Shared learning database
Type and Title of Submission
Implementing guidelines on lipid modification & hypertension to our primary care teamDescription:
Power point presentation to all clinicians (prompted by learning need on what to do with all those cholesterol results) Simple guidelines on management of new and ongoing hypertensives.Category:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
CG 34, CG 67, CG 71 - Hypertension, Lipid modification, Familial hypertensionCategory(s) that most closely reflects the nature of the submission:
Description of submission
To improve our management and understanding of lipid modification.Objectives
1.Improved management of lipid modification. 2.Improved management of hypertension. 3.More efficient use of clinician's time.Context
Our starting point was a realisation that we were doing too many cholesterol tests, and were not all competent in dealing with themMethods
1.We have reduced the number of lipid tests done. We have increased our prescribing of 40mg simvastatin. We overcame the uncertainty of clinicians about how often tests should be done by an educational session and clear guidelines.We overcame patients' misapprehensions about this by using a specific patient information leaflet-see attached 2.We have a new protocol for managing hypertensive patients. This includes a CVS risk assessment, & clear guidelines of the tasks assigned to each clinician. 3.Both changes above contributed to more efficient use of clinician's timeResults and evaluation
We have noticed a subjective reduction in lipid results - see attached results. We finding some patients who can benefit from an increase in their dose of simvastatin to 40 mg. We have not yet had time to audit this.Key learning points
1. Involve the whole team of clinicians in shared learning. 2. Emphasise the benefits (improved patient care, improved job satisfaction, reduced time wasted) 3. Keep the key messages as simple as possible. 4. Implement written protocol promptly after educational session. 5. Encourage clinicians to discuss with each other until fully familiar and confident with concepts & guidelines.
View the supporting material
|Name:||Dr D Cashin|
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This page was last updated: 26 August 2009