Overview
Use of General Electric (GE) process: KAIZEN to remodel Adult Mental Health Services in Royal Edinburgh Hospital helped swift movement towards identifying and implementing evidence based practice. The change process was enjoyed by all and supported at executive level.
Care Setting
In-Patient Setting
Evidence Base for Practice
Supporting evidence can be found at:
http://starwards.org.uk/ this site evidences the star wards model of care
http://www.epa.gov/lean/ this site gives evidence of the LEAN process.
Quality assurance/impact of practice
Rapid impact assessment completed
Practice Summary
Use of General Electric (GE) process: KAIZEN to remodel Adult Mental Health Services in Royal Edinburgh Hospital helped swift movement towards identifying and implementing evidence based practice. The change process was enjoyed by all and supported at executive level.
Practice Detail
• Agreement of a model and operational policy for Intensive Home Treatment (IHT) to enable care to be provided, where appropriate, outside the hospital setting.
• Adoption of the “Star Wards” framework to improve the inpatient experience.
• Pilot of new roles (discharge coordinator; housekeeper) to release nurse time and support increased therapeutic activity in alignment with care plans.
• Streamlined documentation to improve flow and reduce duplication and time for patients and staff.
• Improved patient information (Welcome Pack; Personal Recovery File)
• Improvements in the physical environment in the Andrew Duncan Clinic
Challenges
• Change
• Old/ traditional ways of working
• Staff entrenched