scholarly journals Improving junior doctor medicine prescribing and patient safety: An intervention using personalised, structured, video‐enhanced feedback and deliberate practice

2020 ◽  
Vol 86 (11) ◽  
pp. 2234-2246 ◽  
Author(s):  
William Green ◽  
Muhammad Waseem Shahzad ◽  
Stephen Wood ◽  
Maria Martinez Martinez ◽  
Andrew Baines ◽  
...  
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
Deliberate Practice ◽  
Structured Video

The changing role of the otolaryngology Senior House Officer

2006 ◽  
Vol 88 (2) ◽  
pp. 66-68 ◽  
Author(s):  
AK Arya ◽  
KP Gibbin
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
House Officer ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Senior House Officer ◽  
European Working ◽  
Working Time Directive ◽  
Changing Role

The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.

Engaging, empowering and educating junior doctors in quality improvement (QI) to improve patient safety: a trust-wide junior doctor forum

2016 ◽  
Vol 3 (Suppl 2) ◽  
pp. s39-s39
Author(s):  
Sanjay Kumar ◽  
Anna Winfield ◽  
Robert Jackson ◽  
Gillian Pearce ◽  
Sarah Fiori ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Junior Doctor ◽  
Improve Patient Safety ◽  
Junior Doctors ◽  
Improve Patient

scholarly journals Quality junior doctor training, improved workforce outcomes and patient safety

2007 ◽  
Vol 31 (5) ◽  
pp. 106 ◽  
Author(s):  
Louis I Landau
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Health Service ◽  
Health Services ◽  
Junior Doctor ◽  
Service Needs ◽  
Critical Part

The intern year is a critical part of medical education and pivotal in provision of health services, especially in tertiary facilities. Training must be integrated with health service needs, as our health service is not well served if junior doctor training creates confidence without competence.

Developing the junior doctor handover database: improving patient safety and fluidity of staff transition

2016 ◽  
Vol 3 (Suppl 2) ◽  
pp. s8-s8
Author(s):  
Florence Chamberlain ◽  
Laura Davis ◽  
Jonathan Kentley ◽  
Ruth Yates ◽  
Dhanupriya Sivapathsuntharam
Keyword(s):  
Patient Safety ◽  
Junior Doctor

scholarly journals 37 Improving the Management of Post-Operative Hypocalcaemia in Thyroid Surgery

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Collins ◽  
G Lafford ◽  
R Ferris ◽  
J Turner ◽  
P Tassone
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
Junior Doctors ◽  
Intermediate Risk ◽  
Inpatient Stay ◽  
Calcium Supplements ◽  
Appropriate Prescribing ◽  
Intraoperative Pth ◽  
Patients At Risk ◽  
Patient Handover

Abstract Introduction Hypocalcaemia is a frequent, and potentially dangerous, complication of total thyroidectomy [1, 2]. This quality improvement (QI) project was undertaken in a large ENT department in the East of England over a year. The project improved postoperative guideline compliance by optimising the recognition and management of patients at risk of hypocalcaemia. This process focussed on improving parathyroid hormone (PTH) and calcium blood testing, appropriate prescribing and the monitoring and management of hypocalcaemia. Method Following a baseline audit the QI process subsequently involved the introduction of a new intraoperative PTH pathway and the amendment of trust guidelines. In addition, there was a focus on improving clinician awareness of guidelines, junior doctor education, communication between operating surgeons and junior doctors and the optimisation of patient handover. Results The measurement of PTH at four hours improved from 42.5% to 52.2%. The project saw a significant improvement in the monitoring of hypocalcaemia (from 22.2% to 83.3% for patients with an intermediate risk of hypocalcaemia) and in the prescribing of prophylactic calcium supplements from 7.5% to 43.5%. Conclusions By optimising postoperative care this QI project improved patient safety as well as impacting on the duration, and overall cost, of inpatient stay.

scholarly journals MULTIDISCIPLINARY TEAM-BASED DELIBERATE PRACTICE USING IN SITU SIMULATIONS TO ENHANCE PATIENT SAFETY ON A PEDIATRIC INPATIENT UNIT

2017 ◽  
Vol 22 (suppl_1) ◽  
pp. e29-e29
Author(s):  
K Lambrinakos-Raymond ◽  
D D’Arienzo ◽  
M Dandavino ◽  
N Korah ◽  
V Ballenas ◽  
...  
Keyword(s):  
Patient Safety ◽  
Multidisciplinary Team ◽  
Deliberate Practice ◽  
Inpatient Unit ◽  
Enhance Patient Safety ◽  
Pediatric Inpatient

scholarly journals Improving patient safety through junior doctor forums

BMJ ◽  
2011 ◽  
pp. d7110
Author(s):  
Patrick Howlett ◽  
Matthew Burman ◽  
Arief Gunawan ◽  
Fiona Isacsson ◽  
Clair Dow
Keyword(s):  
Patient Safety ◽  
Junior Doctor

scholarly journals Impact and Implementation of Simulation-Based Training for Safety

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Federico F. Bilotta ◽  
Samantha M. Werner ◽  
Sergio D. Bergese ◽  
Giovanni Rosa
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Clinical Practice ◽  
Deliberate Practice ◽  
Aviation Industry ◽  
Medical Professionals ◽  
Research Needs ◽  
Medical Environment ◽  
Simulation Based ◽  
Training Research

Patient safety is an issue of imminent concern in the high-risk field of medicine, and systematic changes that alter the way medical professionals approach patient care are needed. Simulation-based training (SBT) is an exemplary solution for addressing the dynamic medical environment of today. Grounded in methodologies developed by the aviation industry, SBT exceeds traditional didactic and apprenticeship models in terms of speed of learning, amount of information retained, and capability for deliberate practice. SBT remains an option in many medical schools and continuing medical education curriculums (CMEs), though its use in training has been shown to improve clinical practice. Future simulation-based anesthesiology training research needs to develop methods for measuring both the degree to which training translates into increased practitioner competency and the effect of training on safety improvements for patients.

La práctica deliberada interprofesional como medida para mejorar la seguridad del paciente

2019 ◽  
Vol 62 (0) ◽  
pp. 78-91
Author(s):  
Nidia Isabel Ríos Briones ◽  
Alba Brenda Daniel Guerrero ◽  
Eduardo Méndez Gutiérrez ◽  
Argimira Vianey Barona Nuñez
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Medical Error ◽  
Health Professionals ◽  
Learning Strategy ◽  
Deliberate Practice ◽  
Shared Responsibility ◽  
Clinical Knowledge ◽  
The Third ◽  
Health Institutions

The medical education in our country is a shared responsibility between academic and health institutions. After the publication that stated that the medical error was the third cause of death, patient safety became a priority in the training of health professionals. This training is based on the strategies that favor the development of clinical knowledge and the collaborative and interprofessional work. The deliberate practice has been used in multiple performance activities and interprofesional work. This measure has been very useful for the health systems; therefore, this is something that must be taught in the first years of the career. The deliberate practice as a learning strategy in the interprofesional education has shown impactful results.

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