Contact Information Preety Das, pd300@cam.ac.uk

Hannah Zhu, hhz21@cam.ac.uk

Growth of chapter - 8 members to over 60 in 6 months, with the potential to extend to the entire student population Events : Future Projects Meeting, Projects Workshop, Freshers’ Fair (see fig. 3) Early wins: Feedback questionnaires emailed to attendees of Future Projects Meeting and Projects Workshop (see fig. 4).

Significant improvements in: 1) Knowledge of patient safety 2) Confidence in approaching improvement project

Vast majority (86%: Future Projects Meeting; 88%: Projects workshop) got involved in improvement projects

Started by 8 medical students in April 2010 Inspired having attended the inaugural Open School England conference in London, UK. Proactive about healthcare improvement, with dedicated 12 member committee.

Awareness Avalanche: multi-pronged approach to engage fellow

students in leading patient safety initiatives: Workshops, internet networking, posters, interactive events!

Chapter consists of medical students, supported by extensive network of healthcare professionals.

(see Fig 1: timeline)

Introducing new members to patient safety:

Delivering interactive presentations, social networking websites, regular e-mail correspondence and discussion forums.

Future Projects Evening: Identifying areas in need of improvement

Over 30 areas in need of improvement identified and strategies for improvement project implementation brainstormed.

The Catalyst: Improvement Projects Workshop

Development of student-led improvement projects.

Local improvement activity: 6 different projects in progress Improving Communication, Infection Control Strategies, Increasing the accuracy of documentation

Future plans: Fostering culture of student participation in quality improvement projects.

We offer patient safety project workshops for those seeking involvement in quality improvement projects.

During these workshops, students form teams to plan their projects (see fig. 2 and fig. 3).

Following our communication improvement project interventions:

Medical School Communication Skills curriculum now incorporates the structured communication tool Situation, Background, Awareness, Recommendation – SBAR.

Rotating central

leadership supervising 6 projects

SBAR Implementation

Blood Form Documentation

Stethoscope hygiene

GP Referral Proforma

Safe FY1 Transition

WHO Surgical Checklist on International

Electives

12%

88%

Involvement in improvement project following Projects Workshop

Not involved Involved

14%

86%

Involvement in improvement project following Future Projects Meeting

Not involved Involved

Knowledge of patientsafety and quality

improvement

Confidence inapproaching

improvement project

60%

43%

78% 75%

Projects Workshop: Attendee Feedback

Before After

Knowledge of patientsafety and quality

improvement

Confidence inapproaching

improvement project

57%

40%

77% 71%

Future Projects Meeting: Attendee Feedback

Before After

Liaised with Patient Safety Dept.

17/04/10 23/04/10 23/07/10 24/07/10 03/09/10 21/09/10 05/12/10 15/10/10 FUTURE

Hannah Zhu, Preety Das, Hammad Parwaiz, Kaye Prosser, Vishal Vyas, Sandeep Potluri, Beibei Du, Ivan Wong, Saurabh Singh, Jonathan Loh (University of Cambridge Clinical School, Cambridge, UK)

Transforming Student

Attitudes

Helpless complacency to empowered pro-

activeness!

Motivating students to identify areas

where patient safety could be improved

and equipping them with the skills and resources to make

improvements.

Meeting the Challenge

Building on success of awareness avalanche,

starting on entry into clinical school

Lead by example – evidence of student

impact on healthcare improvement

Forum Help to Overcome the

Challenge

How can we further inspire and involve

students?

Sponsored by

Fig 1: Timeline summarising our progress so far

Fig 2: Rotation of committee in chairing central meetings and supervising six ongoing projects

Fig 3: Future Projects Evening and Projects Workshop Events

Fig 4: Statistics from our

events survey

Patient Safety Unit at Addenbrooke’s Hospital, Cambridge, UK. Student-led data collection illustrated deficient communication on an acute medical ward, which was conveyed to the patient safety unit. Following this, the unit became involved in training healthcare staff in SBAR and implementing the use of SBAR in the hospital. Hospital policy changed after student audit showed poor documentation when ordering blood tests. The new policy aims to prevent delays in patient care.

Close collaboration with IHI Open School England Lead

UK network e.g. IHI Online Advanced Case Study.

Aiming to collaborate with other Medical School Chapter

on projects such as: Increasing usage of the WHO checklist

through student electives.

Decided to set up Cambridge Chapter

Inspiration for Change

London IHI Open School Conference

First meeting

Set up infrastructure and aims

Directory of contacts created

Gained support from Clinical Dean,

Patient Safety Dept, Auditing Dept.

Baseline audit on EAU

SBAR Project

Facebook page for Open School,

Cambridge created

Clinical School presentation to promote

Open School, Cambridge

Promote Open School in Fresher’s Fair Stall

Recruited over 20 new members

London IHI Open School Conference

Presented chapter progress poster

Presented SBAR project poster

Future Projects Evening

Brainstormed over 30 projects

Integrate SBAR into medical student

communication skills training

Continue to promote and support student led

healthcare improvement projects

Improvement Project Workshop

Set 6 Projects in Motion

Sponsorship from MDU and WMS 22nd Annual National Forum on Quality

Improvement in Healthcare