28 The roadmap to success: creating unit-based teams to increase family centered rounding and improve care team communi

Abstract

Results Following PDSA 1, there were reductions in mean time from referral to PET (40.5 to 27.3 days), to CT/MRI Brain (35.8 to 18.8 days), and to diagnosis (41.4 to 30.1 days), all significant by special cause variation. Following PDSA 2, the percentage of LC clinic patients with a CT chest recommending clinic referral increased (25.2% to 37.0%, p=0.041), with increased recommendations from regional hospitals (4.2% to 16.5%, p=0.022). When a radiologist recommended LC clinic referral, time to referral and assessment were faster (7.3 vs. 15.5 days, p=0.0001; 20.3 vs. 26.2 days, p=0.001, respectively). Conclusions Standardization of radiologist reporting and LC clinic triage led to significant improvement in timeliness of specialist access, diagnosis and staging investigations.