Improving Documentation of Medicines Administered to Phil health Patients at the Medical Ward of Davao Medical Center

Team members (write the names of members)

Introduction

STEP 1 Reason for Improvement

MULTIVOTING
Theme A. B. C. D. E. 1st Vote 2nd vote 3rd Vote

Theme Selection Matrix

THEMES Nurses Documentation CUSTOMER(S) Internal: Nursing personnel, Doctors, Medical records personnel, External: Patients, PHIC Audit Team, Trainees and affiliates Internal: Health Personnel External: Patients

IMPACT ON CUSTOMERS

NEED TO IMPROVE

OVERALL

RANK

25

Staffing

20

Knowledge on Hospital Policy

Internal: Health Personnel External: Patients

12

Step 2 Current Situation

Proportion of Completeness of Medication sheet of Phil health charts at Medical Ward for First Quarter of 2007 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Jan Feb March

Complete Incomplete

Problem Statement: From January 1 to March 31, 2007, 66% of medication sheet of Phil Health patients charts at the Medical Ward of Davao Medical Center were incomplete; thus causing delays in PHIC claims and reimbursement. Target for Improvement: By the end of December 31, 2007, Incomplete medication sheet at the Medical Ward will be reduced to 30%.

Step 3: Analysis
Process

Incomplete Medication sheet

Materials

Nurse

Step 4 Countermeasures

Problem Statement: From January 1 to March 31, 2007, 66% of medication sheet of Phil Health patients charts at the Medical Ward of Davao Medical Center were incomplete; thus causing delays in PHIC claims and reimbursement. Target for Improvement: By the end of December 31, 2007, Incomplete medication sheet at the Medical Ward will be reduced to 30%.
Countermeasures Practical Methods Tasks Resources Who Does Start Date End Date How Done

Action Plan

Compliance with Standards Of nursing Practice on documentation

Reorientation Seminar on docu mentation Every Other month

Prepare Training materials

Visual aids On Standards of Nursing Practice Hosp. Guidelines and policies

Vilma L. Comoda, Elizabeth Barriga, Lani Paler, Charito Bargamento, Christine Aquino

Aug. 15, 2007

July 15 2008

Coordinated with Training office and assistant chief nurse For schedule Of staff

Step 5 Results
Proportion of Completeness of Medication sheet of Phil health charts at Medical ward in 2007
100% 90% 80% 70% 60% 50% 40% ---------------------------------------------30% 20% 10% 0%
I N T E R V E N T I O N

Target 30%

COMPLETE INCOMPLETE

M AY

JU LY

AU G OC T

JA N

CH

M AR

BEFORE

AFTER

DE

Step 6 Standardization

Step 7 Future Plans