completion rate) in the subsequent survey. During the first survey, 14 invitations for participation were sent to nursing team, with 3 collected responses (21% completion rate). Following on from the 2019 survey, a 6-step plan of change was implemented from September 2019 and this formed the basis of subsequent evaluation in 2020. Conclusions The initial survey revealed a lack of structured medical handovers within the department. As well as causing a reported negative impact on individuals, and the team as a whole, patient safety was being compromised as a result. The second survey, following the introduction of certain new handover practices, demonstrated increased satisfaction amongst the medical team, however, the lack of a formal patient lists remained a great cause for concern.
Overall, evaluation of human factors to identify potential barriers to follow up has significantly reduced errors and improved patient safety. Allergies not checked for each prescription 86 40 Prescriber has not signed or documented their name 3 2 Antimicrobial Indication not documented 39 28 Antimicrobial Duration not documented 34 25
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