Improving weekend handover between junior doctors on medical and surgical wards

Poor weekend handover has been implicated as one of the causes of observed higher mortality rates at weekends in UK hospitals. In a large teaching hospital we, a group of junior doctors, set about improving the quality and effectiveness of weekend handover. We used the Model for Improvement to imple...

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Autores principales: Bethune, Rob, Campbell, Kate, Rose, Alex, Wassall, Richard, Price, Catherine, Siese, Thomas, Finn, Roisin, Whitaker, Sean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2014
Materias:
BMJ Quality Improvement Programme
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663809/
https://www.ncbi.nlm.nih.gov/pubmed/26734230
http://dx.doi.org/10.1136/bmjquality.u483.w1045
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author Bethune, Rob
Campbell, Kate
Rose, Alex
Wassall, Richard
Price, Catherine
Siese, Thomas
Finn, Roisin
Whitaker, Sean
author_facet Bethune, Rob
Campbell, Kate
Rose, Alex
Wassall, Richard
Price, Catherine
Siese, Thomas
Finn, Roisin
Whitaker, Sean
author_sort Bethune, Rob
collection PubMed
description Poor weekend handover has been implicated as one of the causes of observed higher mortality rates at weekends in UK hospitals. In a large teaching hospital we, a group of junior doctors, set about improving the quality and effectiveness of weekend handover. We used the Model for Improvement to implement a weekend handover sticker through an iterative process using multiple Plan/Do/Study/Act (PDSA) cycles. Over the 16 week study period the number of completed weekend tasks increased by 30% and the number of patients with a documented weekend handover increased by nearly 50%. Junior doctors are well positioned to notice the quality and safety shortcomings within hospitals, and by using effective improvement methods they can improve these systems at little or no cost.
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spelling pubmed-46638092016-01-05 Improving weekend handover between junior doctors on medical and surgical wards Bethune, Rob Campbell, Kate Rose, Alex Wassall, Richard Price, Catherine Siese, Thomas Finn, Roisin Whitaker, Sean BMJ Qual Improv Rep BMJ Quality Improvement Programme Poor weekend handover has been implicated as one of the causes of observed higher mortality rates at weekends in UK hospitals. In a large teaching hospital we, a group of junior doctors, set about improving the quality and effectiveness of weekend handover. We used the Model for Improvement to implement a weekend handover sticker through an iterative process using multiple Plan/Do/Study/Act (PDSA) cycles. Over the 16 week study period the number of completed weekend tasks increased by 30% and the number of patients with a documented weekend handover increased by nearly 50%. Junior doctors are well positioned to notice the quality and safety shortcomings within hospitals, and by using effective improvement methods they can improve these systems at little or no cost. British Publishing Group 2014-01-03 /pmc/articles/PMC4663809/ /pubmed/26734230 http://dx.doi.org/10.1136/bmjquality.u483.w1045 Text en © 2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Bethune, Rob
Campbell, Kate
Rose, Alex
Wassall, Richard
Price, Catherine
Siese, Thomas
Finn, Roisin
Whitaker, Sean
Improving weekend handover between junior doctors on medical and surgical wards
title Improving weekend handover between junior doctors on medical and surgical wards
title_full Improving weekend handover between junior doctors on medical and surgical wards
title_fullStr Improving weekend handover between junior doctors on medical and surgical wards
title_full_unstemmed Improving weekend handover between junior doctors on medical and surgical wards
title_short Improving weekend handover between junior doctors on medical and surgical wards
title_sort improving weekend handover between junior doctors on medical and surgical wards
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663809/
https://www.ncbi.nlm.nih.gov/pubmed/26734230
http://dx.doi.org/10.1136/bmjquality.u483.w1045
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