Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam...
-
Upload
dinah-powell -
Category
Documents
-
view
218 -
download
1
Transcript of Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam...
![Page 1: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/1.jpg)
Electronic handover (eHandover): towards safer medical care
Quality Improvement Team:Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFTMr. Stuart Morrison, IT Business Analyst (Specialist Medicine & Surgery), CMFTMr. David Van Dellen, Transplant Surgeon, CMFT
![Page 2: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/2.jpg)
Handover: Service DeliveryGeneral SurgeryWord document handover template only accessible on one computer
Clinical Audit (August – September 2013)Poor compliance with Royal College of Surgeons standard
Handover Item Compliance
Clinical presentationInvestigations/resultsBed numberEarly warning score
82%63%20%4%
Suboptimal service delivery
![Page 3: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/3.jpg)
Handover: Working EnvironmentQuestionnaire of current FY1s (n=26) at CMFT, January 2014
•74% - current handover template / patient list is inefficient
•68% - spend >20 minutes/day updating basic details
•One-computer access – spend >30 minutes/days on average walking/waiting
Suboptimal working environment
![Page 4: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/4.jpg)
Electronic Patient Record (EPR)
![Page 5: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/5.jpg)
Electronic-based ‘live-list’ for all current inpatientsAutopopulates basic information: demographics, consultant, location, EWS etc.
eHandover platform
![Page 6: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/6.jpg)
Functionality
•Alerting if a handover task if overdue•Integration with EPR – transparency•Handover uniformity across specialties•Everything is recorded and auditable•Compliance with BMA, RCP & RCS guidance
![Page 7: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/7.jpg)
Cost AnalysisThe £1500 will be used to pay for the customisation work required to make the facility work on any appropriate mobile device.
Time Frame: Q2 financial year 2014/15Surgical division has highlighted this as an area of priority
![Page 8: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/8.jpg)
SWOT AnalysisSTRENGTHS
PatientsStaff • accessible throughout the trust• flexible and time-saving • specific instructions for nights/weekends• training/educationNHS• consistency across specialties• transparency • weekend discharges
WEAKNESSES• cultural shift • locum doctors (access)
OPPORTUNITIES• ongoing EPR support• dissemination• paperless NHS
THREATS• Caldicott
![Page 9: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/9.jpg)
Technology in Medicine
Government Target: NHS should be paperless by 2018
RCP: in the current technological climate, where possible, electronic handover processes should be encouraged.
Thoughts of current FY1s at CMFT:•96% - welcome eHandover and deem it essential•96% - improve working environment •100% - improve patient safety
![Page 10: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/10.jpg)
Expansion
![Page 11: Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr.](https://reader030.fdocuments.in/reader030/viewer/2022032703/56649d135503460f949e7036/html5/thumbnails/11.jpg)
Summary of Our Bid£1500 towards development for electronic portable devices
Health Secretary, Jeremy Hunt: “Only with world class information systems will the NHS deliver world class care”