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0057 A Simulated Approach To Handover
  1. Andrew McKechnie1,
  2. Amy Agahi2,
  3. Thomas Gelber1,
  4. Wayne McGearey1
  1. 1Royal Surrey County Hospital, Surrey, UK
  2. 2Imperial College NHS Trust, London, UK

Abstract

Background "Handover of care is one of the most perilous procedures in medicine, and when carried out improperly can be a major contributory factor to subsequent error and harm to patients."1

Changing work patterns such as EWTD and full shift rotas have created a need for improved handover of clinical responsibility and information. There is a growing recognition that enhanced training and systems for effective and safe handover are essential to maintain high standards of clinical care.2 Robust handover mechanisms are important for patient safety and a whole systems approach will be necessary to enable effective handover of all necessary information and responsibilities.3

We became interested in junior doctors experience of handover with a view to improving patient care.

Methods An online survey was distributed to the RSCH 2014 cohort of foundation year doctors asking a range of specific questions relating to their experience of handover. The plan was then to design and deliver simulation sessions targeting deficiencies in the handover process.

Results More than 50% of the foundation doctors were involved in handover at least twice a day and all 100% considered it an important part of patient safety. Despite this 50% had never received formal handover training although 82% thought that it would be beneficial. A worrying 40% had experienced at least one incident when patient safety was jeopardised as a direct result of poor handover. 100% selected simulation as the choice for training delivery.

We are now in the process of developing the appropriate simulation package to meet this critically important deficiency in training and will be able to present our final version at the conference.

Impact The Royal Surrey simulation handover project will address this deficiency and enhance patient safety. This is a national issue and we plan to roll out our programme beyond Surrey.

References

  1. Professor Sir John Lilleyman Medical Director National Patient Safety Agency, 2006

  2. JDC (2006) Safe handover: safe patients Guidance on clinical handover for clinicians and managers; British Medical Association

  3. Junior Doctors Committee (2003) Making IT work for hospital Juniors: Supporting Working Practices and Training with the New Contract and the EWTD. London: British Medical Association

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