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Get Parkinson’s medications on time: the Leeds QI project

Corrado, J, Jackson, O, Baxandall, D, Robson, J, Duggan-Carter, P, Throssell, J, Westgarth, T, Chhokar, G and Alty, J ORCID: 0000-0002-5456-8676 2020 , 'Get Parkinson’s medications on time: the Leeds QI project' , Age and Ageing, vol. 49, no. 5 , pp. 865-872 , doi: 10.1093/ageing/afaa142.

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Abstract

Parkinson's disease (PD) is a common neurodegenerative disease. Delayed administration of PD medications is associated with increased risk of life-threatening complications including choking, aspiration pneumonia and neuroleptic malignant syndrome. In 2016, the spouse of a patient with PD wrote to Leeds Teaching Hospitals Trust (LTHT) to highlight that multiple medication delays and omissions had occurred during his recent admission. In response, LTHT formed a PD quality improvement (QI) Collaborative of multidisciplinary members committed to ensuring timely PD medication administration. The faculty used Institute for Healthcare Improvement Model for Improvement QI methodology. Interventions were tested on pilot wards and the most successful were scaled up and spread across all 90 adult inpatient wards as an 'intervention bundle'. Between January 2016 and June 2020 mean delays in the time from admission to first dose of medication dropped from over 7 to under 1 h. The mean percentage of omitted PD medications reduced from 15.1 to 0.6%. Project success was multifactorial but due to: . Simplicity of interventions.. Multiprofessional ownership by frontline teams to make changes and take prompt action.. The spouse of the patient taking a leading role in the Collaborative, bringing her unique personal insight and experience, which facilitated behavioural change.

Item Type: Article
Authors/Creators:Corrado, J and Jackson, O and Baxandall, D and Robson, J and Duggan-Carter, P and Throssell, J and Westgarth, T and Chhokar, G and Alty, J
Keywords: parkinson's disease, patient safety, medications, prevention, inter-disciplinary, older people, quality improvement
Journal or Publication Title: Age and Ageing
Publisher: Oxford Univ Press
ISSN: 0002-0729
DOI / ID Number: 10.1093/ageing/afaa142
Copyright Information:

© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society.

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