Improving JMO clinical handover at all shift changes - ARCHI

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l OFFiceGSTON acT 2604Fax. 02 6270 5499ww.ama.com.au/raNchrTiN acT 2605Fax. 02 6273 0455aleS BraNchNardS NSW 1590Fax. 02 9438 3760riTOry BraNchSUariNa NT 0811Fax. 08 8927 7475Nd BraNchhill Qld 4059Fax. 07 3856 4727aliaN BraNchadelaide Sa 5006Fax. 08 8267 5349N BraNchOBarT TaS 7000Fax. 03 6223 6469N BraNchKVille Vic 3052Fax. 03 9280 8786raliaN BraNchlaNdS Wa 6909Fax. 08 9273 3073ical association08 426 793)gston act 2604Prepared for –OSSIE Guideto Clinical HandoverImprovementO = Organisational leadershipS = Simple solution developmentS = Stakeholder engagementI = ImplementationE = Evaluation and maintenanceOSSIE Guide to ClinicalHandover Improvement,(Australian Commission onSafety and Quality in HealthCare 2010)A Guide forthe Safe Use ofElectronic ClinicalHandover ToolsA Guide for the Safe Useof Electronic ClinicalHandover Tools,(SA Health & the AustralianCommission on Safety andQuality in Health Care 2010)oreationt yourFFiceThe OSSIE guide assists readers to design, implement,evaluate and maintain clinical handover improvementprograms that contain a standardised process andcontent data set.The framework presented in the OSSIE guide is basedon research conducted on medical and nursing shift toshift handover within the acute care hospital setting. Theprinciples align with those of the NSW Health standardkey principles for clinical handover and may be applicableto other handover situations, including multidisciplinary,primary care and community handovers.www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/PriorityProgram-05safe handover : safe patientsThe guide is designed to assist all stages of the designand use of electronic handover systems. The research wasoriented around the implementation of an electronic toolto support different forms of clinical handover in each ofthe hospitals.It provides guidance to clinicians, medical administrators,quality and safety staff and health informatics professionals.Overall, the project found that change management wasparticularly critical when implementing electronic systemsto assist clinical handover. It is critical that the approach toimplementation emphasises that the electronic tool shouldsupport, and not replace, processes for handover.http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/PriorityProgram-05_SafeTECHguidance on clinical handoverfor clinicians and managersSafe Handover:Safe Patients Guide,(the Australian MedicalAssociation 2006)The AMA Safe Handover: Safe Patients guide was adaptedfrom the British Medical Association’s resource of thesame name.It was developed to assist the health sector to achievebetter patient outcomes through good clinical handover.The guide pays attention to the increasing requirement foreffective clinical handover in the face of changing workpatterns and the need for clinicians and administrators towork together.The basic principles of this document, relating to ‘Who,When, Where, How & What’ align with the clinicalhandover principles of NSW Health.www.ama.com.au/node/406424 NSW Health Improving JMO clinical handover – Implementation Toolkit
CD and Video supportJMO clinical handover –video vignettes and DVDHelpful video vignettes can be viewed directly via theSafe Clinical Handover webpage. Individual vignettesaddress topics such as:• Benefits for JMOs/Registrars/Consultants• Benefits for patients• Roles at handover• Involvement of nursingThese videos are available to be viewed at http://www.archi.net.au/e-library/safety/clinical/nsw-handoverA DVD of all video vignettes is also available on requestvia: HSPIB@doh.health.nsw.gov.auISBAR video vignettes(Developed by Hunter and New England Health Service)5 vignettes that show how the ISBAR communicationframework can help clinicians communicate the keymessages of clinical care effectively and quickly:http://www.archi.net.au/e-library/safety/clinical/nsw-handoverSafe Clinical Handover –implementation support CDImplementation support CD that includes standardPowerPoint presentations, video vignette resources andtoolkit resources. Copies can be requested via email at:HSPIB@doh.health.nsw.gov.aue-Learning links to assistwith clinical handoverhttp://www.archi.net.au/e-library/safety/clinical/nsw-handoverGEM platform“Clinical Handover Implementing Change” and projectmanagement modules – will assist you with the processof reviewing and redesigning local clinical handover.All NSW Health employees can register on this websiteusing their NSW Health email address.https://gem.workstar.com.auBetween the Flags – DETECT Training(Authors: K Fraser, M Berry and A Pile, DETECT Manual1st Edition 2009)http://www.cec.health.nsw.gov.au/programs/between-the-flags.htmlhttp://nswhealth.moodle.com.auUniversity of QueenslandThe University of Queensland has developed an onlinecourse in clinical handover as part of the AustralianCommission on Safety and Quality in Health Care:National Clinical Handover Initiative.http://www.uqhealthinsitu.com.au/products/ACSQHC8300/ACSQHC8300_brochure.cfmNSW Health Improving JMO clinical handover – Implementation Toolkit 25
Page 2 and 3: NSW DEPARTMENT OF HEALTH73 Miller S
Page 4 and 5: ContentsAt a glance................
Page 8 and 9: Key elements for implementation1. A
Page 10 and 11: • Senior Medical Officers involvi
Page 12 and 13: 3.1 Handover happensClinical handov
Page 15 and 16: AppendicesAppendix AA clear case fo
Page 17 and 18: The implementation of structured an
Page 19 and 20: Appendix DClinical information to c
Page 21 and 22: Most of the fundamental information
Page 23 and 24: The framework below is a framework
Page 25: Existing guides:IMPLeMeNTATION TOOL
Page 29 and 30: Useful referencesThe JMO clinical h
Page 31 and 32: The Acute Care Taskforce tested all
Page 33 and 34: This document can also be downloade

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