Personal and professional learning needs | |
• | ‘Review SIGN and NICE cardiovascular heart disease guidelines’ and ‘Need to update [my] knowledge on management and therapeutics of heart failure’ |
• | ‘Need for new knowledge on gout management’ |
• | ‘[Find out] how to liaise with social services about respite [care]’ |
• | ‘How different Quality improvement (QI) techniques can be used’ |
• | ‘Need to examine previous clinical notes to identify root of potential difficulties [that caused the detected patient safety incidents]’ |
• | ‘[What are the patient] self management issues in COPD |
• | ‘Revise indication for warfarin in atrial fibrillation’ |
Learning needs for the practice team | |
• | ‘Need to update diabetic guidelines on therapeutics and management’ |
• | ‘Need system for dealing with out of hours (OOH) mail’ |
• | ‘Need system for better medication reviews and monitoring’ |
• | ‘Need for [consistent] adverse event coding’ |
• | ‘Need to develop protocol for falls prevention’ |
• | ‘Need to develop more continuity in patient care’ |
• | ‘Address appointment availability’ |
• | ‘Examine how hospital discharge prescriptions are actioned’ |
• | ‘How to highlight medication errors to allow action’ |
• | ‘To improve communication within primary care team’ |
• | ‘How to carry out quality improvement techniques’ |
• | ‘How to do trigger review’ |
• | ‘Protocol for monitoring potential nephrotoxic [and hepatotixic] drugs’ |
Learning points | |
• | ‘[I realized the] importance of coding as a safety issue’ |
• | ‘[I] need to give more attention to out of hours summary sheets’ |
• | ‘Need to action more thorough [medication] reviews’ |
• | ‘How to carry out searches [to identify specific patient populations in the practice]’ |
• | ‘[I need to] revise medication interactions’ |
• | ‘[What are the] potential high yield triggers to identify problems’ |
• | ‘[What] factors are involved (medical & social) in warfarin prescribing’ |
• | ‘Recognition of the ‘cascade of error’ and need for root cause analysis’ |
• | ‘Positive learning that disease monitoring systems work well (COPD) [in this practice]’ |