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Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Improving the Written Medical Handover.

Rhys Martin1, Melanie Huddart1, Cara Garbett1

  • 1Post Graduate Education, Royal Cornwall Hospital, Cornwall, UK.

BMJ Open Quality
|January 16, 2018
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Summary

A new weekend handover sticker significantly improved written communication for medical inpatients. Documentation of weekend plans increased from 15% to 84%, enhancing patient care information sharing.

Keywords:
adverse events, epidemiology and detectionantibiotic managementattitudes

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Area of Science:

  • Medical Communication
  • Patient Safety
  • Healthcare Management

Background:

  • Handover of medical patients during reduced staffing is challenging.
  • Foundation doctors at Royal Cornwall Hospital had limited handover information on weekends.
  • This led to potential gaps in patient care continuity.

Purpose of the Study:

  • To develop and pilot a weekend handover sticker intervention.
  • To improve the quality of written handover information for on-call medical teams.
  • To assess the impact of the sticker on documentation and user feedback.

Main Methods:

  • Development and implementation of a weekend handover sticker.
  • Review of medical documentation to measure changes in recorded patient plans and summaries.
  • Collection of user feedback from doctors and nurses via surveys.

Main Results:

  • Weekend plans documented increased from 15% to 84%.
  • Patient summaries within 7 days increased from 26% to 94%.
  • 100% of users found the sticker useful and supported its wider introduction.

Conclusions:

  • The weekend handover sticker effectively improved written communication between medical teams.
  • The intervention enhances the sharing of critical patient information, potentially improving patient care.
  • Addressing concerns about workload is key to sustained effective use.