A quality improvement project to assess and refine the handover process at morning trauma meetings
| Autor: | Intesar Nur, Sherif Elerian, Salman Sadiq, Atul Malik, Muaaz Tahir, Angus Bruce, Diya Baker |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Protocol (science)
Past medical history Data collection Quality management business.industry DMAIC Information quality General Medicine medicine.disease Trauma orthopaedics handover quality improvement femur 03 medical and health sciences 0302 clinical medicine Handover 030220 oncology & carcinogenesis Quality Improvement Study medicine 030211 gastroenterology & hepatology Surgery Observational study Medical emergency business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Background Poor handover and inadequate transmission of clinical information between shifts can result in patient harm. This study was designed to evaluate the impact of implementing a handover protocol on the quality of information exchanged in the trauma handover meetings in a UK district general hospital. Methods A prospective single centre observational study was performed at an acute NHS trust, using the define, measure, analyse, improve and control (DMAIC) methodology. Ten consecutive weekday trauma meetings, involving 43 patients, were observed to identify poor practices in handover. This data was used in conjunction with the Royal College of Surgeon's recommendations for effective handover (2007) to create a standard operating protocol (SOP). Following the implementation of the SOP, a further eight consecutive weekday trauma meetings, involving a further 47 patients, were observed. The data collection was performed by five trained independent observers. The data was analysed using t-test for quantitative variables and chi-square or Fisher's exact tests for categorical variables. Results An improvement in the trauma handover was demonstrated in multiple aspects of trauma handover including patient's past medical history, date of injury, results, diagnosis, consent, mark and starvation status (all p Highlights • Poor handover of clinical information results in patient harm. • A research method has been proposed to assess the clinical handover process. • A handover protocol improved the transfer of patient information. • A significant improvement in the handover of neck-of-femur patients was observed. • The protocol can be utilised by other similarly structured orthopaedic departments. |
| Databáze: | OpenAIRE |
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