1. Learning To Make a Difference Colchester University Hospital NHS Foundation Trust Ward Weekend Handover QIP Ward Weekend Handover QIP Trainees: Dr Robert Derrick, Dr Iheoma Okpala, Dr Meera Sood. Supervisors & other Team Members: Dr Ian Gooding, Dr David Gannon, Ms Mandy Winslet, Ms Yvonne Goodchild Effect of this QIP on Clinical Practice and Patient Safety:  Standardization of weekend handover of medical ward patients  More accurate and permanent record of weekend ward tasks increasing accountability and tracking  Handover process more time efficient and informative  More appropriate delegation of tasks  Permitting on call team particularly medical SpR safer management of ward patients during the weekend Next Steps:  To re-educate junior doctors on the method and the importance of recording task completion  Pilot a Consultant-led Friday afternoon face-to-face weekend handover meeting Recommendations: Successful implementation of a new process in hospital medicine requires comprehensives assessment of users’ needs and effective communication, education and training. Effect of this QIP on Clinical Practice and Patient Safety:  Standardization of weekend handover of medical ward patients  More accurate and permanent record of weekend ward tasks increasing accountability and tracking  Handover process more time efficient and informative  More appropriate delegation of tasks  Permitting on call team particularly medical SpR safer management of ward patients during the weekend Next Steps:  To re-educate junior doctors on the method and the importance of recording task completion  Pilot a Consultant-led Friday afternoon face-to-face weekend handover meeting Recommendations: Successful implementation of a new process in hospital medicine requires comprehensives assessment of users’ needs and effective communication, education and training. Background: Anecdotal evidence from junior doctors at Colchester Hospital suggested that the paper based system of handing medical ward patients to the weekend on call team was non-standardised and lacked accountability. Project Aims:  Establish the efficacy and identify specific failings of current system of weekend medical ward patient handover  To improve the current system of weekend medical ward patient handover with a focus on patient safety Background: Anecdotal evidence from junior doctors at Colchester Hospital suggested that the paper based system of handing medical ward patients to the weekend on call team was non-standardised and lacked accountability. Project Aims:  Establish the efficacy and identify specific failings of current system of weekend medical ward patient handover  To improve the current system of weekend medical ward patient handover with a focus on patient safety Interventions: PDSA 1:  Feedback questionnaire on junior doctors regarding current system of weekend handover. Main outcome: electronic weekend handover tool needed  Pilot of electronic weekend handover tool on small number of medical wards  Feedback from pilot: more junior doctor education on use of and fine-tuning of tool needed, implemented PDSA 2:  Use of electronic tool across all medical wards  Repeat feedback questionnaire regarding electronic weekend handover tool  Implementation of suggested improvements from repeat feedback questionnaire Interventions: PDSA 1:  Feedback questionnaire on junior doctors regarding current system of weekend handover. Main outcome: electronic weekend handover tool needed  Pilot of electronic weekend handover tool on small number of medical wards  Feedback from pilot: more junior doctor education on use of and fine-tuning of tool needed, implemented PDSA 2:  Use of electronic tool across all medical wards  Repeat feedback questionnaire regarding electronic weekend handover tool  Implementation of suggested improvements from repeat feedback questionnaire Example question Feedback Questionnaire: ‘I find the current system for handing over ward patients at the weekend both easy to use and efficient’. Select the most appropriate response below : Example question Feedback Questionnaire: ‘I find the current system for handing over ward patients at the weekend both easy to use and efficient’. Select the most appropriate response below :