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8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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)
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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1. PATIENT project 2. Knowledge
transfer
3. Invite youto become
partners
Objectives
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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.
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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Providing modern and innovativelearning experiences
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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Providing modern and innovativelearning experiences
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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:
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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WP2 - Needs Analysis!"#$%" '##()$! #$%&'($ )*$((+,,!
-.+/&0 1'($2+/&$( 3(&.+%0&45 6(07484+! 9$%*+,'($! ):$&(
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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.
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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.
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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WP3 - Learning Outcomes*(%(+ *,+(-! ;$4
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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Group Concept Mapping
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
17/27Helen Hynes, P at Henn, Bridget Maher, Slavi Stonoyav, Hendrik Drachsler
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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4755
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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
1
1016 30
34
38
4755
77
82
91
984
5
928
36
43
50
5765
69
74
81
96
6
18
2735
4859
8093
94
99
1215
42
45 46
62
101
104
105
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1117
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44
63
67
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73
7578
88
92
95
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76 83
89
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31
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53
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100106
1073
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4052
58
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68
71
86
102
14
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4951
56
606466
72
7985
87
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90 103
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
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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10 Cluster labels
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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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8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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
8/14/2019 Standardisierte Medizinische bergaben - Wie lernen, lehren und implementieren? (Medical handovers - How to Learn, teach and implement?)
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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!