{"title":"由一般做法照顾的疗养院临终病人的以防万一(JiC)药物记录。","authors":"Eve Barnes, Caroline Parfit","doi":"10.3233/JRS-227023","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This project was undertaken to improve the documentation of Just in Case (JiC) medication in a general practice. The outcome of a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis highlighted this as an area where awareness within the practice could be improved.</p><p><strong>Objective: </strong>A Plan-Do-Study-Act (PDSA) approach was taken to the project and involved collaborative working and data collection from the general practice and relevant care homes.</p><p><strong>Method: </strong>JiC medications are used to promptly manage symptoms experienced at the end of a patient's life and are part of the Gold Standard Framework (2006).</p><p><strong>Results: </strong>Of the patients registered at the practice with JiC medication, 37.5% were incorrectly documented. This included errors/ inaccuracy with the clinical coding, or the medication. Three patients on practice generated searches had no JiC medication in the care homes, and 4 patients had JiC boxes in the care home that was not identified by the search.</p><p><strong>Conclusion: </strong>This evaluation has identified documentation errors and discrepancies between practice and community records of JiC medication. A newly generated practice specific flowchart was created, with an aim of reducing the discrepancies. A guide of how to carry out a QI project like this was created for the RCGP and can be found on their website. A seminar at Bristol, North Somerset, and South Gloucestershire (BNSSG) CCG to present this project took place in 2021.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 S1","pages":"S47-S51"},"PeriodicalIF":0.9000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/5c/jrs-33-jrs227023.PMC9844067.pdf","citationCount":"0","resultStr":"{\"title\":\"Documentation of Just in Case (JiC) medication for end of life patients in care homes looked after by a general practice.\",\"authors\":\"Eve Barnes, Caroline Parfit\",\"doi\":\"10.3233/JRS-227023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This project was undertaken to improve the documentation of Just in Case (JiC) medication in a general practice. The outcome of a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis highlighted this as an area where awareness within the practice could be improved.</p><p><strong>Objective: </strong>A Plan-Do-Study-Act (PDSA) approach was taken to the project and involved collaborative working and data collection from the general practice and relevant care homes.</p><p><strong>Method: </strong>JiC medications are used to promptly manage symptoms experienced at the end of a patient's life and are part of the Gold Standard Framework (2006).</p><p><strong>Results: </strong>Of the patients registered at the practice with JiC medication, 37.5% were incorrectly documented. This included errors/ inaccuracy with the clinical coding, or the medication. Three patients on practice generated searches had no JiC medication in the care homes, and 4 patients had JiC boxes in the care home that was not identified by the search.</p><p><strong>Conclusion: </strong>This evaluation has identified documentation errors and discrepancies between practice and community records of JiC medication. A newly generated practice specific flowchart was created, with an aim of reducing the discrepancies. A guide of how to carry out a QI project like this was created for the RCGP and can be found on their website. 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引用次数: 0
摘要
背景:本项目旨在改进全科实践中“以防万一”(Just in Case, JiC)用药的记录。优势、劣势、机会、威胁(SWOT)分析的结果强调了这是一个可以提高实践意识的领域。目的:该项目采用计划-实施-研究-行动(PDSA)方法，涉及协作工作和从全科诊所和相关护理院收集数据。方法:JiC药物用于及时管理患者生命结束时出现的症状，是黄金标准框架(2006年)的一部分。结果:在医院登记使用JiC药物的患者中，37.5%的患者记录不正确。这包括临床编码或药物的错误/不准确。在实践生成的搜索中，有3名患者在养老院中没有JiC药物，4名患者在养老院中有JiC盒，但没有被搜索到。结论:本评价发现了JiC用药实践和社区记录之间的文件错误和差异。创建了一个新生成的实践特定流程图，目的是减少差异。关于如何执行这样一个QI项目的指南是为RCGP创建的，可以在他们的网站上找到。在布里斯托尔、北萨默塞特和南格洛斯特郡(BNSSG) CCG举办的研讨会于2021年举行，以介绍该项目。
Documentation of Just in Case (JiC) medication for end of life patients in care homes looked after by a general practice.
Background: This project was undertaken to improve the documentation of Just in Case (JiC) medication in a general practice. The outcome of a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis highlighted this as an area where awareness within the practice could be improved.
Objective: A Plan-Do-Study-Act (PDSA) approach was taken to the project and involved collaborative working and data collection from the general practice and relevant care homes.
Method: JiC medications are used to promptly manage symptoms experienced at the end of a patient's life and are part of the Gold Standard Framework (2006).
Results: Of the patients registered at the practice with JiC medication, 37.5% were incorrectly documented. This included errors/ inaccuracy with the clinical coding, or the medication. Three patients on practice generated searches had no JiC medication in the care homes, and 4 patients had JiC boxes in the care home that was not identified by the search.
Conclusion: This evaluation has identified documentation errors and discrepancies between practice and community records of JiC medication. A newly generated practice specific flowchart was created, with an aim of reducing the discrepancies. A guide of how to carry out a QI project like this was created for the RCGP and can be found on their website. A seminar at Bristol, North Somerset, and South Gloucestershire (BNSSG) CCG to present this project took place in 2021.
期刊介绍：
The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.
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