Notable Practice

DownloadsSize
2a. Grey Wednesday Checklist STFS504.06 KB
2b. Grey Wednesday Presentation1.77 MB
3a. Cultural Support - Two Further Workshops Planned.docx408.94 KB
3b. Cultural Support Workshop.docx407.74 KB
4a. 2015 Sharing Good Practice Short Version Presentation Nov 2015.ppt1.86 MB
4b. Handover Protocol.ppt58 KB
5. NG tube misplacement error.ppt2.53 MB
6. BMJ Qual Improv Report-2014-Hayes-.pdf458.16 KB
11. KING'S - Teaching Programme.pdf79.64 KB
12. Local induction of doctors - a missed opportunity to improve patient care.pdf2.04 MB
13. Never miss another teaching session - Confirming attendance.pdf546.71 KB
14. Geriatric Medicine Placement For Foundation Trainees.pdf341.47 KB
15. Multi-tiered learning & microteaching – preparing junior doctors as clinical teachers.pdf88.65 KB
16a. Real Time Check and Correct - Best Practice in Pharmacy Management.pdf234.08 KB
16b. Real Time Check and Correct - Learning Safe Prescribing During Post Take Ward Rounds.pdf161.85 KB
16c. Real Time Check and Correct Tool.doc55 KB
16d. Real Time Check and Correct - Situated Learning ... for Final Year Medical Students.pdf1.97 MB
  1. Frimley Park - App for Medical and Surgical Guidelines (Dec 2015)
  2. Grey Wednesday Checklist (King's College Hospital NHS Foundation Trust - Dec 2015)
  3. Cultural support workshops (East Sussex Healthcare NHS Trust - Nov 2015)
  4. Improving the handover process to support learners (Kent & Medway NHS and Social Care Partnership Trust - Nov 2015)
  5. Misplaced Nasogastric Tube: A Serious Preventable Error (Ashford and St Peter’s Hospitals NHS Trust – May 2015)
  6. Improving Junior Doctor Handover Between Jobs (Croydon University Hospital – Sep 2014)
  7. Absence of Red Flags
  8. Provision of Regular Informal Feedback
  9. Increasing Use of Physician's Associates and Advanced Nurse Practitioners
  10. Consultant Physician of the Week
  11. F1 Generic Teaching King's College Hospital NHS Foundation Trust
  12. Local induction of doctors - a missed opportunity to improve patient care? (East Kent Hospitals University NHS Foundation Trust - Apr 2012)
  13. Never miss another teaching session: Confirming attendance (Western Sussex Hospitals NHS Trust – Apr 2012)
  14. Geriatric Medicine Placement For Foundation Trainees - Does It Meet The Training Objectives Of Foundation Training? (East Kent Hospitals University NHS Foundation Trust - Feb 2012)
  15. Multi-tiered learning & microteaching – preparing junior doctors as clinical teachers (Guy's and St Thomas' NHS Foundation Trust/King's College London School of Medicine - Feb 2012)
  16. Real Time Check and Correct (Western Sussex Hospitals NHS Trust - Jan 2012)
  17. East Sussex Healthcare NHS Trust-Doctors’ Assistants-Evaluation of the impact of a new NHS role at ESHT

  18. Brighton and Sussex University Hospital NHS Trust-Implementing protected clinical and training time for doctors through development of clinical assistant roles

 

1. Frimley Park - App for Medical and Surgical Guidelines (Dec 2015)  

Frimley Park developed an app (available for Apple and Android) for medical and surgical guidelines for junior and senior doctors to access. If anyone would like advice creating something similar contact Dr Udesh Naidoo at udesh.naidoo@fhft.nhs.uk.

2. Grey Wednesday Checklist (King's College Hospital NHS Foundation Trust - Dec 2015)

King's College Hospital NHS Foundation Trust has undertaken a project to introduce a "Grey Wednesday" handover checklist to support foundation doctors when they rotate in December and April. A poster summarising the outcome of the King's project is available to download on the right hand side of the page together with a presentation from the Coventry and Warwickshire Foundation School which initiated the Grey Wednesday project.

3. Cultural support workshops (East Sussex Healthcare NHS Trust - Nov 2015)

East Sussex Healthcare NHS Trust has undertaken a project to increase the awareness of UK culture among doctors joining the NHS from overseas or doctors who may need some additional support where necessary with their written and spoken English language skills. Further details are available to download from the right hand side of this page.

4. Improving the handover process to support learners (Kent & Medway NHS and Social Care Partnership Trust - Nov 2015)

Details of the project undertaken by Kent & Medway NHS and Social Care Partnership Trust to improve the handover process available to download from the right hand side of this page. 

5. Misplaced Nasogastric Tube: A Serious Preventable Error (Daniel Haslam, Dr Parris). Ashford and St Peter’s Hospitals NHS Trust.

The misinterpretation of the placement of a Nasogastric (NG) Tube can be extremely devastating, and the increasing culture to perform chest radiographs as first line checks for NG tube position is becoming problematic.  This project Identified and reduced potential inappropriate requests of chest radiographs as ‘first line’ check for confirming NG tube placement through the introduction of an electronic-module and local education to health professionals.  Future work will be undertaken to implement this nationally to standardise care.  See document 12 on the right-hand side of this page for a presentation.

6. Improving Junior Doctor Handover Between Jobs (Croydon University Hospital – Sep 2014)

Croydon University Hospital introduced a handover lunch for foundation doctors as a simple way to smooth transition.  See document 11 on the right hand side of this page for an evaluation of the initiative.

7. Absence of Red Flags

St Georges Healthcare NHS Trust At induction, F1s are informed of the procedures they should not undertake and also of the pathway for escalation should the need arise. There is on-going education within the Trust, which includes foundation doctors, clinical and educational supervisors, as well as pharmacists.

8. Provision of Regular Informal Feedback

St Georges Healthcare NHS Trust This project seeks to ensure that Foundation year 1 trainees receive regular feedback on their performance, for which the surgical teams are providing to all trainees. In addition, surgical teams also inform clinical and educational supervisors of the feedback given to trainees. Future work will be undertaken to ascertain the ways in which this initiative can be extended to other departments.

9. Increasing Use of Physician's Associates and Advanced Nurse Practitioners

St Georges Healthcare NHS Trust This initiative aims to improve the experience of the Foundation Doctors in the Surgical Department, and also address patient safety concerns, by exploring the way in which resources could be best used to ensure continuity of service provision and training experience is enhanced.

10. Consultant Physician of the Week

Guy's & St Thomas' NHS Foundation Trust 
The Guy's Hospital site has Foundation trainees working in surgical specialties including Urology, ENT, Thoracic Surgery and Orthopaedics, as well as Haematology and Oncology. Medical cover for these patients is provided by the consultant physician of the week, ensuring rapid senior review for any medically unwell patient. Teaching sessions take place four days a week and are in addition to the bed side teaching that occurs during ward rounds.

11. F1 Generic Teaching - King's College Hospital NHS Foundation Trust

The attached document from the Trust is an excellent example of an F1 teaching programme.

12. Local induction of doctors - a missed opportunity to improve patient care? (East Kent Hospitals University NHS Foundation Trust - Apr 2012)

Local inductions often fail to provide doctors with the practical tools and departmental knowledge necessary to perform their job from day one. The poster on the right hand side of this page describes a project which aimed to improve the provision of local induction.

13. Never miss another teaching session: Confirming attendance (Western Sussex Hospitals NHS Trust – Apr 2012)

Limitation to time trainees can work and changes in their working patterns has highlighted the need for alternative delivery of medical education. The poster on the right hand side of this page describes digital recording of educational sessions and a generic tool to assess learning used at Worthing Hospital.

14. Geriatric Medicine Placement For Foundation Trainees - Does It Meet The Training Objectives Of Foundation Training? (East Kent Hospitals University NHS Foundation Trust - Feb 2012)

A copy of this poster is available to download on the right-hand side of the page.

15. Multi-tiered learning & microteaching – preparing junior doctors as clinical teachers (Guy's and St Thomas' NHS Foundation Trust/King's College London School of Medicine - Feb 2012)

Junior doctors at Guy’s and St Thomas’ Hospitals (GSTT) are encouraged to participate in the ‘Med Ed’ program, whereby they are paired up to provide weekly bedside teaching for small groups of King’s College London (KCL) students. We aimed to prepare new FY1 doctors for this role.  Download the poster from the right hand side of this page for further information.

16. Real Time Check and Correct (Western Sussex Hospitals NHS Trust - Jan 2012)

A process of ‘Real Time Check and Correct’ of inpatient drug prescription charts has been developed.

The learning model approach used is Apprenticeship or Situated Learning, which can swiftly improve Junior Doctors’ and Medical Students’ performance in, and understanding of, the essential elements of writing safe inpatient prescriptions charts.

Qualitative evidence is available to show that this has affected students’ and doctors’ thinking about, and performance in, prescribing and that this improvement can be maintained.

Supporting documents for the 'Real Time Check and Correct' process and further information are available on the right hand side of this page.