CLINICAL HANDOVER IN SURGERY With regards to the current handover system for surgery at Freeman Hospital: Key: 1 – Almost always 2 – Often 3 – Occasionally 4 – Rarely 1) New admissions from the previous 24 hours are not effectively handed over to the day team 1
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2) Significant investigations (imaging/bloods) ordered do not get handed over for chasing (and/or significant results are not handed back) 1
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3) Many complex patients do not have a clear and concise management plan either documented in the notes or handed over to the on-call team 1
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4) Significant changes in clinical condition and management plans out of hours are not effectively handed over to the day team 1
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5) Discrepancies between the actual plan and actioned plan occurs due to the verbal nature of the current handover process 1
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6) Many unnecessary or inappropriate jobs are handed over to the out of hours team 1
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Please specify (if applicable):
Comments on any question above:
Please provide at least one example of a minor error or incident that has arisen in handover and one major error you have noticed during your time at the Freeman (if relevant): Examples of errors previously cited include: not stopping a patient’s medication pre-surgery, not handing over significant investigations ordered, not handing over a new admission etc
Minor error:
Major error:
Key:
Views on Handover System 1 – Strongly disagree 2 – Agree 3 – Neither agree nor disagree 4 – Disagree 5 – Strongly disagree
1) The current handover system in surgery is safe and effective 1
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2) The current handover system would benefit from improvement 1
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What problems have you faced with the new electronic handover system?
How could these be resolved?
What problems have you faced leaving on time?
Thank you for your comments which will help us to review and improve handover in the department. Please return this completed form to us by 1st May to get a certificate for your E-portfolio!