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The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe
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The Handover Project - Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe

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Presentation given at the CELSTEC, Learning Network plenary 22.03.2011. …

Presentation given at the CELSTEC, Learning Network plenary 22.03.2011.

Besides presenting the Handover project and the involvement of CELSTEC, we focused in this presentation on the evaluation approach we followed to create a customized Learning Network. The methodology offers a very effective set of evaluation tools to customize a Learning Network to the needs of a target domain in this case health.

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  • 1. The project Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in EuropeMon, Mar 21, 2011 Week: 1
  • 2. The HANDOVER project Shorter hospitalizations, more frequent patient transitions  high demands on the quality of clinical handovers • Missing information • Incomplete information • Delay • Wrong address • Wrong medication • ...Mon, Mar 21, 2011 Week: 2
  • 3. Failures in communication are the most common root cause for near misses and adverse events in the medical domainMon, Mar 21, 2011 Week: 3
  • 4. The tasks for CELSTEC The objectives of workpackage 4 (CELSTEC) are: 1. To identify and validate factors determining the success of integrating the optimal patient care micro-system continuum; 2. To develop training tools to assist a successful implementation of the communication modelMon, Mar 21, 2011 Week: 4
  • 5. The tasks for CELSTEC “Actually just a checklist and a course design.”Mon, Mar 21, 2011 Week: 4
  • 6. The tasks for CELSTEC “Actually just a checklist and a course design.” “An e-learning environment like BlackBoard so that students can study at any time.”Mon, Mar 21, 2011 Week: 4
  • 7. The tasks for CELSTEC “Actually just a checklist and a course design.” “An e-learning environment like BlackBoard so that students can study at any time.” “Something that creates an e- learning course when exporting the collected content.”Mon, Mar 21, 2011 Week: 4
  • 8. The tasks for CELSTEC “Actually just a checklist and a course design.” “An e-learning environment like BlackBoard so that students can study at any time.” “Something that creates an e- learning course when exporting the collected content.” “An awareness raising medium to disseminate importance of handover training; the toolbox is the actual intervention.”Mon, Mar 21, 2011 Week: 4
  • 9. Tools to improve Handover procedures ?Mon, Mar 21, 2011 Week: 5
  • 10. So, what is the solution? Kaptain Kobold http://www.flickr.com/photos/ kaptainkobold/3203311346/Mon, Mar 21, 2011 Week: 6
  • 11. Methodology Phase Methods Interviews 1.The problem Focus group Process mapping Literature review Training needs analysis 2.The training Questionnaire Writing Persona Requirement 3. The toolbox analysis PMI – rating 4. Evaluation Cogn. Walkthrough Think aloudMon, Mar 21, 2011 Week: 7
  • 12. Phase 1. Problem analysis and solution generation Question Why are handovers problematic and what could we do about it? Aim of this phase Identification of facilitators and barriers for effective handoverMon, Mar 21, 2011 Week: 8
  • 13. Interviews and focus groups • 222 interviews with medical professionals and with 92 patients • Focus group with medical profesionals – Experience with problematic handovers – Possible solutions  Code-book, Atlas.tiMon, Mar 21, 2011 Week: 9
  • 14. Process mappingMon, Mar 21, 2011 Week: 10
  • 15. Process mappingMon, Mar 21, 2011 Week: 10
  • 16. Process mapping Handover infoMon, Mar 21, 2011 Week: 10
  • 17. Systematic review – Ishikawa diagramsMon, Mar 21, 2011 Week: 11
  • 18. Conclusion of phase 1 High diversity of - handover practices - problems - solutions Training is needed…but on what and how?  We need to gain more insights of the training to address the diverse solutionsMon, Mar 21, 2011 Week: 12
  • 19. Phase 2. Content and design of the training Question What are the needs of the trainees (i.e, med. professionals) regarding the content and the design of a training? Aim Gain insight into the needs of the traineesMon, Mar 21, 2011 Week: 13
  • 20. Methodology Phase Methods Interviews 1.The problem Focus group Process mapping Literature review Training needs analysis 2.The training Questionnaire Writing Persona 3. The toolbox Requirement analysis PMI – rating 4. Evaluation Cogn. Walkthrough Think aloudMon, Mar 21, 2011 Week: 14
  • 21. Writing persona “Creation of an archetypal user of a website that represent the needs of larger groups of users, in terms of their goals and personal characteristics. They help guide decisions about functionality and design.” (Alan Cooper) Although personas are fictitious, they are based on knowledge of real users.Mon, Mar 21, 2011 Week: 15
  • 22. Maria, Barcelona (ES) Coordinator of continuous education institute “ People often think, that it is training in handover that is the major issue. It is not. We need to put necessary structure, regulations, guidelines policy, and tools in place. We need to create a culture of handover.”Mon, Mar 21, 2011 Week: 16
  • 23. 17Mon, Mar 21, 2011 Week: 17
  • 24. Great what a nice website! There is already quite a lot of information about handover and how to design a training for this topic. 17Mon, Mar 21, 2011 Week: 17
  • 25. Great what a nice Yeah, nice website but website! there are some things There is already missing with respect to quite a lot of our particular medical information domain. about handover and how to There are very design interesting materials on a training for this the internet already topic. that should be added 17 to the website.Mon, Mar 21, 2011 Week: 17
  • 26. Great what a nice Yeah, nice website but website! there are some things There is already missing with respect to quite a lot of our particular medical information domain. about handover and how to There are very design interesting materials on a training for this the internet already topic. that should be added 17 to the website.Mon, Mar 21, 2011 Week: 17
  • 27. 18Mon, Mar 21, 2011 Week: 18
  • 28. Hi Maria and Dirk, you have very interesting information in that ToolBox. We still have systematic challenges with handover in Poland. Maybe, I could translate some of your content to our needs. 18Mon, Mar 21, 2011 Week: 18
  • 29. Hi Maria and Dirk, you have very Hi Janusz, let’s try to interesting change the system information in that from bottom upwards. ToolBox. We still We could create a have systematic Special Interest Group challenges with on handover between handover in Krakow and Nijmegen Poland. Maybe, I in the ToolBox. Let’s could translate invite persons from some of your both institutions and content to our exchange experiences needs. on handover.18Mon, Mar 21, 2011 Week: 18
  • 30. Conclusion phase 2 Diversity of training needs and solutions  A standardized training is not suitable We will need something like a TOOLBOXMon, Mar 21, 2011 Week: 19
  • 31. Phase 3. Creation of the toolbox Questions • How should the toolbox look like? • What should be its content? • How should it be structured? • How to meet the needs of the users? Aim Develop an environment in which training specialists can find all kinds of solutions to create themselves a training that fits the needs of their traineesMon, Mar 21, 2011 Week: 20
  • 32. Methodology Phase Methods Interviews 1.The problem Focus group Process mapping Literature review Training needs analysis 2.The training Questionnaire Writing Persona Requirement 3. The toolbox analysis PMI – rating 4. Evaluation Cogn. Walkthrough Think aloudMon, Mar 21, 2011 Week: 21
  • 33. Requirement analysisMon, Mar 21, 2011 Week: 22
  • 34. Requirement analysis 1. Writing personasMon, Mar 21, 2011 Week: 22
  • 35. Requirement analysis 1. Writing personas 2. List of functionalitiesMon, Mar 21, 2011 Week: 22
  • 36. Requirement analysis 1. Writing personas 2. List of functionalities 3. Comparison of potentional online environmentsMon, Mar 21, 2011 Week: 22
  • 37. Requirement analysis 1. Writing personas 2. List of functionalities 3. Comparison of potentional online environments 4. Customization of the selected environmentMon, Mar 21, 2011 Week: 22
  • 38. Conclusion phase 3 A toolbox is also not fully adequate.  it does not address the awareness of the target group for the diversity of the problem A learning network is more suitable to reach this aim. Most important features of this LN - is the sharing of knowledge and experiences - Customizing solutions for problematic handovers to local needs and conditionsMon, Mar 21, 2011 Week: 23
  • 39. Result phase 3 The European Handover Learning Network (a.k.a. Handover toolbox) …which we will show you in a minuteMon, Mar 21, 2011 Week: 24
  • 40. Methodology Phase Methods Interviews 1.The problem Focus group Process mapping Literature review Training needs analysis 2.The training Questionnaire Writing Persona Requirement 3. The toolbox analysis PMI – rating 4. Evaluation Cogn. Walkthrough Think aloudMon, Mar 21, 2011 Week: 25
  • 41. Phase 4. Evaluation Question What is the first impression of the toolbox of experts in the medical domain? Aim Gather feedback to further improve the handover learning networkMon, Mar 21, 2011 Week: 26
  • 42. Plus Minus Interesting rating Look at and listen to the presentation of the Handover Learning network Meanwhile…create notes on P: Plus M: Minus I: Interesting Write down everything that comes to your mind, generate as many ideas as possible, do not filter your ideas!Mon, Mar 21, 2011 Week: 27
  • 43. ConclusionsMon, Mar 21, 2011 Week: 28
  • 44. Most important feedback STRUCTURE GUIDANCE USABILITY TARGET GROUP Content Technology platform PurposeMon, Mar 21, 2011 Week: 29
  • 45. Toolbox make-over Helping the user Structuring the toolbox Both static and dynamic contentMon, Mar 21, 2011 Week: 30
  • 46. Structuring the toolbox – 8 main groupsMon, Mar 21, 2011 Week: 31
  • 47. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ?Mon, Mar 21, 2011 Week: 31
  • 48. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training?Mon, Mar 21, 2011 Week: 31
  • 49. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover?Mon, Mar 21, 2011 Week: 31
  • 50. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover? 4. What standardized process, protocols or tools should I train?Mon, Mar 21, 2011 Week: 31
  • 51. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover? 4. What standardized process, protocols or tools should I train? 5. How can I empower the patient in handover through a handover training?Mon, Mar 21, 2011 Week: 31
  • 52. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover? 4. What standardized process, protocols or tools should I train? 5. How can I empower the patient in handover through a handover training? 6. How do I handle external and organisational factors that can influence my training?Mon, Mar 21, 2011 Week: 31
  • 53. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover? 4. What standardized process, protocols or tools should I train? 5. How can I empower the patient in handover through a handover training? 6. How do I handle external and organisational factors that can influence my training? 7. What training activities should I use and what practical issues should I consider when implementing the training?Mon, Mar 21, 2011 Week: 31
  • 54. Structuring the toolbox – 8 main groups 1. How do I use this toolbox ? 2. How do I determine what to train during a handover training? 3. What skills, knowledge and attitude of the individual professionals should I train to improve handover? 4. What standardized process, protocols or tools should I train? 5. How can I empower the patient in handover through a handover training? 6. How do I handle external and organisational factors that can influence my training? 7. What training activities should I use and what practical issues should I consider when implementing the training? 8. How do I evaluate and adjust the handover training?Mon, Mar 21, 2011 Week: 31
  • 55. www.handover.ou.nlMon, Mar 21, 2011 Week: 32
  • 56. Users ofMon, Mar 21, 2011 Week: 33
  • 57. Mon, Mar 21, 2011 Week: 34
  • 58. Mon, Mar 21, 2011 Week: 35
  • 59. Mon, Mar 21, 2011 Week: 36
  • 60. Mon, Mar 21, 2011 Week: 37
  • 61. Mon, Mar 21, 2011 Week: 37
  • 62. Mon, Mar 21, 2011 Week: 37
  • 63. Mon, Mar 21, 2011 Week: 38
  • 64. Mon, Mar 21, 2011 Week: 39
  • 65. Mon, Mar 21, 2011 Week: 40
  • 66. Mon, Mar 21, 2011 Week: 41
  • 67. Mon, Mar 21, 2011 Week: 41
  • 68. Mon, Mar 21, 2011 Week: 41
  • 69. Mon, Mar 21, 2011 Week: 42
  • 70. Mon, Mar 21, 2011 Week: 42
  • 71. 3 overall messagesMon, Mar 21, 2011 Week: 43
  • 72. 3 overall messages 1.Other domains have still very limited experiences with Web2.0, Research2.0, Learning Networks and informal learning.Mon, Mar 21, 2011 Week: 43
  • 73. 3 overall messages 1.Other domains have still very limited experiences with Web2.0, Research2.0, Learning Networks and informal learning. 2.There is a lot we can learn from non-TEL domains as they apply different procedures and background information to the project.Mon, Mar 21, 2011 Week: 43
  • 74. 3 overall messages 1.Other domains have still very limited experiences with Web2.0, Research2.0, Learning Networks and informal learning. 2.There is a lot we can learn from non-TEL domains as they apply different procedures and background information to the project. 3.Powerful set of methods to created customized Learning Networks - A golden way?!Mon, Mar 21, 2011 Week: 43
  • 75. Many thanks for your interests This silde is available here: http://www.slideshare.com/Drachsler Email: hendrik.drachsler@ou.nl Skype: celstec-hendrik.drachsler Blogging at: http://www.drachsler.de Twittering at: http://twitter.com/HDrachslerMon, Mar 21, 2011 Week: 44

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