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F1 PROJECTS SURGICAL HANDOVER Matthew Boardman & Ana Borges.

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Presentation on theme: "F1 PROJECTS SURGICAL HANDOVER Matthew Boardman & Ana Borges."— Presentation transcript:

1 F1 PROJECTS SURGICAL HANDOVER Matthew Boardman & Ana Borges

2 Introduction 20 to 30+ general surgical admissions per day 12 hour shifts Handover twice a day No formal record existed of patients admitted –ad hoc recording of patient details –hand written lists (  re-typing information  errors) –inefficiency Risk of patients: –being ‘missed off’ the list –not having key information handed over

3 Accident Causation Swiss cheese model of accident causation. James Reason, 2000

4 Guidance British Medical Association 1 recommends: –use of proformas –relevant IT support for handovers Royal College of Surgeons 2 sets out minimum data necessary for safe handover –(demographics, diagnosis, clinical info, jobs, etc.) 1.) British Medical Association: Safe Handover: Safe Patients – Guidance on Clinical Handover for Clinicians and Managers ) Royal College of Surgeons of England: Safe Handover: Guidance from the Working Time Directive working party. 2007

5 Aims Comprehensive electronic record of patient admissions –Accessible to the clinical team Improve consistency and accuracy of handover Improve patient safety

6 Method Initial audit Consultation with colleagues Development of proforma Communication Implementation of proforma Re-audit (+/- refinement)

7 The Proforma Patient demographics Problem and diagnosis Blood results Jobs Phone/bleep numbers and pancreatitis scoring

8 Results (Proforma implemented 1 st Feb 2011) % days where a patient list was recorded Initial audit Aug 2010 to Jan % Re-audit Feb to March %

9 Results Quality of data recorded improved after implementing the proforma

10 Feedback On-call lists now easier to find Simple to use proforma Allows quick transfer of information –time is saved (no re-typing of information) –risk of errors in copying data reduced –(pancreatitis scoring scale useful)

11 Conclusion A simple intervention that promotes clear communication can achieve significant improvements in the recording and transfer of patient information between on-call hospital teams Patient safety likely to benefit But….human factors are still key

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