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Improving shared decision-making in pharmacist-led haematology clinics: a 'Plan Do Study Act' approach
Laura Ferro-López1, Nina Barnett2, John Minshull3
1Pharmacy, Royal Marsden NHS Foundation Trust, London, UK laura.ferro@nhs.net.
Summary
Improving shared decision-making in haematology clinics through pharmacist training and decision aids significantly boosted patient satisfaction. This person-centred care approach empowers patients and enhances their consultation experiences.
Area of Science:
- Healthcare Quality Improvement
- Patient-Centred Care
- Clinical Pharmacy Practice
Background:
- Person-centred care is crucial in healthcare, with shared decision-making as a key component.
- Effective shared decision-making is linked to improved patient satisfaction with care.
- Pharmacist-led clinics offer a platform for enhancing patient involvement in treatment choices.
Purpose of the Study:
- To improve patient satisfaction in pharmacist-led haematology clinics.
- To enhance shared decision-making processes between pharmacists and patients.
- To evaluate the impact of quality improvement initiatives on patient engagement.
Main Methods:
- Utilized Plan-Do-Study-Act (PDSA) cycles over 3 months with 142 consultations.
- Implemented a three-cycle quality improvement project.
- Introduced pharmacist training and decision-making aid leaflets.
Main Results:
- Patient satisfaction scores increased from 3.25/5 to 3.75/5.
- Satisfaction with 'Benefit' statements improved in the first cycle.
- Satisfaction with 'Risk' and 'do Nothing' statements improved in subsequent cycles.
Conclusions:
- Pharmacist training in person-centred care and shared decision-making enhances patient satisfaction.
- Empowering patients in decision-making improves their engagement and satisfaction.
- Developing pharmacy workforce skills is vital for an aging cancer population.
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