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 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 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 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 processand seeking director-level support. Taking these factors into account and workingaround the barriers, we aim to continue with the process, collecting data on confidencelevels, and extend this to community teams.ConclusionEngaging 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 listenand elicit information from the person at risk, and synthesise this information to inform the treatment plan.
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