Table 3

Implemented change initiatives from each case

CaseTeam goalImplementation actionExemplar quotes
WillowImprove the number of delayed dischargesAudit and feedback of rounding timesWe mentioned about the doctors' rounds, that was one huge issue…we did a study on the times to see if we could improve things. So I think doctors, they're doing their rounds more efficiently now…which helps patient flow (Nurse3W)
Improve communicationMDT huddle introducedthe huddle really helps…It's more effective communication at an appropriate time when people can actually focus and take it all on board (AHP4W)
Improve workflowTeam completed a Lean 5S to organise, clean, develop and sustain a productive work environmentI think things are running a bit, the ward runs smoother (Support staff1W)
BrickleyImprove role clarityDevelopment of poster to distinguish staff uniforms{patients} might know who the nurse is from the colour of the uniform, but they would not know who anyone else is (Nurse4B)
Improve communicationMDT huddle introducedThe MDT huddle is a small thing but it's hugely helpful…just allows us to plan a little bit better for our patients… (Medic1B)
Improve patient satisfactionDevelopment of a patient information leaflet to improve awareness of the teamA lot of patients they're not really aware of what the {unit} is or anything so a lot of those things {the leaflet} I thought were really positive to kind of come out of it (AHP2B)

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