P081 Improving dermatology inpatient handover efficiency using a communal electronic handover document: a quality improvement project

Abstract Ineffective and incomplete handover processes are a leading yet preventable cause of patient harm. The aim of this quality improvement project was to improve the daily dermatology inpatient handover in a National Health Service health board by implementing a communal electronic handover document. The objectives were to achieve ≥ 90% completeness of handover documentation and reduce perceived handover time by 50%. A communal electronic handover document was introduced to replace the previous system of a manually typed daily handover email. Evaluations were undertaken before and 4 months following implementation using a plan–do–study–act (PDSA) approach. The completeness of handover documents was quantitatively scored from 0% to 100%. Dermatology registrars were qualitatively surveyed on their perceptions of handover duration and accuracy, patient safety and satisfaction with the process. Statistical analysis was conducted to evaluate changes in time efficiency and perceived accuracy, using Wilcoxon signed-rank tests. Handover document completeness improved from a median score of 50% to 100% (P ≤ 0.001). Median perceived time spent on handovers reduced significantly from 10 min to < 2 min (P = 0.03). Registrars perceived the new handovers to be more accurate (P = 0.03) and safer (P = 0.03). Free-text responses highlighted improved accessibility, reliability, continuity and satisfaction. Concerns raised were about confidentiality and the need for additional training for future junior doctor rotations. The introduction of a communal electronic handover document achieved 100% completeness of handover documentation and reduced perceived handover time by > 50%. The perceived accuracy and safety of handover documents also improved. The improvement of handover with this intervention has likely enhanced patient care by reducing cognitive load and minimizing information loss. Future steps involve updating induction materials and conducting regular audits to ensure sustainability.