1. Patient Diaries Are we using them? Diary used 36% No diary 64%
A. Chary
S. Ison
C. MacFie
Integrated Critical Care Unit
Newcastle Upon Tyne
Hospitals Foundation Trust
Background
Critical illness is psychologically challenging. Many patients experience poor quality of life after discharge. A diary can assist recovery by filling memory gaps.
Audit Methods
Objective
Assess and increase diary use
Duration
14 days per cycle
Recruitment
Cycle 1: n=25; Cycle 2: n=17
Inclusion
Over 72 hours ICCU admission
Outcome
Utilisation of patient diary
Results
No diary
64%
Diary
used
36%
What do patients think?
“It helped me make sense of my hallucinations during my illness”
“I would have appreciated a patient diary to jog my memory”
“It has really helped my wife to come to terms with my ITU stay”
Interventions
Conclusions
Continue ICCU Staff education
Safety huddle messages
Audit of patient satisfaction
Re-audit in November 2018
User friendly guidelines
Multi disciplinary education
Milestone photographs
Formation of Patient Diary Team