Implementation of a surgical handover tool in a busy tertiary referral centre: a complete audit cycle

Irish Journal of Medical Science
J P GibbonsD Kavanagh

Abstract

The implementation of the European work-time directive has created increased transitions of care during weekends as doctors adhere to a shift-work structure. This raises concerns over continuity of care and patient safety. To address this, doctors must develop a time efficient yet safe system of handover of patients to the team on-call. Intuitively weekend care provides the ideal setting to develop a handover tool. To develop and implement a process of surgical handover and to improve weekend discharge rate on a surgical service. Data was collected at three time-points over a 6 months period (October 2013-March 2014) encompassing development, implementation, re-evaluation and modification of the handover process. The outcomes measured were: number of inpatients, number of weekend discharges, length of stay (LOS) of inpatients recorded for the four weekends within the month, and total emergency response team (ERT) calls each month. Mean number of included patients each month was 294 (σ = 14). Following the introduction of weekend handover there was a 40 % increase in weekend discharges which was consistent for subsequent time-points (p < 0.05). Following the second intervention there was a statistically significant reduction in ...Continue Reading

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Citations

Nov 1, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Matthew MardisLee Ann Riesenberg
Sep 4, 2017·Irish Journal of Medical Science·A White-GibsonD Kavanagh
Feb 17, 2018·Irish Journal of Medical Science·Aoife C KiernanBridget Egan
May 27, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Chia-Yu ChiuDasol Kang
Jul 22, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Noura NickelJoana Machry

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