69 ‘The model ward’: a stroke and specialist gerontology ward in a level three hospital in Ireland

Abstract

Abstract Background A model ward adheres to formal processes and combines input from all members of the Multi-Disciplinary Team (MDT) from admission to discharge ensuring high quality patient care. A stroke and specialist gerontology ward in a level three hospital in Ireland leads this approach with MDT meetings every morning. Research has demonstrated that pre-round MDT meetings decreases length of stay, increases patient safety and enhances patient and staff experience. This audit evaluated the impact of pre-round MDT meetings on a stroke and specialist gerontology ward in a level 3 hospital in Ireland, as per NICE and New South Wales guidelines. Methods The audit was conducted between 25/04/2023 and 26/04/2023 via questionnaire consisting of 10 closed and 2 open ended questions. Staff members who attend meetings completed questionnaires and responses were confidential. 20 questionnaires were completed. Results 100% of members (n = 20) found pre-round MDT meetings useful, aided with better delivery of care, reduced daily stresses and all key disciplines were represented. 85% (n = 17) stated it hastened patient discharge. 90% (n = 18) reported all opinions are brought together openly and patient-centred goals are established. 95% (n = 19) found overall aims, next steps and timeframes are agreed and the meetings make them feel unified. 80% (n = 15) of members previously worked on wards with no pre-round MDT meetings. Of those 15, 87% (n = 13) saw an improvement in patient care compared to other wards. 50% (n = 10) of members recommended no improvements necessary for meetings, 30% (n = 6) recommended earlier meetings, 15% (n = 3) would like more disciplines represented and 5% (n = 1) recommended alteration of seating positions for inclusivity. Currently consultants and registrars sit at the main table. Conclusion The results highlight the valuable impact of pre-round MDT meetings in providing continuous patient-centred care. This suggests further exploration by potential implementation of these meetings on other wards in hospitals.