Abstract
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.
Keywords
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Article info
Publication history
Published online: March 21, 2019
Accepted:
February 19,
2019
Received:
September 10,
2018
Identification
Copyright
© 2019 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.
