eprintid: 10045812 rev_number: 38 eprint_status: archive userid: 608 dir: disk0/10/04/58/12 datestamp: 2018-03-27 10:52:48 lastmod: 2021-10-03 23:53:55 status_changed: 2019-02-25 15:25:05 type: article metadata_visibility: show creators_name: Garfield, S creators_name: Bell, H creators_name: Nathan, C creators_name: Randall, S creators_name: Husson, F creators_name: Boucher, C creators_name: Taylor, A creators_name: Lloyd, J creators_name: Backhouse, A creators_name: Ritchie, L creators_name: Franklin, BD title: A quality improvement project to increase self-administration of medicines in an acute hospital ispublished: pub divisions: UCL divisions: B02 divisions: C08 divisions: D10 divisions: G11 keywords: Self-administration, quality improvement, medicines, hospital, patient involvement note: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ abstract: Quality problem or issue A patient survey found significantly fewer patients reported they had self-administered their medicines while in hospital (20% of 100 patients) than reported that they would like to (44% of 100). We aimed to make self-administration more easily available to patients who wanted it. Initial assessment We conducted a failure, modes and effects analysis, collected baseline data on four wards and carried out observations. Choice of solution Our initial assessment suggested that the main areas we should focus on were raising patient awareness of self-administration, changing the patient assessment process and creating a storage solution for medicines being self-administered. We developed new patient information leaflets and posters and a doctor’s assessment form using Plan–Do–Study–Act cycles. We developed initial designs for a storage solution. Implementation We piloted the new materials on three wards; the fourth withdrew due to staff shortages. Evaluation Following collection of baseline data, we continued to collect weekly data. We found that the proportion of patients who wished to self-administer who reported that they were able to do so, significantly increased from 41% (of 155 patients) to 66% (of 118 patients) during the study, despite a period when the hospital was over capacity. Lessons learned Raising and maintaining healthcare professionals’ awareness of self-administration can greatly increase the proportion of patients who wish to self-administer who actually do so. Healthcare professionals prefer multi-disciplinary input into the assessment process. date: 2018-06-01 date_type: published publisher: Oxford University Press (OUP) official_url: https://doi.org/10.1093/intqhc/mzy035 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1544948 doi: 10.1093/intqhc/mzy035 lyricists_name: Franklin, Bryony lyricists_name: Garfield, Sara lyricists_id: BFRAN90 lyricists_id: SGARF21 actors_name: Franklin, Bryony actors_name: Robertson, Victoria actors_id: BFRAN90 actors_id: VROBE74 actors_role: owner actors_role: impersonator full_text_status: public publication: International Journal for Quality in Health Care volume: 30 number: 5 pagerange: 396-407 issn: 1353-4505 citation: Garfield, S; Bell, H; Nathan, C; Randall, S; Husson, F; Boucher, C; Taylor, A; ... Franklin, BD; + view all <#> Garfield, S; Bell, H; Nathan, C; Randall, S; Husson, F; Boucher, C; Taylor, A; Lloyd, J; Backhouse, A; Ritchie, L; Franklin, BD; - view fewer <#> (2018) A quality improvement project to increase self-administration of medicines in an acute hospital. International Journal for Quality in Health Care , 30 (5) pp. 396-407. 10.1093/intqhc/mzy035 <https://doi.org/10.1093/intqhc%2Fmzy035>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10045812/7/Franklin%20Vor%20mzy035.pdf