Improving the Information Provided to Patients Prior to Undergoing Varicose Vein Procedures

Research has shown that the provision of appropriate patient information has the potential to positively impact patient autonomy, understanding and satisfaction. This quality improvement plan focused on improving the provision of information to patients prior to varicose vein procedures. At the project site, the patient information leaflet for varicose vein procedures was suggested by the vascular team to be out of date in terms of treatment options. The Lean Six Sigma approach to quality improvement was used to investigate the problem. Deficits were identified compared to best practice guidelines with respect to currency, readability, clarity and use as a decision-making aid. Furthermore, complications discussed in the consent form did not match those on the patient information leaflet. There was also no provision of a suitable leaflet for patients with a limited English proficiency. Following a root cause analysis, improvements were proposed including the development of a process for evaluation and creation of a patient leaflet that conforms to best practice guidelines, incorporating both vascular team and patient opinion. A team member responsible for this quality improvement process was subsequently identified. The complications in the consent form and those on the patient information leaflet would be closely aligned. Also, provision would be made for patients with limited English proficiency by way of written translated notes on the patient leaflet or recorded notes on the patient's smartphone by the interpreter at consultation. Implementation and maintenance of this project plan would facilitate closer alignment with the HSE objectives of high-quality patient centered care.