AMRU is a high risk clinical area with a large throughput of increasingly complex and often frail patients. There are basic patient care and acute medical care needs and constant bed-flow pressures. Clerking –in processes, investigations and initial treatments, multiple ward rounds, multiple bed moves, discharges, concerned relatives, noise, distraction appear ever present. Attention to detail for individual patients reduces harm and improves outcome. This is especially true for frailer patients, for example those who have Parkinson’s or Alzheimer’s Disease. Previous clinical audit showed that 31% of patients did not receive at least one of their PD medications during their AMRU stay. So the Aim of this project is that by June 2015, 90% of patients with PD or AD will receive their first prescribed specialist medication , excluding patients who are nil by mouth.
