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Types of Reports I: Hands-off Report01:25

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SBAR I: Understanding the Concept01:29

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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Demonstrating Improved Surgical Communication and HAndoveR Generates Earlier Discharges (DISCHARGED).

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Implementing a standardized weekend handover form improved surgical care quality. This led to more patient discharges and shorter hospital stays, resulting in significant cost savings.

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Area of Science:

  • Healthcare Quality Improvement
  • Surgical Patient Care
  • Hospital Operations Management

Background:

  • Weekend surgical handover practices at Princess Alexandra Hospital NHS Trust did not consistently meet Royal College of Surgeons England guidelines.
  • Out-of-hours patient care is under increasing scrutiny, necessitating improvements in handover processes.
  • A quality improvement initiative was launched to address these issues.

Purpose of the Study:

  • To implement and evaluate a mandatory, standardized weekend handover form.
  • To streamline weekend surgical care and improve adherence to national guidelines.
  • To assess the impact of the standardized form on patient discharges and length of stay.

Main Methods:

  • Data collection occurred over a 15-week pre- and post-implementation period.
  • Key metrics included the number of patients handed over, presence of working diagnosis, investigations, management plan, and outstanding tasks.
  • Patient discharges and lengths of stay were compared before and after the intervention.

Main Results:

  • Significant increases were observed in handovers with a working diagnosis (19.20 to 30.80), management plan (16.40 to 31.73), and tasks (16.60 to 29.13).
  • Average weekend discharges rose from 39.07 to 48.93.
  • Average length of stay for emergency patients including a weekend decreased by 1.96 days, with estimated annual cost savings of £740,000 to £3.82 million.

Conclusions:

  • The standardized weekend handover form enhanced compliance with national surgical handover guidelines.
  • The intervention successfully increased weekend patient discharges and reduced hospital length of stay.
  • Significant cost savings were achieved, highlighting the economic benefits of improved handover processes.