Standardisierte Medizinische Übergaben - Wie lernen, lehren und implementieren? (Medical handovers...

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    Workshop 22

    Standardisierte Medizinische bergabenWie lernen, lehren und implementieren?

    27.09.2013Jahrestagung der Gesellschaft fr Medizinische Ausbildung, GMA2013, Graz, Austria,

    Sa!a Sopka, Susanne Druener, Lina Stieger, Helen Hynes, Slavi Stoyanov,Carola Orrego, Mariona Secanell, Bridgit Maher, Pat Henn, Hendrik Drachsler

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    Workshop structure1. Short introduction of participants (20 min)

    (1 sentence + expectations on card)

    2. Project summary of PATIENT (20 min)

    3. Group work (4-5 people) (30 min)

    A) Which challenges do you see for implementation of ahandover study module at your university?

    B) How would you face/resolve those challenges?

    presentation of group work results4. Discussion (20 min)

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    1. PATIENT project 2. Knowledge

    transfer

    3. Invite youto become

    partners

    Objectives

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    What is a HANDOVER?Shorter hospitalizations, more frequent patient transitions

    high demands on the quality of clinical handovers

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    WHO High 5 Patient Safety

    The World Health Organization (WHO) listsaccurate handovers as one of its High 5Patient Safetyinitiatives.

    Training of handover skills would appear to bea promising approach to improve the qualityof patient continue care.

    WHO Patient Safety Curriculum Guide.Published October 2011.

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    Providing modern and innovativelearning experiences

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    Providing modern and innovativelearning experiences

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    1. During the lifetime of the project around 120 students willbe reached while piloting the handover module.1. FAD (20 medical students, 20 nurses)2. UCC (40 medical students)

    3. UKA (40 medical students)

    2. After the PATIENT project is completed, 550 to 650studentswill be reached on a yearly basis.1. UKA: 220 2502. UCC: 150 1803. FAD: 60 + 140 nurses

    Expected ImpactThe HANDOVER study module aims to:

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    WP2 - Needs Analysis!"#$%" '##()$! #$%&'($ )*$((+,,!

    -.+/&0 1'($2+/&$( 3(&.+%0&45 6(07484+! 9$%*+,'($! ):$&(

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    Objectives of WP3

    Training Needs Analysis (TNA):To assess, identify and analyse the educational

    needs of under-graduate medical studentsrelating to the transfer of clinical information in keysituations.

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    Dimensions of the TNA

    A. Importance and confidence about

    some competences related with

    Handover practices

    B. Attitudes and awareness about

    Handover experiences in clinical

    practice

    C. Curriculum content about handover

    D. Preferences and confidence about

    the learning environment

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    Identified Student Needs

    SELF ASSESSMENT

    Develop a discharge planWrite a complete and accurate

    discharge letter

    Make appropriate patient referralsUse of standardized tools and

    methods for handover processes

    CURRICULUM CONTENT

    Stress managementContent of handover (patients, doctors,

    others)

    Reporting of adverse eventsPatients understandingSpeaking up (incidents/problems)

    ATTITUDES AND AWARENESS

    The use of standardized toolsHow to perform a proper handoverHow to deal with/respond to

    medical error

    To deal with conflict resolution

    LEARNING PREFERENCES

    Students prefer to learn handover in clinicalenvironment (simulations & online course)

    Enough technical skills for online courseIn term of access e-learning is advantageousConfidence about using social networkUncertainty about simulated ward

    effectiveness

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    Conclusions from the TNA

    To build an integrativehandover trainingmodule

    An online approach is

    possible, feasible andwell accepted

    We should consider to include an interactive and

    personal approach between students / academics.

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    Conclusions from the TNA

    To improve knowledge, attitudes and

    skillsabout handover process we needto consider:

    Specific procedures and activities asuse of standardization tools

    (admission, medication, discharge)and methods for handover

    Generic and more cultural aspect aserror disclosure, conflict resolution,

    stress management.

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    WP3 - Learning Outcomes*(%(+ *,+(-! ;$4

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    Group Concept Mapping

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    Work Package 3 Results: Sorting: 22 participants Experts - 75% (15/20) greater than 10

    years professional experienceParticipant Question Option Frequency %

    Professional experience 0 years 0 0.00

    1-5 years 3 13.64

    6-10 years 2 9.09

    More than 10 years 15 68.18

    did not respond 2 9.09

    TOTAL 22 100.00

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    The Point Map

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    WP 3 Statements and Clusters

    Helen Hynes, Pat Henn, Bridget Maher, Slavi Stonoyav, Hendrik Drachsler

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    The cluster map

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    1016 30

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    98.to get an in advance designed standardizedhandover-letter instead of a long discharge

    letter34.to write a discharge letter in the simulatedclinical environment

    Helen Hynes, Pat Henn, Bridget Maher, Slavi Stonoyav, Hendrik Drachsler

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    The cluster map

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    98.to get an in advance designed standardized handover-letter instead of a long discharge letter34.to write a discharge letter in the simulated clinical

    environment

    97.appreciate that a timely handover isthe basis for continuity of care66.that the students will explain why

    handovers of care are necessary inclinical medicine

    Helen Hynes, Pat Henn, Bridget Maher, Slavi Stonoyav, Hendrik Drachsler

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    10 Cluster labels

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    WP4 - Implementation."-" .$/0"! Susanne Druener, Lina Stieger,

    Hana Schroeder@AB< -$*C+( 3(&.+%0&45! D+%E$(5

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    WP4 Tasks Integrating Outcomes of

    WP2 and WP3 Development Standardization of

    curriculum considering the differentenvironment

    Assessment method with evidence-based outcomes

    Creating a training concepttransferable and applicable indifferent settings

    Interprofessional and intercultural aspects in development of thecurriculum

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    4-5 people (30 min)

    A) Which challenges do you see forimplementation of a handover study module

    at your university?B) How would you face/resolve those

    challenges?

    Group work

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    This silde is available at:http://www.slideshare.com/DrachslerEmail: [email protected]: celstec-hendrik.drachslerBlogging at: http://www.drachsler.deTwittering at: http://twitter.com/HDrachsler

    Many thanks for your attention!