The Use Of Simulation To Develop, Test And Implement A Multidisciplinary Team Care Pathway Bundle For Inpatients With Parkinson’s Disease

Abstract Background Hospitalised PD patients experience poorer outcomes. Model-2 hospitals lack onsite subspecialty neurology services whilst frequently managing PD inpatients. Aiming to enhance care of PD inpatients our multidisciplinary team (MDT) utilise simulation to design and deliver a new PD...

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Bibliographic Details
Published in:Age and ageing 2024-09, Vol.53 (Supplement_4)
Main Authors: Hennessy, Susanne, Forbes, Rebekah, Fleming, Emma, Woulfe, Cliona, Patel, Tariq, Jennings, Emma
Format: Article
Language:English
Subjects:
Deterioration
Drugs
Hospitalization
Inpatient care
Interdisciplinary aspects
Medical referrals
Medical screening
Movement disorders
Multidisciplinary teams
Neurodegenerative diseases
Neurology
Parkinson's disease
Patient admissions
Patients
Prioritizing
Simulation
Standardized patients
Tests
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Summary:Abstract Background Hospitalised PD patients experience poorer outcomes. Model-2 hospitals lack onsite subspecialty neurology services whilst frequently managing PD inpatients. Aiming to enhance care of PD inpatients our multidisciplinary team (MDT) utilise simulation to design and deliver a new PD care pathway bundle. Methods The developed care bundle aims to facilitate i) screening for causes of PD deterioration, ii) identification of time sensitive and contraindicated medications and iii) prioritisation of timely MDT referral within the first 24 hours of admission. Using simulation of the NPO PD patient, usability of the bundle was tested through correct medication conversion (via Parkinsons calculator) and MDT clinical review for NG tube insertion with patient inclusion. Results Simulation delivery and structured debrief thereafter, further enhanced development and improvement of the simulation. It reinforced how the care bundle initiated early MDT referral and highlighted the pros/cons of MDT discussion with and without the patient. Once deemed satisfactory by all team members, ward-based simulation facilitated staff education and awareness of the new tool. Conclusion Simulation in the test and clinical environment facilitated implementation of a new MDT care pathway bundle at hospital level. Evaluation of effectiveness of the new care pathway require future audits and additional simulation campaigns.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afae178.273