Pub Date : 2014-11-10DOI: 10.1108/CGIJ-09-2014-0030
N. Harrop, A. Gillies
{"title":"Editorial: clinical governance, an environment for excellence","authors":"N. Harrop, A. Gillies","doi":"10.1108/CGIJ-09-2014-0030","DOIUrl":"https://doi.org/10.1108/CGIJ-09-2014-0030","url":null,"abstract":"","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128316959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-04-2014-0019
Nikunj Agarwal, M. Sebastian
Purpose – The purpose of this paper is to evaluate the utility of clinical processes in healthcare institutions of different sizes. The implications of adoption rate of computerized physicians order entry (CPOE) and electronic medical/health records (EMRs/EHRs) in different sized healthcare institutions in the USA were studied in terms of understanding its impact on enhancement of quality of patient care. Design/methodology/approach – This study has used secondary data to obtain insights on the processes and technologies used in hospitals of different sizes in the USA and enlighten those in the developing countries to adopt a strategy that would be most appropriate for them. The Dorenfest Institute for H.I.T. Research and Education Analytics database (The Dorenfest Institute, 2011) provided the data for 5,038 US hospitals. Logistic regression was performed to study the impact of the different types of processes and technologies on institutions of different sizes, classified based on the number of beds, ph...
目的-本文的目的是评估临床过程在不同规模的医疗机构的效用。本文研究了美国不同规模的医疗机构对计算机化医嘱录入(CPOE)和电子医疗/健康记录(EMRs/EHRs)的采用率的影响，以了解其对提高患者护理质量的影响。设计/方法/方法-本研究使用二手数据来了解美国不同规模的医院使用的流程和技术，并启发发展中国家的医院采取最适合他们的战略。Dorenfest Institute for hit研究和教育分析数据库(The Dorenfest Institute, 2011)提供了5038家美国医院的数据。采用Logistic回归研究了不同类型的流程和技术对不同规模的机构的影响，并根据床位数、ph值和质量进行了分类。
{"title":"Utility of clinical technology-processes for developing countries","authors":"Nikunj Agarwal, M. Sebastian","doi":"10.1108/CGIJ-04-2014-0019","DOIUrl":"https://doi.org/10.1108/CGIJ-04-2014-0019","url":null,"abstract":"Purpose – The purpose of this paper is to evaluate the utility of clinical processes in healthcare institutions of different sizes. The implications of adoption rate of computerized physicians order entry (CPOE) and electronic medical/health records (EMRs/EHRs) in different sized healthcare institutions in the USA were studied in terms of understanding its impact on enhancement of quality of patient care. Design/methodology/approach – This study has used secondary data to obtain insights on the processes and technologies used in hospitals of different sizes in the USA and enlighten those in the developing countries to adopt a strategy that would be most appropriate for them. The Dorenfest Institute for H.I.T. Research and Education Analytics database (The Dorenfest Institute, 2011) provided the data for 5,038 US hospitals. Logistic regression was performed to study the impact of the different types of processes and technologies on institutions of different sizes, classified based on the number of beds, ph...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134159257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-03-2014-0010
S. Nancarrow, R. Wade, Anna Moran, J. Coyle, Jennifer D. Young, D. Boxall
Purpose – The purpose of this paper is to analyse existing clinical supervision frameworks to develop a supervision meta-model. Design/methodology/approach – This research involved a thematic analysis of existing supervision frameworks used to support allied health practitioners working in rural or remote settings in Australia to identify key domains of supervision which could form the basis of supervision framework in this context. A three-tiered sampling approach of the selection of supervision frameworks ensured the direct relevance of the final domains identified to Australian rural allied health practitioners, allied health practitioners generally and to the wider area of health supervision. Thematic analysis was undertaken by Framework analysis methodology using Mindmapping software. The results were organised into a new conceptual model which places the practitioner at the centre of supervision. Findings – The review included 17 supervision frameworks, encompassing 13 domains of supervision: defini...
{"title":"Connecting practice: a practitioner centred model of supervision","authors":"S. Nancarrow, R. Wade, Anna Moran, J. Coyle, Jennifer D. Young, D. Boxall","doi":"10.1108/CGIJ-03-2014-0010","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2014-0010","url":null,"abstract":"Purpose – The purpose of this paper is to analyse existing clinical supervision frameworks to develop a supervision meta-model. Design/methodology/approach – This research involved a thematic analysis of existing supervision frameworks used to support allied health practitioners working in rural or remote settings in Australia to identify key domains of supervision which could form the basis of supervision framework in this context. A three-tiered sampling approach of the selection of supervision frameworks ensured the direct relevance of the final domains identified to Australian rural allied health practitioners, allied health practitioners generally and to the wider area of health supervision. Thematic analysis was undertaken by Framework analysis methodology using Mindmapping software. The results were organised into a new conceptual model which places the practitioner at the centre of supervision. Findings – The review included 17 supervision frameworks, encompassing 13 domains of supervision: defini...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"188 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-04-2014-0018
S. Sumaedi, I. Bakti, T. Rakhmawati, N. Astrini, Tri Widianti, M. Yarmen
Purpose – The purpose this paper is to investigate the simultaneous effects of satisfaction, perceived value, and trust on loyalty in healthcare services. Design/methodology/approach – This research used a quantitative research methodology. The data collection was performed using a survey method. The respondents of this study are 165 patients in a healthcare institution in Bekasi, Indonesia. Multiple regression analysis was carried out to analyze the data. Findings – The results demonstrated that trust has a positive influence on patient loyalty. However, this research also found that satisfaction and perceived value has no significant impact on patient loyalty. Research limitations/implications – The research was conducted only in one healthcare service institution in Bekasi using convenience sampling. Thus, the findings need to be further examined in different context in order to ensure their stability. Practical implications – The findings can be used as valuable information for healthcare service inst...
{"title":"The empirical study on patient loyalty","authors":"S. Sumaedi, I. Bakti, T. Rakhmawati, N. Astrini, Tri Widianti, M. Yarmen","doi":"10.1108/CGIJ-04-2014-0018","DOIUrl":"https://doi.org/10.1108/CGIJ-04-2014-0018","url":null,"abstract":"Purpose – The purpose this paper is to investigate the simultaneous effects of satisfaction, perceived value, and trust on loyalty in healthcare services. Design/methodology/approach – This research used a quantitative research methodology. The data collection was performed using a survey method. The respondents of this study are 165 patients in a healthcare institution in Bekasi, Indonesia. Multiple regression analysis was carried out to analyze the data. Findings – The results demonstrated that trust has a positive influence on patient loyalty. However, this research also found that satisfaction and perceived value has no significant impact on patient loyalty. Research limitations/implications – The research was conducted only in one healthcare service institution in Bekasi using convenience sampling. Thus, the findings need to be further examined in different context in order to ensure their stability. Practical implications – The findings can be used as valuable information for healthcare service inst...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"400 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133049618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-02-2014-0006
L. O'Farrell, M. Byrne, L. Moore
Purpose – Regulation is increasingly being used in healthcare to influence the behaviour of healthcare organisations. Since 2006, a key change in Ireland has been the introduction of national regulatory standards in mental health services under new legislation. Little empirical evidence, however, exists on the effects of regulation. The purpose of this paper is to examine the perceived impact of standards at patient level as well as on professional and organisational practice in services. Design/methodology/approach – An anonymous online survey methodology using a self-devised questionnaire instrument was employed. A national cohort of service managers and multi-disciplinary mental health professionals were asked their views on the introduction of standards. Findings – A total of 185 individuals responded to the survey, yielding a response rate of 38 per cent. Substantial improvements were reported to have taken place across services with the most notable changes being improved safeguarding of patients’ r...
{"title":"National standards: improving patient rights and safety of health services","authors":"L. O'Farrell, M. Byrne, L. Moore","doi":"10.1108/CGIJ-02-2014-0006","DOIUrl":"https://doi.org/10.1108/CGIJ-02-2014-0006","url":null,"abstract":"Purpose – Regulation is increasingly being used in healthcare to influence the behaviour of healthcare organisations. Since 2006, a key change in Ireland has been the introduction of national regulatory standards in mental health services under new legislation. Little empirical evidence, however, exists on the effects of regulation. The purpose of this paper is to examine the perceived impact of standards at patient level as well as on professional and organisational practice in services. Design/methodology/approach – An anonymous online survey methodology using a self-devised questionnaire instrument was employed. A national cohort of service managers and multi-disciplinary mental health professionals were asked their views on the introduction of standards. Findings – A total of 185 individuals responded to the survey, yielding a response rate of 38 per cent. Substantial improvements were reported to have taken place across services with the most notable changes being improved safeguarding of patients’ r...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116201210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-02-2014-0005
Gareth Thomas, V. Duddu, R. Acharya
Purpose – Handover is essential to ensure high quality care. It is also a dynamic educational opportunity for trainee doctors. In the UK, the General Medical Council's annual training survey has repeatedly highlighted handover as a major concern in the training of doctors in psychiatry. The purpose of this paper is to evaluate the handover experiences for Core Trainees (years one to three) in psychiatry in the North Western Deanery (England). Design/methodology/approach – An online questionnaire focusing on current practice, safety and the educational aspects of handover was sent to all Core Trainees (years one to three) in psychiatry from the North Western Deanery in April 2013. The questionnaire had quantitative and qualitative elements and was analysed descriptively, with free text collated into themes by the authors. Findings – The survey was completed by 77.7 per cent of trainees, and indicated a wide variety in the structure of the handover process. There were no specific safety incidents but concer...
目的-交接是确保高质量护理的必要条件。对于实习医生来说，这也是一个充满活力的教育机会。在英国，医学总委员会(General Medical Council)的年度培训调查一再强调，移交是精神病学医生培训中的一个主要问题。本文的目的是评估在西北院长(英格兰)精神病学核心学员(第一年至第三年)的交接经验。设计/方法/方法- 2013年4月，西北院长院向所有精神病学核心学员(一至三年级)发送了一份在线调查问卷，重点关注当前的实践、安全性和移交的教育方面。问卷有定量和定性的因素，并进行了描述性的分析，作者将自由文本整理成主题。调查结果- 77.7%的受训者完成了调查，调查结果显示，移交过程的结构多种多样。没有具体的安全事故，但令人担忧……
{"title":"An evaluation of handover for the core trainees in psychiatry in the North Western Deanery","authors":"Gareth Thomas, V. Duddu, R. Acharya","doi":"10.1108/CGIJ-02-2014-0005","DOIUrl":"https://doi.org/10.1108/CGIJ-02-2014-0005","url":null,"abstract":"Purpose – Handover is essential to ensure high quality care. It is also a dynamic educational opportunity for trainee doctors. In the UK, the General Medical Council's annual training survey has repeatedly highlighted handover as a major concern in the training of doctors in psychiatry. The purpose of this paper is to evaluate the handover experiences for Core Trainees (years one to three) in psychiatry in the North Western Deanery (England). Design/methodology/approach – An online questionnaire focusing on current practice, safety and the educational aspects of handover was sent to all Core Trainees (years one to three) in psychiatry from the North Western Deanery in April 2013. The questionnaire had quantitative and qualitative elements and was analysed descriptively, with free text collated into themes by the authors. Findings – The survey was completed by 77.7 per cent of trainees, and indicated a wide variety in the structure of the handover process. There were no specific safety incidents but concer...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"351 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134111893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-02-2014-0007
Luu Trong Tuan
Purpose – Brand equity of hospitals is built on patient care service quality. Through the testing of the hypotheses on the relationships between brand equity and its precursors, the purpose of this paper is to examine if clinical governance effectiveness is driven by corporate social responsibility (CSR), and if clinical governance effectiveness influences patient care service quality which in turn influences brand equity. Design/methodology/approach – In total, 417 responses in completed form returned from self-administered structured questionnaires relayed to 835 clinical staff members underwent the structural equation modeling-based analysis. Findings – CSR, as the data divulges, is a strong predictor of clinical governance effectiveness which yields high patient care quality and brand equity of the hospital. Originality/value – The expedition to test research hypotheses constructed layer by layer of CSR-based model of hospital brand equity in which high levels of CSR among clinical members in the hosp...
{"title":"Clinical governance, corporate social responsibility, health service quality, and brand equity","authors":"Luu Trong Tuan","doi":"10.1108/CGIJ-02-2014-0007","DOIUrl":"https://doi.org/10.1108/CGIJ-02-2014-0007","url":null,"abstract":"Purpose – Brand equity of hospitals is built on patient care service quality. Through the testing of the hypotheses on the relationships between brand equity and its precursors, the purpose of this paper is to examine if clinical governance effectiveness is driven by corporate social responsibility (CSR), and if clinical governance effectiveness influences patient care service quality which in turn influences brand equity. Design/methodology/approach – In total, 417 responses in completed form returned from self-administered structured questionnaires relayed to 835 clinical staff members underwent the structural equation modeling-based analysis. Findings – CSR, as the data divulges, is a strong predictor of clinical governance effectiveness which yields high patient care quality and brand equity of the hospital. Originality/value – The expedition to test research hypotheses constructed layer by layer of CSR-based model of hospital brand equity in which high levels of CSR among clinical members in the hosp...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131578154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-19DOI: 10.1108/CGIJ-05-2014-0020
D. Birnbaum
Purpose – The purpose of this paper is to describe divergent recent developments in provision of reproductive health services to North Americans. Design/methodology/approach – Narrative review. Findings – Two North American countries with very different histories present similar governance challenges today. The challenge is to provide all women with the full range of reproductive health options to which they are legally entitled now. In Canada, those contraception and abortion options are covered under the medical service plan insurance but not always available in convenient locations. In USA, those options are not uniformly covered under health insurance plans due to statutory limitations. In Canada, where federal law limiting abortion was struck down as unconstitutional, the leader of one of its three major federal political parties sees the way forward being to limit his party to pro-choice candidates. In USA, where new laws limiting abortion have been introduced at an unprecedented rate, the judiciary...
{"title":"Freedom of choice requires availability of choice options","authors":"D. Birnbaum","doi":"10.1108/CGIJ-05-2014-0020","DOIUrl":"https://doi.org/10.1108/CGIJ-05-2014-0020","url":null,"abstract":"Purpose – The purpose of this paper is to describe divergent recent developments in provision of reproductive health services to North Americans. Design/methodology/approach – Narrative review. Findings – Two North American countries with very different histories present similar governance challenges today. The challenge is to provide all women with the full range of reproductive health options to which they are legally entitled now. In Canada, those contraception and abortion options are covered under the medical service plan insurance but not always available in convenient locations. In USA, those options are not uniformly covered under health insurance plans due to statutory limitations. In Canada, where federal law limiting abortion was struck down as unconstitutional, the leader of one of its three major federal political parties sees the way forward being to limit his party to pro-choice candidates. In USA, where new laws limiting abortion have been introduced at an unprecedented rate, the judiciary...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116367326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-27DOI: 10.1108/CGIJ-03-2013-0007
A. Bowen, Rohit Kumar, J. Howard, A. Camilleri
Purpose – The purpose of this paper is to demonstrate that nurse led discharge (NLD) could improve the efficiency of simple discharges from a short stay surgical ward without compromising patient safety. Design/methodology/approach – A protocol for NLD was designed and implemented. Introduction of the protocol was audited and re-audited prospectively. Findings – Introduction of the nurse led discharge protocol significantly reduced the rate of delayed discharge (p>0.001). The protocol successfully identified all patients for whom a NLD would be inappropriate and no patients discharged by the nursing team were re-admitted. Research limitations/implications – No formal measure of staff and patient satisfaction with the new protocol was performed. Practical implications – The nursing team are now able to more effectively manage patient flow through the short stay surgical ward. Mismatch between demand for beds and capacity has reduced. Social implications – Patient experience has been improved by the release...
{"title":"Nurse led discharge: improving efficiency, safely","authors":"A. Bowen, Rohit Kumar, J. Howard, A. Camilleri","doi":"10.1108/CGIJ-03-2013-0007","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2013-0007","url":null,"abstract":"Purpose – The purpose of this paper is to demonstrate that nurse led discharge (NLD) could improve the efficiency of simple discharges from a short stay surgical ward without compromising patient safety. Design/methodology/approach – A protocol for NLD was designed and implemented. Introduction of the protocol was audited and re-audited prospectively. Findings – Introduction of the nurse led discharge protocol significantly reduced the rate of delayed discharge (p>0.001). The protocol successfully identified all patients for whom a NLD would be inappropriate and no patients discharged by the nursing team were re-admitted. Research limitations/implications – No formal measure of staff and patient satisfaction with the new protocol was performed. Practical implications – The nursing team are now able to more effectively manage patient flow through the short stay surgical ward. Mismatch between demand for beds and capacity has reduced. Social implications – Patient experience has been improved by the release...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131667712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-27DOI: 10.1108/CGIJ-07-2013-0026
Arun Gupta, R. Bevan, A. Vasudev
Purpose – The 2006 Post Graduate Medical Education Trust Board (PMETB) trainees' survey indicated inadequacies in handover procedures amongst medical and psychiatry trainees nationwide; and in 2007 a local psychiatry trainees' survey found inadequate handover procedures. The purpose of this paper is to show how to improve handover practice through standard setting and sequential audit. Design/methodology/approach – A Trust wide Standard Operating Procedure (SOP) for handover was developed. Trainees were audited on perception of handover experiences (2008, 2009 and 2010). Findings – The audit revealed that the SOP was not consistently followed. Handing over “active problems” (AP) was perceived to occur frequently in 2008 (93.75 per cent), improved in 2009 (100 per cent for AP, 98 per cent for “problems which may arise”, (PA)); however deteriorated in 2010 (93 per cent for AP, 69 per cent for PA). Trainee satisfaction rates with handover improved each year (57 per cent in 2008, 75 per cent in 2009, 87 per c...
{"title":"Improving trainee psychiatrist's handover: standard setting and audit","authors":"Arun Gupta, R. Bevan, A. Vasudev","doi":"10.1108/CGIJ-07-2013-0026","DOIUrl":"https://doi.org/10.1108/CGIJ-07-2013-0026","url":null,"abstract":"Purpose – The 2006 Post Graduate Medical Education Trust Board (PMETB) trainees' survey indicated inadequacies in handover procedures amongst medical and psychiatry trainees nationwide; and in 2007 a local psychiatry trainees' survey found inadequate handover procedures. The purpose of this paper is to show how to improve handover practice through standard setting and sequential audit. Design/methodology/approach – A Trust wide Standard Operating Procedure (SOP) for handover was developed. Trainees were audited on perception of handover experiences (2008, 2009 and 2010). Findings – The audit revealed that the SOP was not consistently followed. Handing over “active problems” (AP) was perceived to occur frequently in 2008 (93.75 per cent), improved in 2009 (100 per cent for AP, 98 per cent for “problems which may arise”, (PA)); however deteriorated in 2010 (93 per cent for AP, 69 per cent for PA). Trainee satisfaction rates with handover improved each year (57 per cent in 2008, 75 per cent in 2009, 87 per c...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129532529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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