QI
Allowing you to achieve incremental and measurable changes to make a real difference to patients
Checking Second Hand Smoke Exposure
Paediatric Asthma Annual Review
QI projects are built as a TWO-PART component
Part 1 | |
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Setup Here you set up and understand the project, ensuring you have everything in place to start your project |
Part 2 | |
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Project Here you have all the tools and resources to keep track of your progress towards completing the project successfully |
Better setup, better success
Setup
Getting started
Getting started
Start by working through the set-up phase of this project, setting yourself a goal according to the time you have available to dedicate to this project, ensuring your team are aware of the project and you have been given the authorisation from your practice manager to complete the project.
Progress through the Set-up phase of your QI project before moving down to the Project phase.
The aim of this QI project
The aim of this Quality Improvement Project is to ask 20% or more parents about second-hand smoke exposure and provide very brief advice (VBA) at their children’s asthma review. Evidence with the appropriate SNOMED code in their child’s notes by November 2021.
Who is this project suitable for?
This QI project is aimed at primary care teams who have a register of Paediatric Asthma patients.
Why is this important?
Data collected from GP practices across Wales suggest that less than 1% patients on the paediatric asthma registers have been asked about their exposure to second hand smoke and their parent’s offered Very Brief Advice.
This QI project will ensure that these conversations are happening during every Paediatric Asthma Review, and these conversations are being coded.
What will I get for completing this project?
Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.
On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.
Mark Complete
Readiness
Make sure you have the knowledge and expertise to undertake this project successfully.
If you are confident you have the skills and knowledge to manage a paediatric patient with Asthma and assess their future risk, mark this section as complete using the button below.
If you want to check your level of understanding, or need a refresher, check out the associated learning and assessments for this QI project, in line with the All Wales approach.
Mark Complete
Assessments:
Education programmes:
Mark Complete
Your capacity
Capacity is the most important aspect for the successful completion of any project – ensure you have the capacity, time and ability to complete your project in a suitable timeframe.
Start by outlining how much time you have to commit to this project.
For example: Over the next six weeks, I will commit one 4-hour clinic (Wednesday afternoon) to completing this project.
And use the calculator provided to work out how many patients you can review in this time.
It is estimated that each patient action for this QI project will take 15 minutes, but adapt locally.
When estimating the time for each patient action on this QI project, think about how long it takes for a paediatric asthma review, and to enter the correct code into the patient’s notes.
When will my project start:
When will my project be completed by:
How much time do I have to dedicate to my project each week
Each patient action for the project will take minutes
Recommended time is minutes per patient.
EditYour current capacity
Please complete form to calculate capacity
Mark Complete
Communication pack
It’s important that your colleagues know about the project.
You may want to include colleagues in the project, and they may need to know about other demands on your time. Let them know that you are focusing on QI with these useful resources.
Mark Complete
Milestone Map
Keep track of your set-up progress and make sure you are on track to getting started with your project with the timeframe you have added in your capacity calculator.
Your Progress
Getting started
Readiness
Your capacity
Alignment
Communication pack
Milestone Map
Start Date
Not Set
End Date
Not Set
Mark Complete
Project
Project overview
The aim of this QI project
The aim of this Quality Improvement Project is to ask 20% or more parents about second-hand smoke exposure and provide very brief advice (VBA) at their children’s asthma review. Evidence with the appropriate SNOMED code in their child’s notes by November 2021.
A recap on the evidence
Data collected from GP practices across Wales suggest that less than 1% patients on the paediatric asthma registers have been asked about their exposure to second hand smoke and their parent’s offered Very Brief Advice.
This QI project will ensure that these conversations are happening during every Paediatric Asthma Review, and these conversations are being coded.
What will I get for completing this project?
Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.
On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.
Instructions
Project steps
Step 1
Update Paediatric Asthma Annual Review templates if necessary, to ensure patients are asked about exposure to second-hand smoke.
Step 2
During reviews, record correct code for every patient asked, and where there is exposure to second-hand smoke offer very brief advice to parents/ carers.
Step 1 – Update the Asthma Review templates
Update the templates that inform a Paediatric Asthma Annual Review, ensuring that the following actions are made for every patient:
- The patient is asked about their exposure to second hand smoke
- If the parent/ carer of a child with asthma smokes, that caregiver is offered some very brief advice (VBA)
Step 2 – During the Asthma Review
For every paediatric asthma patient who attends a review of their asthma, ask whether they are being exposed to second hand smoke and code accordingly:
Not a passive smoker
- Read Code: 137U
- SNOMED Code: 315213009
Passive smoking risk
- Read Code: 13WF4
- SNOMED Code: 161080002
If the patient is at risk, it is important to offer Very Brief Advice to the parent/ carer, and a referral made to smoking cessation. See below for more information.
If the child is being exposed to second hand smoke or are at risk of exposure, the caregiver should be offered some very brief advice and/or referred for smoking cessation, and this should also be coded.
Very brief advice (VBA) to reduce the patient’s exposure to second hand smoke should include the following three steps:
- ASK and record smoking status—is the patient a smoker, ex-smoker, or non-smoker?
- ADVISE on the best way of quitting—the best way of stopping smoking is with a combination of medication and specialist support
- ACT on patient response—build confidence, give information, refer, and prescribe. Patients are up to four times more likely to quit successfully with NHS support
Recording your progress
For every patient whose record you change, be sure to record this in the ‘Progress’ section of the QI platform.
Progress
Add the number of patients that you have addressed according to this project.
You should see your progress bars increase as you get closer to your goal.
Your current capacity
Please complete form to calculate capacity
Click on the chevrons for more information on your progress
Project data not set. Please complete your project's capacity settings.
Project data not set. Please complete your project's capacity settings.
Certificate
Your dynamic certificate can be found below. You can generate a certificate at any point during your QI project, and the certificate will be updated when you make further progress.
Sign Off
This QI project can be signed off by yourself.
Please sign off by clicking the button below. This will make your certificate available.
