Article Text
Abstract
Background Delirium is a common hospital presentation among the elderly population. Chronicity of this condition necessitates that relatives and carers have better access to information. Patient information leaflets offer a simple and cost-effective solution to managing patient education.
Aim(s)/objectives To improve leaflet distribution in Plan, Do, Study, Act (PDSA) cycle 1 and to improve information, aesthetics and educational quality of the current delirium information leaflet in PDSA cycle 2.
Methods PDSA cycle 1 focused on leading improvement in leaflet distribution. Interventions included putting up posters around the ward, introducing the project in team meetings, via emails and moving the leaflet stand to a more visible location. In PDSA cycle 2, baseline data on the quality of the current leaflet was gathered using a questionnaire. A pilot leaflet was developed based on the feedback. The pilot leaflet was surveyed again for quality assessment and to gain further feedback.
Results In PDSA cycle 1, delirium leaflet distribution for weeks 1–3 was 40%, 0% and 20% respectively. Following an implementation of intervention measures, it increased to 110%, 120% and 100% in weeks 4–6 respectively. In PDSA cycle 2, mean ‘Aesthetic Quality’ score improved from 5.14 to 8.71 (p<0.00001), ‘Quality of Information’ from 5.86 to 8.94 (p<0.00001) and ‘User Knowledge Rating’ from 5.43 to 9 (p=0.00003).
Conclusion Overall, we achieved an increase in leaflet distribution and succeeded in developing a new and improved pilot leaflet. Due to the generalisable nature of this quality improvement project, we believe that the framework can be used elsewhere to improve health information management and provision.