Locums often find it hard to do meaningful quality improvement activity because they don't have access to practice computers when they are not employed to see patients, nor do they have the support of the wider primary care team beyond their contracted hours.
For help with access see
Access to clinical records for professional development activities (ROAN, 2019)
Access to clinical records for professional development activities (ROAN, 2019)
Here are some suggestions:
Case reviews.
Write up a case which interested you for whatever reason (e.g. a difficult consultation, unusual presentation or diagnosis, legal issue).
Describe the events, reflect on what happened and what you learned from this case.
What might you do differently if the same thing happened again?
Case reviews.
Write up a case which interested you for whatever reason (e.g. a difficult consultation, unusual presentation or diagnosis, legal issue).
Describe the events, reflect on what happened and what you learned from this case.
What might you do differently if the same thing happened again?
A simple prescribing audit comparing your prescribing with the local formulary.
Learning Event Analysis. (previously called significant event analysis, SEA).
What could you do to prevent the same event from happening again?
You must discuss these and develop an action plan with others.
What could you do to prevent the same event from happening again?
You must discuss these and develop an action plan with others.
Log your referrals.
How many were rejected and why?
How can you improve?
How many were rejected and why?
How can you improve?
See also:
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Appraisal Aid (National Association of Sessional GPs).
“Appraisal Aid is a comprehensive appraisal resource, giving both helpful advice and also very practical methods to actually perform appraisal activities and gather the resultant evidence." General Practice Locum Improvement Tool (Christopher Weatherburn, Shawkat Hasan, April 2014) |