 / 10

Recurrent AdmissionPatientAlert

Recurrent AdmissionPatientAlert. NHS Improvement- Cancer Inpatients Case Studies. Background of RAPA • Patients going to inappropriate wards • Patients being cared for by inappropriate clinicians • Having to explain their medical history at A&E. RAPA.

shanna
Download Presentation

Recurrent AdmissionPatientAlert

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Recurrent AdmissionPatientAlert

  2. NHS Improvement- Cancer Inpatients Case Studies Background of RAPA • • Patients going to inappropriate wards • • Patients being cared for by inappropriate clinicians • • Having to explain their medical history at A&E

  3. RAPA • Positive diagnosis of cancer in the tumour site groups of Breast, Gynaecology, Lower GI and Lung. • The Service Improvement (SI) Team added these patients to the RAPA system, in order to notify each team member of patient’s admittance to hospital. • A “Key Worker” was assigned to each patient, this being a Clinical Nurse Specialist (CNS). • Blackberry devices provide instant access to an alert for the Nurses

  4. RAPA • Results of Testing (16/08/2006 –18/02/2007) • received well and has benefited many patients. • We have reduced non- elective Lung patient length of stay from 8 days to 6. and Lower GI from 9.5 to 5 days • Patients are being met on arrival by a friendly face and are being directed to the right wards • Two patients have been met and given symptom control and seen at the rapid access clinic therefore avoiding unnecessary admittance

  5. RAPA • First Trust in London • 2006 National Service Improvement Programme ‘Going Further with Cancer Waits’ • 2007 Cancer Service Collaborative Partnership&Publication called ‘Bridging the Gap’ demonstrated a significant release of bed days

  6. RAPA • 04/02/2010-07/06/2010 • 48 alerts- equal over days of week • 27 out of hours • 15 absent • 13 alerts while I was present- I saw 8 of them in a/e

  7. RAPA • VS – 69 f Expressive dysphasia; diagnosed with cva; had DXT to spinal met whilst inpt, then home (22/02-26/02) • DJ- 61 m Fever/sob-ivabs/blood tx (Hb 9.1) (23/02- 25/02) • CS- 64 f Central chest pain/pericardial effusion- cardiology opinion-no intervention; spiked temp/blood tx (22/04-26/04) • VAS – 57f –off her legs (15/04-rip 20/05) • AB- 62 m- epigastic pain/vomiting-USS NAD/pain improved (22/04-23/04) • CC- 61 f- GP blood tests showed pancytopenia- abs (27/04-04/05) • VM – 68 f- generally unwell/weak/not eating (30/04- rip 19/05) • ZW- 81 f – bad leg- not cancer; not admitted

  8. RAPA

More Related