Orthopedic Disorder Clinical Trial
Official title:
A Quality Improvement Project to Assess and Refine the Handover Process at Morning Trauma Meetings
This project was intended to observe the handover of trauma and orthopaedic patients at a district general hospital in the UK. Following the implementation of a standard operating protocol, the handover of patient information improved including neck of femur fracture patients significantly. The study can therefore be utilised by other similarly structured departments to improve the handover process, thereby improving patient safety.
Poor handover and inadequate transmission of clinical information between shifts can result
in patient harm. This study was designed to evaluate the impact of implementing a handover
protocol on the quality of information exchanged in the trauma handover meetings in a UK
hospital.
A prospective single centre observational study was performed at an acute NHS trust, using
the Plan-Do-Study-Act (PDSA) methodology. Ten consecutive weekday trauma meetings, involving
43 patients, were observed to identify poor practices in handover. This data was used in
conjunction with the Royal College of Surgeon's recommendations for effective handover (2007)
to create a standard operating protocol (SOP). Following the implementation of the SOP, a
further 8 consecutive weekday trauma meetings, involving a further 47 patients, were
observed. The data collection was performed by 5 trained independent observers. The data was
analysed using t test for quantitative variables and chi-square or Fisher's exact tests for
categorical variables.
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