Greenwood, D.

Martin, Sandra J.

Steinke, D.

Tully, M.

Bradford Scholars

University of Manchester Faculty of Biology, Medicine and Health PhotoGraphics Unit  The blue instruction columns are for your help designing and will not print out on your poster   This PowerPoint Poster template has been designed to produce an ‘A’ size poster (Even though it is currently setup for A0, we are able to scale this to fit any ‘A’ size A0,A1,A2 etc.).  It is initially designed as a four column poster (although this can be altered – see Modifying instructions below) and includes the University Logo, Faculty Name and Faculty web address.   The template should help design a well laid out scientific poster and will hopefully help to save you time by not having to start from scratch.  The template has all the elements you need to create your poster, and by simply dragging and dropping the individual poster elements you can quickly and simply create a well laid out poster.  If you have any questions regarding the templates, or if you want to get your poster printed by us please contact : PhotoGraphics Unit on Tel: 0161 275 5258 or  Email: photographics.lifesciences@manchester.ac.uk  Modifying the Poster Layout  This PowerPoint template has three different column layouts. To change to one of the different layouts, Right-click your mouse on the background (not on the columns or Title Bar) and click on “Layout” to see the different layout options.   The columns in the provided layouts are fixed and cannot be moved but advanced users can modify any layout by going to VIEW and then SLIDE MASTER.  Using the placeholders  To add text to this template click inside a placeholder and type in or paste your text. To move a placeholder, click on it once (to select it), place your cursor on its frame and your cursor will change to the symbol of your ‘mouse pointer on a cross’.  You can then, click once and drag it to its new location where you can resize it as needed.  Additional placeholders for Titles, Text and Images can be found on the right hand instruction column of this template.  Viewing your poster  This Template has been designed at A0 size. If you view the template at 100% (to zoom in and out go to the VIEW menu and click on ZOOM to set your preferred magnification), it will give you an idea as to how the text and graphics will look when printed at A0 size.   Removing Template Elements  To remove any of the Sub-Title Bars and  text boxes that are already on the template and that you don’t need, just select the with the mouse and press the delete key.               Importing Text and Graphics from External Sources  Text: Paste or type your text into a pre-existing placeholder or drag in a new placeholder from the left side of the template. Move it anywhere as needed.  Photos/Images: Drag in a picture placeholder, size it first, click in it and insert a photo from the menu.  Tables: You can copy and paste a table from an external document onto this poster template. To adjust  the way the text fits within the cells of a table that has been pasted, right-click on the table, click FORMAT SHAPE  then click on TEXT BOX and change the INTERNAL MARGIN values to 0.25  Graphs: You should save graphs as image files such as jpeg, in the programme that you created them in e.g. excel, and then insert them into the poster using the Photo/Images instruction above.  (Don’t copy and paste you graph from the programme e.g. Excel directly into the template as the graph may not print properly)   Poster Elements  Use the sections provided below to add new elements to your poster: Drag a placeholder onto the poster area, size it, and click in it to edit.  Sub-Heading placeholder Move this sub-heading placeholder onto the poster to add another sub-heading. Use section headers to separate the sections and topics on your poster.     Text placeholder Move this preformatted text placeholder to the poster to add a new body of text.     Picture placeholder Move this graphic placeholder onto your poster, size it first, and then click it to add a picture to the poster.               PhotoGraphics Unit – University of Manchester 1.828 Stopford Building, Oxford Road, Manchester, M13 9PT Tel: 0161 275 5258  Email: photographics.lifesciences@manchester.ac.uk            4 categories of, in order: 29, 10, 10, 3 criteria   Scan me for  specification:   • Cat 1a, C1: Work within your competence      • Cat 1d, C3: Approach to treatment    • Cat 4a, C2: Time         Results Background/objective Methods A Mann-Whitney U test revealed no statistically significant difference in median scores between students who attended the workshop (Md=5, n=85) and those who had not (Md=4, n=115), p=0.34.  Results sessing that div rsity l rni g has happened s fficult.  Future research should seek to understand, prior to intervention, what students understand diversity to mean in order to establish that complex learning has taken place.   This work supports the need for diversity teaching to be integrated throughout the curriculum. Teaching diversity in stand-alone workshops may undermine the importance of the topic.  Conc usion  1. Dogra, N., Bhatti, F., Ertubey, C., Kelly, M., Rowlands, A., Singh, D., & Turner, M. (2016). Teaching diversity to medical undergraduates: curriculum development, delivery and assessment. AMEE GUIDE No. 103. Medical teacher, 38(4), 323-337. 2. General Medical Council. Our standards for medical education and training. http://www.gmc-uk.org/about/25275.asp [accessed 19th October 2017]. ferences @DanGwd Methods • An EDPP service specification has been successfully produced and is the product of patient and multidisciplinary input  • Minimum expected processes, structures & behaviours are included, which could support development of services  • Patients welcomed the addition of an EDPP to the healthcare team, particularly due to their pharmaceutical expertise, but had reservations about pharmacists managing the most complex patients e.g. those with severe trauma  • Future research should first evaluate whether the specification can support provision of high quality EDPP services, and then evaluate the quality of EDPP services actually delivered compared with the specification Conclusions Development of an Emergency Department Pharmacist Practitioner service specification   D Greenwood, D Steinke, S Martin, M Tully Division of Pharmacy and Optometry, University of Manchester EDPP =                    +   Emergency Department Pharmacist Practitioners (EDPPs) undertake both ‘traditional’ clinical pharmacy work and ‘practitioner’ work e.g. perform clinical examinations         Objective: to develop an EDPP service specification, primarily to support providers with delivery of high quality services EDPPs: 26/35 themes achieved consensus Six quality of care domains guided data collection/analysis Panel meeting  (6 EDPPs)  Themes identified and agreed Question: What are professional and patient expectations of a high quality EDPP service? Interviews  (8 patients)  Template analysis  Panel meeting  (multi-discipline)  Review and refine specification  Criteria iteratively drafted EDPP service specification Patient 1: “it’s nice to have that [a pharmacist] in the hospital as well [as community]… they have more time to be involved with you directly”. Patient 5: “[previously] I’ve needed to see a surgeon very quickly and a pharmacist wouldn’t at all be appropriate, but for minor situations, it’s a really good idea” Patient 2: “she [EDPP] analysed my… medication she was very thorough in terms of getting me to understand what I was taking, and why [it] was going wrong”. Multi-disciplinary panel: recommendations to restructure/modify either accepted/not accepted • Themes included generally concerned specific activities to be performed such as ‘inform patient e.g. counselling’ • Themes excluded were often deemed to be beyond the control of the EDPP e.g. ‘patient choice of practitioner’   Patients: opinions developed criteria (Category=Cat, Criteria=C) Cat 1a: ‘Approach to clinical activities’ was created  to collate underpinning  care principles Cat 1b, C1: ‘Learning about a patient’s history’ was thought “too basic”, but its exclusion would suggest this activity is not expected of EDPPs Key features  Optional criteria   For any EDPP  Patient input     

Development of an Emergency Department Pharmacist  Practitioner service specification

BackgroundEmergency Department Pharmacist Practitioners (EDPPs) undertake both ‘traditional’ clinical pharmacy work e.g. checking prescriptions for their clinical appropriateness, and ‘practitioner’ work e.g. perform clinical examinations and diagnose. A recent study found large variation in the extent and type of care provided1. Whilst variation allows services to be tailored to local needs, it is important that care meets the minimum standards expected of a quality healthcare system. These are safe, effective, patient-centred, timely, efficient and equitable2.ObjectivesTo develop an EDPP service specification, primarily to support providers with delivery of high quality services.MethodDevelopment involved patients, EDPPs and other ED healthcare professionals and was guided by the Institute of Medicine’s quality domains2. A convenience sample of 6 EDPPs, with varied roles, were recruited to an expert panel held in March 2017. Using an adapted Nominal Group Technique, participants suggested ideas as to what constitutes high quality EDPP care. These were grouped into themes and rated twice on a 9-point Likert scale (9=absolutely used). Themes with strong group support (median final rating of 7-9) and a high level of agreement achieved consensus. Semi-structured recorded telephone interviews were undertaken with 8 patients who had been cared for by EDPPs as to their expectations of the service. Template analysis of transcripts identified additional themes that were mapped to each domain. The specification was iteratively drafted by adding patient themes to those agreed by EDPPs. Finally, a multidisciplinary expert panel of healthcare professionals and researchers reviewed and refined the service specification. Health Research Authority ethics approval was obtained.ResultsEDPPs developed 36 themes with consensus achieved for 25. Additional themes from the patient interviews concerned the communication and behaviour of EDPPs rather than specific clinical activities undertaken. Whilst patients were happy to be cared for by an EDPP working within their competence, for certain conditions (e.g. major trauma) they wanted a doctor as their main care provider. An evidence-based EDPP service specification of 52 criteria grouped into 4 categories was produced: direct patient care (29); other activities (including indirect patient care) (10); general approach (10); and service structures (3). Some criteria, which require specific clinical training, are indicated as optional to accommodate some local variation of service.ConclusionsAs the product of both patient and expert input, EDs could align existing or newly developed services to the specification. The designation of some criteria as optional should support implementation. Whether or not the specification can support provision of high quality services is yet to be investigated. Future research should aim to evaluate the quality of EDPP services actually delivered compared with the specification. Further, patient outcomes should be measured to conclude the quality impact of EDPP services. References1. Greenwood D, Tully M, Martin S, Steinke D. Emergency Department Pharmacist Practitioners: A new role in the NHS. Research in Social and Administrative Pharmacy 2018;14(8):e30.2. Institute of Medicine Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press; 2001

Greenwood, Daniel

Steinke, Douglas

Martin, Sandra

Tully, Mary

The University of Manchester - Institutional Repository

Development of an Emergency Department Pharmacist Practitioner service specification

https://bradscholars.brad.ac.uk/bitstream/10454/16758/1/Marten_S_poster_%282019%29.pdf

Development of an Emergency Department Pharmacist Practitioner service specification

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Bradford Scholars

The University of Manchester - Institutional Repository