Improving accessibility of trust guidelines and protocols at the Great Western Hospital, Swindon

摘要: Trust guidelines and policies outline recommendations for the management of common clinical non-clinical situations, serving to standardise best practice. Prior this project, there was no consolidated location these documents. Lack organisational structure inadequate search functionality within trust intranet led time wasted locating information, acting outside recognised practice, ultimately potentially compromising patient safety. We surveyed 55 junior doctors, 95% respondents were dependent on a daily basis. 20% spending greater than 5 minutes locate protocols 38% unable some relevant documents at all. analysed taken doctors six randomly selected protocols. Pre-intervention mean 133 seconds (on occasions guideline). All currently available collated, consolidated, renamed according content. These then re-alphabetised new terms linked each document. Existing links uploaded single web page made via homepage. The publicised by email, posters interdepartmental presentations. In our post intervention survey, 97% aware project had use page. located during re-testing with 90% those resurveyed stating it easier Overall, reduction in number clicks required demonstrated: 16 vs pre-intervention (n=60). 53% <30s 86% <2 minutes.