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Page 40
Volume 2
Journal of Psychiatry and Mental Health Research
Psychiatry Nursing & Psychiatry 2019
June 17-18, 2019
Psychiatry & Mental health Nursing
Psychiatry and Mental Health
June 17-18, 2019 | Rome, Italy
4
th
World Congress on
2
nd
Global Experts Meeting on
&
Evaluating the use of multi-disciplinary team meeting sheets in older adult & adult
mental health in a tertiary psychiatric hospital in NHS Grampian, North Scotland
2019- a completed audit cycle
Sanah Ghafoor
Clinical Effectiveness Team, UK
Multidisciplinary care is common practice, although not uniform, throughout the country according to
National Institute for Health and Care Excellence(NICE). Practical implementation of multi-disciplinary care
is variable across different wards and is vital for effective communication and planning of patient care.
Multi-Disciplinary Team(MDT) meeting sheets were implemented in the Mental Health Service in NHS
Grampian following recommendations from an adverse event report involving a suicide in 2012. After the
initial audit, a further cycle was completed and the loop closed in 2019.
Aims were to evaluate whether attendance at the meeting was multi-disciplinary, evaluate the level of
completion of paperwork and to evaluate whether errors are documented appropriately. Method employed
included utilising a data collection tool created by the Clinical Effectiveness Team on the Older Adult and
Adult Mental Health wards over the course of one week in 2019.
Results showed an improvement in the use of MDT sheets across both Older Adult and Adult Mental Health
from n=18 to n=78 (a 77% increase), improved written documentation of changes (89% in previous audit
vs 99% in 2019), who was responsible for making those changes (61% vs 69%), an improvement in patient
identifiable information (67% vs 99%) and written evidence of staff members and designation present at the
meeting (89% vs 96%). Areas requiring improvement identified include legibility (94% vs 81%), accuracy of
recording errors and signature/designation (94% vs 90%/78% vs 76%) of staff on MDT sheet.
The recommendations were discussed at the Audit & Clinical Effectiveness Meeting in the Mental Health
Service in NHS Grampian. These included typing/writing in capital letters to improve legibility, providing
education via email/at handover on accuracy of recording errors and finally promoting joint medical & nursing
responsibility for signing and completing paperwork. Further re-auditing once changes are implemented may
be required.
J Psych and Mental Health Research, Volume 2