SLIDE 1
DAWN DVT MODULE
- Why – the history
- When… the time is right…..
- Where – the DVT move
- How – the 2 perspectives: UHL, DAWN
DAWN DVT MODULE Victoria Frimpong, Jo Eggleston DVT specialist - - PowerPoint PPT Presentation
DAWN DVT MODULE Victoria Frimpong, Jo Eggleston DVT specialist - - PowerPoint PPT Presentation
DAWN DVT MODULE Victoria Frimpong, Jo Eggleston DVT specialist nurses DAWN DVT MODULE Why the history When the time is right.. Where the DVT move How the 2 perspectives: UHL, DAWN Moving from the old to
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Moving from the old…… to the new – AMBULATORY CARE CENTRE – sandwiched between ED and radiology
SLIDE 4
Our new home – February 2013 ‘Fit for purpose’
- The right space
- Efficient patient flow for current
numbers and projected increases
SLIDE 5
Drowning in paperwork A drama in the NHS
SUI – The paper trail petered out Missing documentation
SLIDE 6
DAWN DVT module
Secure funding for a paperless system
- Seamless referral
and GP communication
- Improved clinical
governance and audit trail
- A WIN-WIN-WIN
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Defining process
- ‘The devil is in the detail’
- Conferred with the people who did the job
- Questioned why things were as they are and
how they could be improved
- ‘Dream the dream, have the vision’
- Communication
- Meaningful meetings
- Ownership
SLIDE 8
Prescribe Inject Assess Wells Score Scan Blood Test
Level 1
Where …. Best Place The pathway - “Primary Care & Secondary Care” /Specialist-generalist – not site specific DVT Service – One Service – One Team
Unlikely Likely Low High
- ve
+ve 2 weeks To 3 Months
Level 2 Level 3 City – 1000/pa County – 2000/pa 80% 20%
Consultant 3PAs Band 6 3.61 Band 3 1.8 NICE CG144/TA261
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DAWN = 80% reduction in workload
Triage: This includes gaining information, demographics, GP details, next of kin and clinical details. Questionnaire: WELLS score and blood test + / - D.Dimer. Algorithm: The route through is illuminated by the information input, producing an outcome.
SLIDE 10
Where we are up to
- DVT unlikely + normal D.Dimers = The patient can
be discharged.
- No further information collecting is required. A
letter is automatically produced and sent electronically to the GP.
- DVT unlikely + raised D.Dimer = Proceed with
scan.
- DVT likely, D.Dimer not done = Proceed with scan
- r treat accordingly until scan available.
SLIDE 11
Scan outcomes
- Whole leg scan + no DVT = discharged
- Whole leg scan + DVT confirmed = Proceed on
paper
- Proximal scan only + DVT confirmed = Proceed
- n paper
- Proximal scan performed + DVT inconclusive =
Return one week later for re scan, no treatment.
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Benefits
- Information is electronically stored therefore,
easy to access for future episodes.
- Provides an audit trail.
- Saves time and resources as only collecting
relevant information.
- Fluent methodical way of working.
- Simplified algorithms easy to use.
- Message box to highlight information for
- ther users.
SLIDE 13
Benefits
- Able to add messages for letters to GPs. For
example, abnormal blood results.
- No more writing endless discharge letters and
blood results.
- Easy referral to anti coagulation clinic.
- 80% of those patients who are scanned are
negative and discharged. This allows us to spend more time with those who require treatment.
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- Team
- Clear Understanding of
Process, Role and Responsibilities
- Commissioning Group
- Reduce Cost
- No Waste
- Patient
- Correct Diagnosis and
Treatment first time
- Best Patient Experience
- Public
- No Serious Incidents
- Prevention
Improving Health Best Possible Care Joy and Pride in Work Value for Money
- Stakeholder
- Goals
Service Vision DVT/PE/Anticoagulation Service – One Service – One Team Step opportunity for improvement Approach and principles moving forward
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