Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012. Clinical Handover Presenter: Ned Douglas. Health Service: Melbourne Health. KEY PROBLEM.
Findings from the “Hospital at Night” project indicate that shift to shift clinical handover between junior medical staff (JMS) at Melbourne Health (MH) occurred in an inconsistent manner and did not meet best practice guidelines.
Shift to shift handovers between JMS were only 52% compliant with Victorian Quality Council (VQC) criteria.
This had the potential to negatively impact upon patient safety and continuity of care.
To improve and standardise shift to shift handovers between JMS for all general and specialist medical and surgical units, emergency department (ED) and intensive care unit (ICU) at RMH City Campus and Royal Park Campus.
Focused on Afternoon Handover in Specialty Medicine, the worst performing time for the worst performing units.
Protected Handover time 1630-1700
Internal, Melbourne Health, handover guidelines were developed
Handover education was given to all parties involved in handover
Standardised documentation in the form of an electronic handover tool was provided
Designated location: ward in specific location
Standardise content (ISBAR) was required
Standardised process was agreed upon by units involved and followed
Pilot – 2011
Medical After Hours 2
Compliance to MH Handover Guidelines for DOCUMENTATION was 98%
Improvement - 2012
Specialty medical units increased from 23% to 62.5% (VQC Criteria) following improvement.
Support from senior clinicians is vital
Clarity around expectations on a very specific process level helped drive improvement
Where existing processes were adapted, the best compliance was seen