there was a marked improvement in clinical
documentation. The audit measured the
quality of risk assessment, risk management
plans and progress notes against
locally devised standards of practice,
including rating the risk based on historical
factors, clinical factors, situational
and protective factors. In December 2013,
40% of clinical documentation was compliant
with these standards; by March
2014, 74% was compliant.
Barriers
Barriers to the implementation of reflective
peer review can include:
» Time factors;
» Workload pressures;
» Lack of suitable peers; and
» A resistance to change.
These can be overcome with determination,
clarity around the aims of the process
and seeking director-level support. Taking
these factors into account and working
around the barriers, we aim to continue
with the process, collecting data on confidence
levels, and extend this to community
teams.
Conclusion
Engaging with and assessing those who
are at risk of suicide is an important and
complex task for healthcare workers. Staff
need to have skills and courage to listen
and elicit information from the person at
risk, and synthesise this information to
inform the treatment plan.
there was a marked improvement in clinicaldocumentation. The audit measured thequality of risk assessment, risk managementplans and progress notes againstlocally devised standards of practice,including rating the risk based on historicalfactors, clinical factors, situationaland protective factors. In December 2013,40% of clinical documentation was compliantwith these standards; by March2014, 74% was compliant.BarriersBarriers to the implementation of reflectivepeer review can include:» Time factors;» Workload pressures;» Lack of suitable peers; and» A resistance to change.These can be overcome with determination,clarity around the aims of the processand seeking director-level support. Takingthese factors into account and workingaround the barriers, we aim to continuewith the process, collecting data on confidencelevels, and extend this to communityteams.ConclusionEngaging with and assessing those whoare at risk of suicide is an important andcomplex task for healthcare workers. Staffneed to have skills and courage to listenand elicit information from the person atrisk, and synthesise this information toinform the treatment plan.
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