All Journals from Christian P Subbe
Abstract
Background: The absence of published data for benchmarking serves as a disincentive for Acute Medical Units to improve care.
Aim: To test feasibility of a national audit in Acute Medicine for compliance with common standards
Methods: On line questionnaire with summary data for patients admitted to participating Acute Medicine Units over a 24-hour-period.
Results: 30 units submitted summary data. The mean number of admission was 36 (SD 14). Compliance with standards around timing of junior and senior review was highly variable. In almost all other standards only a small number of units achieved high reliability with compliance of more than 90%.
Conclusion: SAMBA provides a data set that can be used for local and national benchmarking and quality improvement work. Annual audit might be beneficial to track improvements.
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Co-design in acute care is challenged by the inability of unwell patients to participate in the process and the often transient nature of acute care.
We undertook a rapid review of the literature on co-design, co-production and co-creation of solutions for acute care that were developed with patients. We found limited little evidence for co-design methods in acute care.
We adapted a novel design driven method (BASE methodology) that creates stakeholder groups through epistemological criteria for the rapid development of interventions for acute care. We demonstrated feasibility of the methodology in two case studies:
A mHealth application with checklists for patients undergoing treatment for cancer and a patient held record for self-clerking on admission to hospital.
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