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Dr Toolbox: enabling trainees. HE - SOUTH LONDON MEMBERSHIP COUNCIL MEETING Will Barker. 22 th October 2013. www.dr-toolbox.com. Why Dr Toolbox. Day 1…. Why Dr Toolbox. 2009 study identified 6% increase in mortality in August [1]. 2004. 2012. Previous attempts.
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Dr Toolbox: enabling trainees HE - SOUTH LONDON MEMBERSHIP COUNCIL MEETING Will Barker 22th October 2013 www.dr-toolbox.com
Why Dr Toolbox • Day 1…
Why Dr Toolbox 2009 study identified 6% increase in mortality in August [1] 2004 2012
Previous attempts • While shadowing periodshave helped • many unknown questions • new questions arise post changeover • Paper guides • frequently lost • quickly out of date • cumbersome to carry around
The idea “If only there was an accessible guide to the hospital With local information on how to do daily jobs written by junior doctors for junior doctors…”
So what is the Toolbox? • Demo
Toolbox includes • Handover guides for all F1/F2 firms • Bleeps of doctors & MDT • Extension numbers for wards, secretaries • Reference guides specific to the hospital • How to make speciality referrals within the hospital • How to request specific investigations within the hospital • Downloadable forms • A resource for teaching and post graduate medical education
Primary Aims • Provide specific, local information on how to get things done in hospitals • Improve the efficiency (and learning environment) of junior doctors. Increasing time for training • Improve patient safety by facilitating a better handover between rotating doctors
Your Challenge • Set up a Toolbox for your Trust • Complete your own QI Project • Develop your leadership skills YOUR TRUST NEEDS
The Process • F1/F2s act as Editors for your Site • Compile useful information from colleagues • Add information to site • Ensure Continuity YOUR TRUST NEEDS
The Process Set up roles within Team Finalise site & add to intranet Baseline survey Gather relevant bleeps and extensions nos Begin to input data Send out forms for handover guides Upload common forms Launch Repeat Survey Ensure continuity December Changeover
The Commitment • Trainee time • Approx 1hr per week • Establishing Relationships • PGME & FSD • IT • Surveys • Accuracy • Completeness • Continuity
The Team • Editors (F1/F2s) • Trust FS Director • Hospital IT • Toolbox Team • Foundation School • Deanery/LETB • NHS Medical Director • Health Education England
The Rewards • Completed Audit Cycle/QI Project • Involvement in Patient Safety/Change • Poster Presentations • Grand Round Presentations • Publications • Toolbox Certificates • Leadership Awards • Foundation School Merits • Helping your Colleagues! YOUR COLLEAGUES NEED
Thanks! www.dr-toolbox.org References: Jen MH et al. Early in-hospital mortality following trainee doctors' first day at work. PLoS One. 2009 Sep 23;4(9):e7103 Doctors Advancing Patient Safety (DAPS)