Abstract
Introduction
Annual BTS asthma audits have shown persistently poor concordance with evidence-based guidelines to asthma discharge- consistent with national figures of 40%.
Aims
1. Deliver consistent, evidence-based discharge
2. Empower patients to manage their asthma
Objectives
80% of asthmatics arriving on the Paediatric Assessment Unit in Walsall, by October 2013 will receive all of an evidenced discharge bundle.
Methodology
Using the Patient and Family Centred Care technique and with the support of the Kings Fund, we used the following to understand patient and staff experience. Drivers for excellence were identified and projects developed to work on these drivers.
•Staff engagement
Team days to generate ideas and enthusiasm.
•Staff questionnaires
Systematic data collection about staff thoughts and feelings
•Patient Shadowing
Observation of the patients' journey by staff
•Patient questionnaires
Asking patients systematically about their care
Results
We have surpassed our target, with 95% of patients consistently receiving the discharge bundle, as shown below:
Families now give consistently excellent feedback:
The department has exceeded our expectations
I am very happy to look after my daughter now
Moreover, staff are enthused and take great pride in their environment, initiating further improvements. Six are now studying an asthma diploma.
- © 2014 ERS