iWRAHP: improving the ward round and handover process
| Autor: | Anthony Browning, Sonpreet Rai |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Ward round
020205 medical informatics Inpatient care business.industry Process (engineering) In Practice Report 030208 emergency & critical care medicine Health Informatics Clinical state 02 engineering and technology Social issues medicine.disease Education 03 medical and health sciences 0302 clinical medicine Handover Modeling and Simulation SAFER Health care 0202 electrical engineering electronic engineering information engineering medicine Medical emergency business Psychology |
| Zdroj: | BMJ Simul Technol Enhanc Learn |
| ISSN: | 2056-6697 |
| Popis: | Ward rounds were originally intended to educate medical trainees, providing opportunity to examine clinical signs and review symptoms. Over time, they have evolved to focus on supporting clinical practice. The ward round is now a multiprofessional, multifactorial process with healthcare professionals striving to provide high-quality patient-centred care in a reliable, reproducible and timely manner.1 Unfortunately, the effectiveness and efficiency of the ward round has not kept up with the increasing demand on physician time and the rising number of inpatients with more complex medical and social issues. The aim of improving the Ward Round And Handover Process (iWRAHP) is to deliver safer, faster, better levels of care to urology patients on the ward, aiming to improve patient flow and experience. Through reformatting the ward round process, the focus will be to categorise patients and prioritise the ward round based on their clinical state: The daily ward rounds will also introduce the concept of ‘real-time working’ of tasks, also known as ‘rounding-in-flow’.2 All healthcare workers involved with patient care on the ward were invited to simulated ward round sessions that ran over the course of 6 weeks. These low-fidelity, multiprofessional, in situ ward round simulation sessions involved two scenarios based around inpatient care. Delegates interacted with a patient actor and were provided with patient notes, observations and drug charts. Delegates … |
| Databáze: | OpenAIRE |
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