120 Implementation of a hysteroscopy user group at southmead hospital, North Bristol NHS trust to enable sustainable effective change. (16th November 2020)

• Record Type: Journal Article
• Authors: Sharma, Rowena; Kamali, Hajeb; Kelsey, Laura; Kenyon, Sophie
• Is Part Of: BMJ leader. Volume 4(2020)Supplement 1
• Page Start: A45
• Page End: A45
• Publication Date: 2020-11-16
• Subjects: Medical personnel -- Periodicals; Leadership -- Periodicals; Medicine -- Practice -- Management -- Periodicals; Health services administration -- Periodicals; 610.68
• DOI: 10.1136/leader-2020-FMLM.120
• Languages: English
• ISSNs: 2398-631X

Abstract

Abstract : Background: The Royal College of Obstetricians and Gynaecologists (RCOG) recommend the provision of an outpatient hysteroscopy (OPH) service by all gynaecology units. We run a high-quality OPH service at Southmead Hospital, however, increasing clinical demands drive the need to improve services. Aims and Objectives: We aimed to set up a multidisciplinary team (MDT) in OPH to identify specific areas where we could increase capacity and improve patient safety. Materials and Methods: We set up a MDT, entitled the 'Hysteroscopy User Group' (HUG) in the Gynaecology outpatient department. A prospective efficiency flow- time audit was initially conducted analysing 36 patient journeys during an OPH appointment. British Society of Gynaecology Endoscopy (BSGE) patient satisfaction surveys were undertaken to assess service quality. Results: The efficiency flow audit demonstrated the following averages times: three minutes for patient consent and three minutes for equipment set-up; eleven minutes procedure time; four minutes for patient debrief and overall thirty-nine minutes for the appointment. BSGE patient satisfaction surveys showed 100% of responders classifying their treatment as good or excellent, with 94% of women stating that they would choose this treatment option in the future. Interventions and Strategies for Improvement We collaboratively identified specific areas for improvement including the introduction of RCOG consent stickers and nurse-led set up of equipment. Capacity was subsequently increased by 40% thereby improving patient access to services whilst maintaining excellence in quality of care. Conclusions and impact: Formation of the multidisciplinary HUG improved capacity, transparency and communication across the OPH service; hence we were able to improve the quality of care we deliver to our women.