Maroo Siddharth, Raj Dipak
Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, UK.
BMJ Qual Improv Rep. 2017 Apr 28;6(1). doi: 10.1136/bmjquality.u212695.w5059. eCollection 2017.
Junior Doctors working on the Orthopaedic wards at a district general hospital identified the lack of a formal weekend handover. The Royal Colleges,GMC and Foundation Programme curriculum all emphasise the importance of a safe and effective handover. Doctors found that the current system of using a written, paper-based handover was unreliable, un-legible, and inefficient. Baseline measurements were sought in the form of a questionnaire which allowed us to obtain the limitations to the current handover. After this and a focus group, a new electronic, 'Microsoft Word' based handover was created and a repeat surgery issued in 2 weeks. Further PDSA cycles over the course of 8 weeks helped to improve and implement the new handover. The overall rating, out of 10, of the new handover increased from 3.4 to 8. Doctors felt the new handover was safer for patients and could be used as a tool for reviewing or referring patients. This project describes the use of a simple, cost-effective intervention that helped to improve patient safety and staff satisfaction.
一家地区综合医院骨科病房的初级医生发现缺乏正式的周末交接班流程。皇家医学院、英国医学总会（GMC）和住院医生基础培训计划课程都强调安全有效的交接班的重要性。医生们发现，当前使用书面纸质交接班的系统不可靠、字迹模糊且效率低下。我们通过问卷调查的形式进行基线测量，以了解当前交接班存在的局限性。在此之后，经过一次焦点小组讨论，创建了一种基于“Microsoft Word”的新电子交接班方式，并在两周内发布了重复手术信息。在接下来的8周内，通过进一步的计划-实施-检查-处理（PDSA）循环，帮助改进并实施了新的交接班方式。新交接班方式的总体评分（满分10分）从3.4分提高到了8分。医生们认为新的交接班方式对患者更安全，并且可以用作复查或转诊患者的工具。该项目描述了一种简单且具有成本效益的干预措施的应用，它有助于提高患者安全和员工满意度。
