ImERSE: Improving experience through regular shadowing events
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Transcript of ImERSE: Improving experience through regular shadowing events
Inspired by children
ImERSE Improving Experience through Regular Shadowing EventsW Calvert1,2 , C Platt2 , J Minford1
1 Department of Paediatric Surgery, Alder Hey Children’s NHS Foundation Trust2 Transformation Team, Alder Hey Children’s NHS Foundation Trust
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It is only with the heart that one can see rightly; what is essential is
invisible to the eye.”
Antoine de Saint-Exupéry, The Little Prince
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What we are developing at Alder Hey
Implementing Patient and Family Centred Care methodology into Quality Improvement1
Engaging medical students in quality improvement2
Providing a unique Medical Education Experience and
encouraging the development of PFCC into Tomorrow’s Doctors
3
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Where there’s a Will……..
2012: Alder Hey & The King’s Fund – PFCCC
Acute Abdominal Pain Pathway & Surgical Decision Unit
Surgical Department Meeting; October 2013
• Medical Students already shadowed a family through surgical day case admission.
• But we were not capturing their observations
• Could we use this opportunity to collect large
amounts of qualitative data for quality improvement
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How does it work?
Structured patient shadowing collecting direct observations of hundreds of patient and family experiences per year…
1
….using this in a system of continuous service evaluation and improvement…
2
….shaping compassionate healthcare providers now and for the future.3
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How are we doing this?
• Structured Patient Shadowing Events
ImERSE
3rd Year
Daycase Outpatients
Accident and
Emergency
4th
Year5th
Year
Ward Based
(Junior Dr)
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Medical Education…
Social Sciences
Patient Safety
Quality Improvement
Interprofessional Education
Preparation for Practice
Patient and family Centred Care• University of
Liverpool School Of Medicine
Vertically integrated spiral
curriculum
Horizontal themes –
Biomedical Sciences
• Support and approval
by Dean
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Student Pack
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Quality Improvement Matrix (AHQAS)
Positive InconsistencyIndividual / Team Excellence Awards and Recognition
NO RISK
Positive ConsistencyStaff Morale Positive affirmation and PerceptionPublicity
NO RISK
Negative InconsistencyRapid ResponseImmediate Reaction
Organisational LevelClinical Level
Preventative Strategies Model
HIGH RISK
Negative ConsistencyContinuous ImprovementModel
LOW RISK
+VE
-VE
CONSISTENCYLOW HIGH
EXP
ERIE
NC
E
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Where do we see it going?
Trust’s Operational Manifests
Quality Improvement
Education
PFCC Methodology and Practices
All CBU’s
Shadowing
Storytelling
Surveys
ImERSE
Daycase AED Outpatients
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Why pursue PFCC/PCC?
It’s what the public and patients want1
An empathic doctors improves patient outcomes2
It will improve everything ……. 3
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Thank you