Reducing delays in time-critical medications for Parkinson’s disease: a multifaceted, multiprofessional quality improvement project (30 January 2026)

Summary

When people with Parkinson’s disease (PD) are admitted to hospital, control of their symptoms can deteriorate, often due to delayed or incorrect medication administration. The aim of this project was to improve the administration of PD medicines for hospital in-patients in Northumbria Healthcare NHS Foundation Trust. Specifically, the authors of the study aimed to administer 95% of PD medicines within 30 minutes of the prescribed time and to eliminate delays of >60 minutes for PD medications.

To achieve these aims, the authors developed a multifaceted quality improvement project, led by a multidisciplinary team, that ran over a period of 2 years. The outcome measure in this project was the time delay between the time a given PD medicine was scheduled to be administered and the time at which it was recorded as having been administered by nursing staff.

The project demonstrated a significant reduction in delays in medicines administration for patients with PD. The success of the project came from the cultivation of multiprofessional ‘ownership’ of the problem, in combination with an appreciation of the patient’s lived experience, through visualisation of how poor symptom control can impact on a person’s ability to move. Whilst it is not possible to comment on the long-term sustainability of the project, the authors were encouraged that the changes were maintained throughout the 6-month sustain phase for both medicine administration targets.

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