CORE
🇺🇦
make metadata, not war
Services
Services overview
Explore all CORE services
Access to raw data
API
Dataset
FastSync
Content discovery
Recommender
Discovery
OAI identifiers
OAI Resolver
Managing content
Dashboard
Bespoke contracts
Consultancy services
Support us
Support us
Membership
Sponsorship
Community governance
Advisory Board
Board of supporters
Research network
About
About us
Our mission
Team
Blog
FAQs
Contact us
Using a comprehensive audit to identify local context prior to care bundle design and implementation for inadvertent perioperative hypothermia in colorectal surgery
Authors
Kimberley Adams
Bryn Baxendale
+3 more
Roger Bayston
Judith Tanner
Stephen Timmons
Publication date
13 January 2021
Publisher
'BMJ'
Doi
Cite
Abstract
© Background The first step in bundle design or implementation is to identify the problem being addressed. Several validated approaches are recommended to facilitate this. These include using systematic reviews, adverse event triggers and risk assessment tools. However, these methods do not fully take the local context into account, which will limit the effectiveness of the bundle. Aim This study explores the potential benefit of using a comprehensive audit to identify an organisation's local context prior to designing and implementing a care bundle. Method A comprehensive audit comprising observations of four patient journeys, interviews with 21 staff and clinical data was carried out at one large National Health Service trust in England. A patient warming care bundle was used as the exemplar. Findings Each of the three data collection methods identified specific local practices which would be addressed within the planning and implementation stages of a care bundle. These practices would not have been identified through other recommended methods. Conclusion A comprehensive audit, comprising observations, interviews and clinical data is a successful method to identify local contextual issues prior to care bundle implementation
Similar works
Full text
Open in the Core reader
Download PDF
Available Versions
Repository@Nottingham
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:nottingham-repository.work...
Last time updated on 28/01/2021