Download - Patient Safety & Clinical Handover
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Patient Safety & Clinical Handover
Kiaran Flanagan, Consultant Acute Physician
Acute Medicine Team
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Acute Medicine
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Acute Medicine
• Busy
• Lots of sick people
• Lots of doctors
• Wide spectrum of practice
• You have to keep you eye on the ball...
• HIGH RISK AREA OF CLINICAL PRACTICE
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What is our minimum standard?
“The very first requirement in a hospital is it that it should do the sick no harm”
Notes on Hospitals, 1863
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What is patient safety?
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Or ...
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Our Aim
No needless deathsNo needless pain or sufferingNo unwanted waitsNo helplessnessNo waste
For anyone....
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The scale of the problem
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Factors Affecting Patient Safety
• Patient
• Task
• Individual
• Team
• Working Conditions
• Organisational
• Governmental & Regulatory
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A couple of little stories...
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Fell over on the way to the shed
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Fell over on the way to the bathroom
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Fell over on the way to the kitchen
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Its all about cheese...
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Never Events
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Human Factors
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What is Clinical Handover?
The transfer of professional responsibility and accountability for some or all aspects of care for
a patient, or group of patients, to another person or professional group on a temporary or
permanent basis
National Patient Safety Agency, 2005
The transfer of professional responsibility and accountability for some or all aspects of care for
a patient, or group of patients, to another person or professional group on a temporary or
permanent basis
National Patient Safety Agency, 2005
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Why Clinical Handover?
Continuity of sufficient and relevant information(and
appropriate action) to suitably experienced clinicians is vital to the
safety of our patients
Continuity of sufficient and relevant information(and
appropriate action) to suitably experienced clinicians is vital to the
safety of our patients
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Responsibility & Accountability
“Individuals and organisations have a shared
responsibility to ensure that safe continuity of
information and responsibility takes place”
“Information provided during handovers
influences the delivery of care for the whole
shift”
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What it’s supposed to achieve
• Sufficient and relevant information should be exchanged
• Clinically unstable patients made known to senior and covering clinicians
• Unstable patients receive review
• Juniors adequately briefed of concerns from personnel and previous shifts
• At risk areas/ situations identified
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Getting practical
• Morning Clinical Handover 08:30 CDU
• Evening Clinical Handover 17:00 ED Seminar
Room
• H@N Clinical Handover 20:30 Control Room
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