FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3204207234> ?p ?o ?g. }

• W3204207234 abstract "<h3>Background</h3> Guidance on clinical handover states that handover of care is one of the most perilous procedures in medicine and can be a significant contributory factor to subsequent error and harm to patients if done improperly. Following a local departmental paediatric quality and safety meeting in June 2020, concerns were raised about team handover; it was often rushed and disorganised, with lack of verbal or visual aides to support a structured handover. Ultimately there was concern that salient pieces of information relating to patient care risked being overlooked or missed in handover. <h3>Objectives</h3> The aim of this quality improvement project was to assess the quality and structure of daily paediatric team handovers from July to September 2020 on one paediatric ward. <h3>Methods</h3> As a result of the concerns raised in the quality and safety meeting, discussion was generated amongst two paediatric trainees about current handover practice. A fishbone diagram was completed, highlighting the potential causes, and contributing factors as to why handover was deemed unsafe. The RCPCH handover assessment tool (HAT) was used to make handover assessment sheets and handover practice was assessed. Following the collection of baseline data the extent of the problem was shared with the ward doctors at another quality & safety meeting. The decision was made to add safety points to the bottom of the handover list, comprising key areas including, safety briefing, ward management, and interesting/complex cases. <h3>Results</h3> Baseline measurement showed a median percentage compliance of 36% with safe handover points. Safety briefing points were added to the bottom of handover lists, following this intervention, reassessment of handovers showed an increase in compliance to 45%. Shortly after this there was a noticeable drop in compliance, which was felt to be attributed to a changeover of staff. An active reminder given by the senior incoming clinician to the doctor leading handover to use the safety briefing points, saw the compliance increase to 95%, with consistency. During this process, key issues were highlighted, including patients with the same forename, transfers out to paediatric intensive care and staff shortages amongst doctors and nurses. Of particular importance, patients with the same forename were moved away from each other on the ward to prevent any errors when delivering care. Using the safety handover points also generated group discussion and learning, particularly from cases transferred to intensive care. <h3>Conclusions</h3> Assessing several factors within the paediatric team handover was an ambitious task but clearly highlighted the problem that safety points were not delivered or conveyed in a safe or structured manner. Introducing safety briefing points at the bottom of the handover lists helped to provide a structured handover and ensured that the team were well informed when sharing the care of patients and transferring clinical responsibility. However, it was difficult to maintain consistency with the rotational nature of staff and emphasis on the use of the safety briefing points may often be needed." @default.
• W3204207234 created "2021-10-11" @default.
• W3204207234 creator A5011875769 @default.
• W3204207234 creator A5063837432 @default.
• W3204207234 date "2021-09-30" @default.
• W3204207234 modified "2023-09-25" @default.
• W3204207234 title "1422 Improving the quality and safety of the paediatric team handover" @default.
• W3204207234 doi "https://doi.org/10.1136/archdischild-2021-rcpch.633" @default.
• W3204207234 hasPublicationYear "2021" @default.
• W3204207234 type Work @default.
• W3204207234 sameAs 3204207234 @default.
• W3204207234 citedByCount "0" @default.
• W3204207234 crossrefType "proceedings-article" @default.
• W3204207234 hasAuthorship W3204207234A5011875769 @default.
• W3204207234 hasAuthorship W3204207234A5063837432 @default.
• W3204207234 hasBestOaLocation W32042072341 @default.
• W3204207234 hasConcept C111472728 @default.
• W3204207234 hasConcept C111852164 @default.
• W3204207234 hasConcept C127413603 @default.
• W3204207234 hasConcept C138885662 @default.
• W3204207234 hasConcept C15744967 @default.
• W3204207234 hasConcept C159110408 @default.
• W3204207234 hasConcept C160735492 @default.
• W3204207234 hasConcept C162324750 @default.
• W3204207234 hasConcept C198783460 @default.
• W3204207234 hasConcept C21547014 @default.
• W3204207234 hasConcept C2777363581 @default.
• W3204207234 hasConcept C2779328685 @default.
• W3204207234 hasConcept C2779530757 @default.
• W3204207234 hasConcept C41008148 @default.
• W3204207234 hasConcept C50522688 @default.
• W3204207234 hasConcept C545542383 @default.
• W3204207234 hasConcept C71405471 @default.
• W3204207234 hasConcept C71924100 @default.
• W3204207234 hasConcept C76155785 @default.
• W3204207234 hasConcept C77805123 @default.
• W3204207234 hasConceptScore W3204207234C111472728 @default.
• W3204207234 hasConceptScore W3204207234C111852164 @default.
• W3204207234 hasConceptScore W3204207234C127413603 @default.
• W3204207234 hasConceptScore W3204207234C138885662 @default.
• W3204207234 hasConceptScore W3204207234C15744967 @default.
• W3204207234 hasConceptScore W3204207234C159110408 @default.
• W3204207234 hasConceptScore W3204207234C160735492 @default.
• W3204207234 hasConceptScore W3204207234C162324750 @default.
• W3204207234 hasConceptScore W3204207234C198783460 @default.
• W3204207234 hasConceptScore W3204207234C21547014 @default.
• W3204207234 hasConceptScore W3204207234C2777363581 @default.
• W3204207234 hasConceptScore W3204207234C2779328685 @default.
• W3204207234 hasConceptScore W3204207234C2779530757 @default.
• W3204207234 hasConceptScore W3204207234C41008148 @default.
• W3204207234 hasConceptScore W3204207234C50522688 @default.
• W3204207234 hasConceptScore W3204207234C545542383 @default.
• W3204207234 hasConceptScore W3204207234C71405471 @default.
• W3204207234 hasConceptScore W3204207234C71924100 @default.
• W3204207234 hasConceptScore W3204207234C76155785 @default.
• W3204207234 hasConceptScore W3204207234C77805123 @default.
• W3204207234 hasLocation W32042072341 @default.
• W3204207234 hasOpenAccess W3204207234 @default.
• W3204207234 hasPrimaryLocation W32042072341 @default.
• W3204207234 hasRelatedWork W1596719665 @default.
• W3204207234 hasRelatedWork W2115644718 @default.
• W3204207234 hasRelatedWork W2147051678 @default.
• W3204207234 hasRelatedWork W2368458841 @default.
• W3204207234 hasRelatedWork W2883169070 @default.
• W3204207234 hasRelatedWork W2967787555 @default.
• W3204207234 hasRelatedWork W2973646538 @default.
• W3204207234 hasRelatedWork W3004922447 @default.
• W3204207234 hasRelatedWork W3110342445 @default.
• W3204207234 hasRelatedWork W4220806629 @default.
• W3204207234 isParatext "false" @default.
• W3204207234 isRetracted "false" @default.
• W3204207234 magId "3204207234" @default.
• W3204207234 workType "article" @default.