Aim and method

Aim

To improve adherence to all elements of the discharge bundle to 95% by September 2023

Method 

IHI model for improvement methodology was used. Percentage adherence to each criteria was plotted on run charts.  Regular feedback to the whole CED team who were engaged in ideas for change and testing  PDSA cycles 

A weekly sample of 12 patient cases is reviewed each week - the PDSA interventions are plotted along the run-chart timeline as well as other important factors that were felt needed to be taken into consideration such as doctor strikes (and so reduced staffing) as well as when there was a changeover in a cohort of doctors in the CED. 

The results of each week are plotted on a run chart for each of the 7 criteria. But before we review the results to date, lets review the rules of a run chart which tell us whether the intervention introduced has shown significant change or whether the changes observed can be attributed to chance variation.