English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Good handover is paramount for orientating on-call teams coming onto shift and maintaining patient safety. In our tertiary referral centre a pre-prepared list on our shared drive is used to handover vascular patients in the hospital. It was felt that there was insufficient information on the list and that inconsistencies / inaccuracies could compromise patient safety. Method We performed a full-cycle prospective audit using GMC/ RCSEng guidance as standards. Our list was audited over a period of 10 days 4/2/20-14/2/20. In addition, a questionnaire was sent around doctors of all grades to highlight areas of improvement and to gather ideas. The second cycle (17/2/20- 27/2/20) was then performed after introduction of a new list, which allowed more comprehensive information to be collected in a shared drive. Junior doctors on the team were briefed, and results collected with a second questionnaire. Results The new list showed statistically significant improvements in inclusion of key information as set out in the standards. These included presenting complaint ’92% from 57%,’ Diagnosis ’98% from 89%, clinical history 91% from 35%, significant results 86% from 13% and outstanding tasks 80% from 6.2%. (These were all significant p = 0.001 Mann-Whitney U.) Further information including antibiotics and VTE was included after feedback from department. 85% found the new list easier to navigate and 76% felt it reduced risk to patient safety. Conclusions Introduction of a revised handover list in a vascular tertiary referral centre resulted in significant improvements in adherence to RCSEng/ BMA standards and staff perceived benefit to patient safety.

1507 Prospective Audit of Vascular Handover List