Improving patient experience, communication and care through digital technology – RITA
- Winning idea
Meet the team
- Alison Thayne - Dementia Lead
- Joana Dias - Senior Sister
- Helen Hall - Research & Evaluation Service
- TBC patient representative
What is the challenge your project is going to address and how does it connect to the theme?
Barriers to communication can be linked to a wide variety of factors including: Learning difficulties, Memory impairments, Mental Health issues, Stroke, Intubation and Language barriers and can be distressing for service users and staff alike.
Our project will pilot the introduction of RITA (Reminiscence Interactive Therapy Activities) for inpatients living with dementia. Patients with dementia are at higher risk of falls and pressure ulcers. Hospital admission can trigger distress, confusion and delirium. Contributing to a decline in functioning and a reduced ability to return home to independent living. During hospitalisation patients with dementia fall more frequently than patients without dementia (12 % versus 3 %). Reduced communication could mean the patient may be less able to tell someone that they are in pain or want to move, which can impact pressure ulcers, agitation or restlessness. All of which can have a direct effect on quality and length of the patient’s stay.
What does your project aim to achieve?
To integrate and evaluate the use of RITA in an identified ward with patients who have dementia and other complex needs.
(Quantitative routine data)
- Improved pain control, behavioural scores, nutrition and hydration.
- Fewer pressure sores and falls.
- Leading to overall reduction in length of stay and delayed transfers of care.
(Qualitative data from patients, family and staff.)
- Improved patient experience, engagement – better anticipated patient’s needs.
How will the RITA tool achieve this?
- Greater communication and relationship with health care staff through interaction with RITA.
- Less time in bed during the day through group interactions with the tool. Sleep awake cycles become more regulated.
- Less agitated and more stimulated throughout the day.
- Increased interaction with staff and other patients
How will the project be delivered?
Exploration: A recent service evaluation has identified area requiring improvement. Implementation barriers and facilitators are currently being identified through stakeholder engagement and a capacity to implement assessment has been undertaken. Fidelity and outcome benchmarks are being identified.
Installation: Resources identified, organisation time planned, local governance requirements and training requirements reviewed.
Implementation: Initiate improvement cycles, monitor and manage implementation drivers, achieve fidelity and outcome benchmarks, further improve fidelity and outcomes.
Mixed methods evaluation of the intervention and cost benefit analysis will be carried out alongside the implementation to understand patient and staff experiences and acceptability of the intervention and report outcomes such as falls, length of stay and other safety reports compared with baseline data.
A risk assessment will be undertaken to document potential undesired impact of the introduction of the technology.
How is your project going to share learning?
Project outcomes and learning will be shared within the Trust via Leadership Forum, Patient Experience Committee and displayed on the Trust’s Quality Improvement page (and potentially the ICS QI page, once it is set up).
They will also be shared through the Q community, professional networks, conferences and on social media (we will explore journal publication)
How you can contribute
- General sense check
- What areas do we need to develop more
- Suggested Links / networking
|1 Jan 2022||Pre change - Data collection|
|1 Feb 2022||Enhanced Supervision and Engagement Service Evaluation|
|18 May 2022||Engagement and Identification of Stakeholders.|
|14 Jun 2022||Commence training of patient facing staff|
|14 Jun 2022||Connect with other project teams utilising the same technology|
|27 Jun 2022||Commence implementation of new devices|
|1 Jul 2022||Service user and staff evaluation of new devices|
|7 Jul 2022||Monitoring progress and sharing learning|
|18 Jul 2022||Commence post implementation audits|
|9 Jan 2023||Review impact of introducing change idea|
|10 Jan 2023||Update and start implementing spread plan|