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Dispensing - priorities Continuous considerations - Coggle Diagram
Dispensing - priorities
Continuous considerations
Each person has their own priorities relating to their own work - how do we know how this affects overall flow?
Oncology
Authorisation dates may not currently help us to prioritise well. Are dates giving us the best guide?
Aberatarone
Changing from community to hospital supply
How
By clinical
need
See the PowerPoint slide
By date required
By time
"we don't have a cut off"
What if we strictly finish at 5.30?
Things come in late in the day
Feedback
mechanisms
Printed
Reviewed for priority
Ordered in the pile
Challenges
Priority conflicts
Need it verified now, but verifier is busy
The week
Monday mornings quiet
Managing big orders
Flow
in busiest times
Senior techs are on the bench
Picking up what's needed to be QC'd
Call for help
Pharmcists
Call for help
Control validation
Validators assign priority
Communications
Morning huddles
Technicians
Pass on messages to team
Pharmacists
Pass on messages to team
Hatch or letterbox?
Discourage waiting
Encourage letterbox use
Implementation
PDSA
Test poster - reduce variation - follow guideline
Test late night finish time
Last person out
write leaving time
Paper by the door
Test / measure huddle conversations
Ayr - daily
How was late night last night?
Test prioritisations
Observation
Conversations with colleagues
Test new order at point of validation
Can we follow it
Try with three people
What problem
are we trying to solve?
Person-centred turnaround times
Site differences
Pharmacist validation throughput