Improving Documentation of Medicines Administered to Phil health Patients at the Medical Ward of Davao Medical Center
Team members (write the names of members)
Introduction
STEP 1 Reason for Improvement
MULTIVOTING
Theme A. B. C. D. E. 1st Vote 2nd vote 3rd Vote
Theme Selection Matrix
THEMES Nurses Documentation CUSTOMER(S) Internal: Nursing personnel, Doctors, Medical records personnel, External: Patients, PHIC Audit Team, Trainees and affiliates Internal: Health Personnel External: Patients
IMPACT ON CUSTOMERS
NEED TO IMPROVE
OVERALL
RANK
25
Staffing
20
Knowledge on Hospital Policy
Internal: Health Personnel External: Patients
12
Step 2 Current Situation
Proportion of Completeness of Medication sheet of Phil health charts at Medical Ward for First Quarter of 2007 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Jan Feb March
Complete Incomplete
Problem Statement: From January 1 to March 31, 2007, 66% of medication sheet of Phil Health patients charts at the Medical Ward of Davao Medical Center were incomplete; thus causing delays in PHIC claims and reimbursement. Target for Improvement: By the end of December 31, 2007, Incomplete medication sheet at the Medical Ward will be reduced to 30%.
Step 3: Analysis
Process
Incomplete Medication sheet
Materials
Nurse
Step 4 Countermeasures
Problem Statement: From January 1 to March 31, 2007, 66% of medication sheet of Phil Health patients charts at the Medical Ward of Davao Medical Center were incomplete; thus causing delays in PHIC claims and reimbursement. Target for Improvement: By the end of December 31, 2007, Incomplete medication sheet at the Medical Ward will be reduced to 30%.
Countermeasures Practical Methods Tasks Resources Who Does Start Date End Date How Done
Action Plan
Compliance with Standards Of nursing Practice on documentation
Reorientation Seminar on docu mentation Every Other month
Prepare Training materials
Visual aids On Standards of Nursing Practice Hosp. Guidelines and policies
Vilma L. Comoda, Elizabeth Barriga, Lani Paler, Charito Bargamento, Christine Aquino
Aug. 15, 2007
July 15 2008
Coordinated with Training office and assistant chief nurse For schedule Of staff
Step 5 Results
Proportion of Completeness of Medication sheet of Phil health charts at Medical ward in 2007
100% 90% 80% 70% 60% 50% 40% ---------------------------------------------30% 20% 10% 0%
I N T E R V E N T I O N
Target 30%
COMPLETE INCOMPLETE
M AY
JU LY
AU G OC T
JA N
CH
M AR
BEFORE
AFTER
DE
Step 6 Standardization
Step 7 Future Plans