0054 A Simulated Approach To Handover Training. (1st November 2014)

• Record Type: Journal Article
• Authors: McKechnie, Andrew; Agahi, Amy; Gelber, Thomas; McGearey, Wayne
• Is Part Of: BMJ simulation & technology enhanced learning. Volume 1(2015)Supplement 1
• Page Start: A66
• Page End: A66
• Publication Date: 2014-11-01
• Subjects: Category: Course or curriculum evaluation/innovation/integration; Medicine -- Simulation methods -- Periodicals; Medical innovations -- Periodicals; 610.113
• DOI: 10.1136/bmjstel-2014-000002.160
• Languages: English
• ISSNs: 2056-6697

Abstract

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 We became interested in junior doctors training in the handover process 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 extent of formal handover training and any evidence of patient safety issues as a result of poor 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 preferred form for training delivery. We are now in the process of developing the appropriate simulation package and will present our final version. Impact: Handover is a vital area of medical practice but one where training is deficient. The Royal Surrey simulation handover project will address this need and enhance patient safety. This is a national problem and we plan to roll out our programme to the wider medical community. References: Professor Sir John Lilleyman Medical Director National Patient Safety Agency, 2006 JDC (2006) Safe handover: safe patients Guidance on clinical handover for clinicians and managers; British Medical Association 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