M-M-R. vaccine -Rrrrrrrr templates.pptx

M-M-R-R templates.pptx

1. GICU M & M & R & R Meetings Morbidity Mortality Readmissions Referrals

2. Aims Identify governance issues Open discussion among the team on quality of clinical care Possible care process redesign and policy update Education

3. Education & Governanace issues identified Classification of events & deaths 1 Slide: Standard template Presentation updated with issues “O” Drive Monthly report compiled Care Group Meeting Weekly Monthly Consultant Meeting Other output/ plan Concerns No Concerns Expanded case review Incident Report Classification reviewed by consultant of the week Weekly presentation

4. M & M & R & R Presentation Weekly: Every Wednesday (Tuesday on last week of the month) 8.30-9.00 GICU Seminar Room All staff welcome Trainee presenting expected to update slides with relevant issues and send them to consultant team via [email protected] for upload to O drive Rota of individuals responsible set in advance and available on Yammer and GICU website Templates are HERE

5. Morbidity events Anything that was a near miss or actually resulted in patient (or staff) harm Very brief contextualised summary Datix completed Y / N Actions / learning points Duty of c andour fulfilled Y/N

6. Mortalities Classification of death Action for each classification No Concerns Standard template slide in weekly presentation Concerns (pre GICU & / or in GICU) Standard template + Expanded case summary

7. Standard Template Slide – No concerns Initials, MRN, Age Date of Death, duration of stay Main reason for admission Relevant diagnoses Any end-of-life care issues? (Including organ donation) Death Certificate (if issued): I a b c II Check that there is an Episode S ummary on iCLIP (or referral to coroner template uploaded to iCLIP )

8. Expanded case summary – Some concerns Complete standard template slide THEN Background / clinical presentation / management / HIGHLIGHT CONCERNS Concise, concentrating on major issues / events Open discussion RECORD - Lessons learned identified (added to presentation)

9. Lesson learnt / Actions to take place: Datix form completed? Feed back to admitting team? Y / N

10. Readmissions How many? For each instance Initials , MRN, Age How long between ICU step down and readmission? Was readmission E lective (planned) OR Emergency (unplanned) Preventable (Predictable) OR Unpreventable Any concerns / issues? Any lessons learnt / actions to be taken

11. Referrals How many? Any concerns / issues / themes? Any lessons learnt / actions to be taken?

12. Minutes Standard Excel Sheet To be filled in by trainee presenting Includes Attendance register Minutes file and Presentation to be sent by email to [email protected]

13. Monthly report to Care Group Meeting Presents M&M data from previous month Total number Classification Learning points identified Governance issues identified/ proposed action Feedback on action items from previous report

14. Monthly: Case presentations; jointly with ED Once a month (4 th Wednesday) One hour meeting: 8.00-9.00 University Lecture Theatres Expanded case summary + / - mini topic review

15. Team & Responsibilities Consultant of the week Chair the meeting held on your GICU (Red) Week Reviews classification of death for all patients Identify Morbidity that warrants referral to M&M&R&R meeting Registrar of the week Compiles mortality and prepares presentation based on guidance above Liaison with consultant re “concerns” in care and cases of significant M orbidity If registrar is not presenting, supervises trainee presenting in preparing an appropriate presentation All trainees will be expected to present at least one M&M meeting EM Trainees will prepare a case for the monthly joint meeting