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952 lines
217 KiB
JSON
952 lines
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{"page":28,"change":"ContentChange","types":["CODE"],"str":"you need the person receiving the transfer of ","dir":"ltr","width":"216.97","height":"9.96","transform":["9.96","0.00","0.00","9.96","532.63","195.74"],"x":532.63,"y":195.74,"line":36,"block":272}
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{"page":28,"change":"ContentChange","types":["CODE"],"str":"The emis health eHandover electronic handover system has been ","block":276,"line":43,"x":109.1,"y":169.7,"width":"317.26","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":30,"change":"ContentChange","types":["CODE"],"str":"Royal Hobart Hospital in Tasmania, it is one of ","dir":"ltr","width":"229.27","height":"11.04","transform":["11.04","0.00","0.00","11.04","201.98","197.54"],"x":201.98,"y":197.54,"line":19,"block":287}
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{"page":30,"change":"ContentChange","types":["CODE"],"str":"several examples featured in the OSSIE Guide to ","block":287,"line":20,"x":201.98,"y":183.02,"width":"243.33","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":31,"change":"ContentChange","types":["CODE"],"str":"appropriate.","dir":"ltr","width":"58.74","height":"11.04","transform":["11.04","0.00","0.00","11.04","135.26","382.27"],"x":135.26,"y":382.27,"line":10,"block":290}
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{"page":31,"change":"ContentChange","types":["CODE"],"str":"settings (i ncluding acute, primary care and ","block":292,"line":14,"x":551.35,"y":456.46,"width":"203.84","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":31,"change":"ContentChange","types":["CODE"],"str":"RSVP is a similar structured communication ","block":295,"line":22,"x":551.35,"y":295.49,"width":"213.96","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":31,"change":"ContentChange","types":["CODE"],"str":"R ecommendation .","block":296,"line":28,"x":337.85,"y":69,"width":"89.41","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":" Decide how you will indicate which patients are priorities and add this to your template. ","block":298,"line":2,"x":117.26,"y":506.86,"width":"429.90","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":" Prompt the person receiving the transfer of care to clarify and read back the information an d confirm they are taking over ","block":298,"line":3,"x":117.26,"y":491.74,"width":"584.44","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"responsibility for care from this point.","dir":"ltr","width":"179.10","height":"11.04","transform":["11.04","0.00","0.00","11.04","135.26","476.98"],"x":135.26,"y":476.98,"line":4,"block":298}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"Appendix H uses the ‘good practice checklist’ and shows","block":304,"line":20,"x":465.31,"y":165.86,"width":"266.96","height":"11.04","fontName":[null,"Arial"],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"some suggested measures that you might want to ","block":304,"line":21,"x":465.31,"y":151.34,"width":"245.70","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"consider for each improvement interventi on. You will ","block":304,"line":22,"x":465.31,"y":136.82,"width":"254.81","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"notice that these often overlap.","block":304,"line":23,"x":465.31,"y":122.3,"width":"147.28","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"Developing your measures for improvement is an ","dir":"ltr","width":"242.73","height":"11.04","transform":["11.04","0.00","0.00","11.04","114.98","146.90"],"x":114.98,"y":146.9,"line":24,"block":305}
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"iterative pr ocess. In s ome cases, you will only be able ","block":305,"line":25,"x":114.98,"y":132.38,"width":"264.64","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"to refine your measures once you have designed your ","block":305,"line":26,"x":114.98,"y":117.86,"width":"265.24","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"test of change . For example, you can’t measure ","block":305,"line":27,"x":114.98,"y":103.34,"width":"229.36","height":"11.04","fontName":[null,"Arial"],"dir":["ltr"]}
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{"page":32,"change":"ContentChange","types":["CODE"],"str":"whether the new process is followed until you have ","dir":"ltr","width":"250.69","height":"11.04","transform":["11.04","0.00","0.00","11.04","114.98","88.70"],"x":114.98,"y":88.704,"line":28,"block":305}
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"defined what the new process is.","dir":"ltr","width":"159.62","height":"11.04","transform":["11.04","0.00","0.00","11.04","114.98","74.16"],"x":114.98,"y":74.16,"line":29,"block":305}
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"Think of measurement of ","block":306,"line":30,"x":572.95,"y":291.53,"width":"124.74","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"change interventions as ","block":306,"line":31,"x":572.95,"y":277.01,"width":"119.28","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"providing a ‘before’ and ‘after’ ","dir":"ltr","width":"147.33","height":"11.04","transform":["11.04","0.00","0.00","11.04","572.95","262.37"],"fontName":"Arial","x":572.95,"y":262.37,"line":32,"block":306}
|
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|
{"page":32,"change":"ContentChange","types":["CODE"],"str":"snapshot of each test .","block":306,"line":33,"x":572.95,"y":247.85,"width":"107.64","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":33,"change":"ContentChange","types":["CODE"],"str":"Click here for more on the Model for ","block":314,"line":16,"x":525.91,"y":120.74,"width":"178.43","height":"11.04","fontName":[null],"dir":["ltr"]}
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|
{"page":33,"change":"ContentChange","types":["CODE"],"str":"Improvement and PDSA : ","block":314,"line":17,"x":525.91,"y":106.22,"width":"124.68","height":"11.04","fontName":[null],"dir":["ltr"]}
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Plan: (what, where, when, who, how)","block":316,"line":2,"x":104.9,"y":494.02,"width":"204.68","height":"12.00","fontName":[null],"dir":["ltr"]}
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Keep your initial testing small. T est on:","block":316,"line":3,"x":104.9,"y":481.06,"width":"185.03","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" one patient, resident or client","block":316,"line":4,"x":122.9,"y":461.74,"width":"146.22","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" one bay or unit","block":316,"line":5,"x":122.9,"y":448.3,"width":"77.87","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" half a ward, or a floor","block":316,"line":6,"x":122.9,"y":434.98,"width":"108.41","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" one shift","block":316,"line":7,"x":122.9,"y":421.51,"width":"46.78","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" variety of transfers of care ( early / late shift / nights).","block":316,"line":8,"x":122.9,"y":408.19,"width":"258.08","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"TIP: Use the test documentation for handover or transfer of ","dir":"ltr","width":"312.88","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","389.59"],"x":104.9,"y":389.59,"line":9,"block":316}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"care alongside the old format during testing to minimise risk ","dir":"ltr","width":"319.61","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","376.99"],"x":104.9,"y":376.99,"line":10,"block":316}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"and ensure continuity of care.","dir":"ltr","width":"156.51","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","364.27"],"x":104.9,"y":364.27,"line":11,"block":316}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Do:","dir":"ltr","width":"19.96","height":"12.00","transform":["12.00","0.00","0.00","12.00","435.89","494.02"],"x":435.89,"y":494.02,"line":12,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Continue the testing for as long as you need; it may ","dir":"ltr","width":"253.53","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","481.06"],"x":435.89,"y":481.06,"line":13,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"be a few days, weeks or even longer, depending on ","dir":"ltr","width":"254.38","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","468.46"],"x":435.89,"y":468.46,"line":14,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"your service. ","dir":"ltr","width":"65.41","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","455.74"],"x":435.89,"y":455.74,"line":15,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"You may find that the same information might not be ","dir":"ltr","width":"258.05","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","437.14"],"x":435.89,"y":437.14,"line":16,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"relevant for all types of transfers. ","dir":"ltr","width":"165.69","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","424.51"],"x":435.89,"y":424.51,"line":17,"block":317}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"TIP: You may need to repeat the test cycle a few ","block":317,"line":18,"x":435.89,"y":405.91,"width":"254.18","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"times to find the transfer of care documentation ","dir":"ltr","width":"252.90","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","393.31"],"x":435.89,"y":393.31,"line":19,"block":317}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"and processes that work best for your team.","dir":"ltr","width":"230.99","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","380.59"],"x":435.89,"y":380.59,"line":20,"block":317}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Study:","dir":"ltr","width":"37.09","height":"12.00","transform":["12.00","0.00","0.00","12.00","104.90","325.75"],"x":104.9,"y":325.75,"line":21,"block":318}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"During each test, capture what happens using your chosen ","dir":"ltr","width":"289.80","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","312.79"],"x":104.9,"y":312.79,"line":22,"block":318}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"measures and record them. This will allow you to study the ","dir":"ltr","width":"288.42","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","300.17"],"x":104.9,"y":300.17,"line":23,"block":318}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"results and feedback . From this da ta, you can then work out your ","block":318,"line":24,"x":104.9,"y":287.45,"width":"316.24","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"next action and plan your next test. Consider these questions:","block":318,"line":25,"x":104.9,"y":274.85,"width":"294.81","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" Are the fields on the documentation all adding value for ","block":318,"line":26,"x":122.9,"y":255.53,"width":"273.50","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"your patients/residents/clients?","dir":"ltr","width":"151.04","height":"11.04","transform":["11.04","0.00","0.00","11.04","140.90","242.81"],"x":140.9,"y":242.81,"line":27,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" Has everyone been involved?","block":318,"line":28,"x":122.9,"y":229.49,"width":"149.90","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" How will information be updated in the templ ate and ","block":318,"line":29,"x":122.9,"y":216.05,"width":"260.69","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"whose responsibility will it be?","dir":"ltr","width":"146.82","height":"11.04","transform":["11.04","0.00","0.00","11.04","140.90","203.33"],"x":140.9,"y":203.33,"line":30,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" Do those people have the appropriate technical skills to ","block":318,"line":31,"x":122.9,"y":189.98,"width":"277.82","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"do this?","dir":"ltr","width":"38.65","height":"11.04","transform":["11.04","0.00","0.00","11.04","140.90","177.26"],"x":140.9,"y":177.26,"line":32,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" What training is needed to roll this out further?","block":318,"line":33,"x":122.9,"y":163.94,"width":"230.11","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" Does the layout help staff find information easily?","block":318,"line":34,"x":122.9,"y":150.5,"width":"244.59","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":" Do we print the transfer of care documentation as a ","block":318,"line":35,"x":122.9,"y":137.18,"width":"258.20","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"record and if so how?","dir":"ltr","width":"105.09","height":"11.04","transform":["11.04","0.00","0.00","11.04","140.90","124.46"],"x":140.9,"y":124.46,"line":36,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"TIP: When observing tests it is important to note the factors ","dir":"ltr","width":"315.98","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","105.98"],"x":104.9,"y":105.98,"line":37,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"that may lead to variability (eg what information gets ","dir":"ltr","width":"277.98","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","93.26"],"x":104.9,"y":93.264,"line":38,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"included or left out when it’s ‘busy’ and when it’s ‘quiet’).","dir":"ltr","width":"298.67","height":"11.04","transform":["11.04","0.00","0.00","11.04","104.90","80.64"],"fontName":"Arial,Bold","x":104.9,"y":80.64,"line":39,"block":318}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Act:","dir":"ltr","width":"23.22","height":"12.00","transform":["12.00","0.00","0.00","12.00","435.89","325.63"],"x":435.89,"y":325.63,"line":40,"block":319}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"Increase the size of your test as you gain confidence ","dir":"ltr","width":"259.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","310.73"],"x":435.89,"y":310.73,"line":41,"block":319}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"in the new transfer of care design. Keep going until ","dir":"ltr","width":"250.49","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","298.13"],"x":435.89,"y":298.13,"line":42,"block":319}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"you are happy that the format is suitable to be tested ","dir":"ltr","width":"259.15","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","285.41"],"x":435.89,"y":285.41,"line":43,"block":319}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"for a long er period on its own and not alongside the ","block":319,"line":44,"x":435.89,"y":272.81,"width":"252.98","height":"11.04","fontName":[null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"old process.","dir":"ltr","width":"59.34","height":"11.04","transform":["11.04","0.00","0.00","11.04","435.89","260.09"],"x":435.89,"y":260.09,"line":45,"block":319}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"See Appendix I for a detailed ","block":320,"line":46,"x":488.47,"y":170.06,"width":"145.22","height":"11.04","fontName":[null],"dir":["ltr"]}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"example of how one team ","dir":"ltr","width":"129.02","height":"11.04","transform":["11.04","0.00","0.00","11.04","488.47","155.42"],"x":488.47,"y":155.42,"line":47,"block":320}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"used PDSA to test a new ","dir":"ltr","width":"125.29","height":"11.04","transform":["11.04","0.00","0.00","11.04","488.47","140.78"],"x":488.47,"y":140.78,"line":48,"block":320}
|
|||
|
{"page":34,"change":"ContentChange","types":["CODE"],"str":"handover template. ","dir":"ltr","width":"97.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","488.47","126.14"],"x":488.47,"y":126.14,"line":49,"block":320}
|
|||
|
{"page":36,"change":"ContentChange","types":["CODE"],"str":" For more information on how to do this, see Sarah W Fraser, Accelerating the S pread of Good Practice: A Workbook for ","block":335,"line":15,"x":117.26,"y":265.85,"width":"588.35","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
|||
|
{"page":36,"change":"ContentChange","types":["CODE"],"str":"Healthcare (2002) .","block":335,"line":16,"x":135.26,"y":251.33,"width":"88.22","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":" The Sustainability Model is a diagnostic tool that will help you identify strengths ","block":342,"line":11,"x":117.26,"y":193.7,"width":"391.27","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"and weaknesses in your implementation plan and predict the likelihood of ","dir":"ltr","width":"359.58","height":"11.04","transform":["11.04","0.00","0.00","11.04","135.26","179.06"],"x":135.26,"y":179.06,"line":12,"block":342}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"sustainability for the improvement initiative. ","block":342,"line":13,"x":135.26,"y":164.54,"width":"209.68","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":" The Sustainability Guide provides practical advice on how you might increase ","block":342,"line":14,"x":117.26,"y":143.42,"width":"390.11","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"the likelihood of sustainabil ity for your improvement initiative.","block":342,"line":15,"x":135.26,"y":128.78,"width":"295.30","height":"11.04","fontName":[null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"‘ Senior leadership engagement ","block":344,"line":17,"x":548.23,"y":369.19,"width":"169.50","height":"12.00","fontName":["Arial,Italic",null],"dir":["ltr"]}
|
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|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"and clinical leadership ","dir":"ltr","width":"121.44","height":"12.00","transform":["12.00","0.00","0.00","12.00","548.23","353.23"],"x":548.23,"y":353.23,"line":18,"block":344}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"engagement in your project are ","dir":"ltr","width":"169.37","height":"12.00","transform":["12.00","0.00","0.00","12.00","548.23","337.39"],"x":548.23,"y":337.39,"line":19,"block":344}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"two of the key factors in ","dir":"ltr","width":"129.35","height":"12.02","transform":["12.02","0.00","0.00","12.02","548.23","321.55"],"x":548.23,"y":321.55,"line":20,"block":344}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"sustaining project ","dir":"ltr","width":"96.73","height":"12.00","transform":["12.00","0.00","0.00","12.00","548.23","305.69"],"x":548.23,"y":305.69,"line":21,"block":344}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"improvements’","dir":"ltr","width":"78.07","height":"12.00","transform":["12.00","0.00","0.00","12.00","548.23","289.73"],"fontName":"Arial,Italic","x":548.23,"y":289.73,"line":22,"block":344}
|
|||
|
{"page":37,"change":"ContentChange","types":["CODE"],"str":"NHS Sustainability Guide ","dir":"ltr","width":"126.53","height":"11.04","transform":["11.04","0.00","0.00","11.04","593.95","264.77"],"x":593.95,"y":264.77,"line":23,"block":345}
|
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|
{"page":38,"change":"ContentChange","types":["CODE"],"str":" team meetings and existing transfer of care meetings","block":348,"line":6,"x":117.26,"y":436.06,"width":"263.75","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":38,"change":"ContentChange","types":["CODE"],"str":" one - to - one conversations","block":348,"line":7,"x":117.26,"y":422.71,"width":"129.38","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":38,"change":"ContentChange","types":["CODE"],"str":" posters (see Appendix L )","block":348,"line":8,"x":117.26,"y":409.27,"width":"124.38","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":38,"change":"ContentChange","types":["CODE"],"str":" newsletters","block":348,"line":9,"x":117.26,"y":395.95,"width":"60.73","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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|
{"page":38,"change":"ContentChange","types":["CODE"],"str":" individual letters/emails .","block":348,"line":10,"x":117.26,"y":382.51,"width":"121.85","height":"11.04","fontName":["Symbol",null],"dir":["ltr"]}
|
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" What training is required to ensure staff understand their accountability in ","block":395,"line":16,"x":402.89,"y":335.11,"width":"327.74","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"training? How will staff be released from clinical duties to at tend training?","block":395,"line":18,"x":420.89,"y":308.57,"width":"324.81","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" How will pati ents or clients understand their role in transfer of care?","block":395,"line":19,"x":402.89,"y":294.77,"width":"302.21","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" Do staff and pat ients or clients have guidelines on transfer of care?","block":395,"line":20,"x":402.89,"y":280.73,"width":"300.56","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"Right people The appropriate people are ","block":396,"line":21,"x":124.34,"y":243.29,"width":"195.96","height":"12.00","fontName":[null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"involved.","dir":"ltr","width":"39.35","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","230.69"],"x":243.14,"y":230.69,"line":22,"block":396}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" Who needs to attend the transfer of care (think about multidisciplinary ","block":397,"line":23,"x":402.89,"y":244.49,"width":"311.55","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"handover ) ? Do they need to be present for whole transfer or just part of it ? ","block":397,"line":24,"x":420.89,"y":231.17,"width":"333.58","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" At what points do patients, clients and carers want to be involved in the ","block":397,"line":25,"x":402.89,"y":217.37,"width":"315.34","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"transfer of care process?","dir":"ltr","width":"110.57","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","204.05"],"x":420.89,"y":204.05,"line":26,"block":397}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" How will students and junior staff get the mos t learning opportunities from ","block":397,"line":27,"x":402.89,"y":190.22,"width":"331.74","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"handover?","dir":"ltr","width":"47.12","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","176.90"],"x":420.89,"y":176.9,"line":28,"block":397}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" Who will cover the unit while transfer of care occurs? ","block":397,"line":29,"x":402.89,"y":163.1,"width":"240.57","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" What happens in emergencies?","block":397,"line":30,"x":402.89,"y":149.18,"width":"145.03","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" How can interruptions be prevented?","block":397,"line":31,"x":402.89,"y":135.26,"width":"167.82","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" Who will be involved in regular review and audit of transfer of care ","block":397,"line":32,"x":402.89,"y":121.46,"width":"299.03","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":"processes?","dir":"ltr","width":"51.09","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","108.14"],"x":420.89,"y":108.14,"line":33,"block":397}
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{"page":44,"change":"ContentChange","types":["CODE"],"str":" Who will prepar e information and documentation for transfer of care ?","block":397,"line":34,"x":402.89,"y":94.224,"width":"309.01","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"A specific setting or place ","dir":"ltr","width":"115.96","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","469.42"],"x":243.14,"y":469.42,"line":4,"block":401}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"has been agreed where ","dir":"ltr","width":"107.69","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","456.10"],"x":243.14,"y":456.1,"line":5,"block":401}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"transfers of care can take ","dir":"ltr","width":"115.61","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","442.90"],"x":243.14,"y":442.9,"line":6,"block":401}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"place without interruption or ","dir":"ltr","width":"125.53","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","429.70"],"x":243.14,"y":429.7,"line":7,"block":401}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"distraction.","dir":"ltr","width":"48.22","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","416.47"],"x":243.14,"y":416.47,"line":8,"block":401}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" When should the transfer of care happen? ","block":402,"line":9,"x":402.89,"y":470.02,"width":"196.70","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How does this relate to time of shift change?","block":402,"line":10,"x":402.89,"y":456.1,"width":"201.11","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How long should the transfer of care take? ","block":402,"line":11,"x":402.89,"y":442.18,"width":"195.12","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How can we ensure it starts on time?","block":402,"line":12,"x":402.89,"y":428.26,"width":"165.59","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" Does the transfer of care process need to be different depending on the time ","block":402,"line":13,"x":402.89,"y":414.43,"width":"345.61","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"of day? ","dir":"ltr","width":"38.27","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","401.11"],"x":420.89,"y":401.11,"line":14,"block":402}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" Where should the transfer of care happen?","block":402,"line":15,"x":402.89,"y":387.31,"width":"194.43","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" Is the environment quiet with no interruptions? If not, how can interruptions","block":402,"line":16,"x":402.89,"y":373.39,"width":"337.10","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"be reduced?","dir":"ltr","width":"55.41","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","360.07"],"x":420.89,"y":360.07,"line":17,"block":402}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" Does any part of transfer of care happen with the patient or in a public area? ","block":402,"line":18,"x":402.89,"y":346.27,"width":"344.50","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How and where is confidential information transferred?","block":402,"line":19,"x":402.89,"y":332.35,"width":"240.64","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"There is an agreed process ","dir":"ltr","width":"124.47","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","292.13"],"x":243.14,"y":292.13,"line":22,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"for transfers of care","dir":"ltr","width":"86.67","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","278.81"],"x":243.14,"y":278.81,"line":23,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"This includes an agreed set ","dir":"ltr","width":"124.93","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","265.61"],"x":243.14,"y":265.61,"line":24,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"of information to be covered ","dir":"ltr","width":"126.65","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","252.41"],"x":243.14,"y":252.41,"line":25,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"in transfers (minimum data ","dir":"ltr","width":"121.01","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","239.21"],"x":243.14,"y":239.21,"line":26,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"set). This is communicated in ","dir":"ltr","width":"132.05","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","226.01"],"x":243.14,"y":226.01,"line":27,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"a structured way , is action -","block":405,"line":28,"x":243.14,"y":212.69,"width":"118.86","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"focused , assigns ","block":405,"line":29,"x":243.14,"y":199.49,"width":"77.13","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"responsibility for actions and ","dir":"ltr","width":"128.78","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","186.26"],"x":243.14,"y":186.26,"line":30,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"supported by clear ","dir":"ltr","width":"84.88","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","173.06"],"x":243.14,"y":173.06,"line":31,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"documentation.","dir":"ltr","width":"68.27","height":"9.96","transform":["9.96","0.00","0.00","9.96","243.14","159.86"],"x":243.14,"y":159.86,"line":32,"block":405}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" What information would be included in a standard transfer of care template or ","block":406,"line":33,"x":402.89,"y":292.73,"width":"343.18","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"electronic handover record ? (T he minimum data set .)","block":406,"line":34,"x":420.89,"y":279.41,"width":"234.63","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How much of this information overlaps with other disciplines? How could ","block":406,"line":35,"x":402.89,"y":265.61,"width":"323.82","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"multidisciplinary transfer of care be most effective?","dir":"ltr","width":"224.38","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","252.29"],"x":420.89,"y":252.29,"line":36,"block":406}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How and when in the process will the person receiving the transfer of care ","block":406,"line":37,"x":402.89,"y":238.49,"width":"334.44","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"ask questions, confirm understanding and accept responsibility for the ","dir":"ltr","width":"311.41","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","225.17"],"x":420.89,"y":225.17,"line":38,"block":406}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"patient/client?","dir":"ltr","width":"61.56","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","211.97"],"x":420.89,"y":211.97,"line":39,"block":406}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" Do you want to use structure d communication tool s ( eg SBAR, ISOBAR, ","block":406,"line":40,"x":402.89,"y":198.14,"width":"321.51","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"RSVP etc. ) or develop your own?","block":406,"line":41,"x":420.89,"y":184.82,"width":"142.14","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" What happens to documentation following the transfer of care? How could it ","block":406,"line":42,"x":402.89,"y":170.9,"width":"344.98","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"be designed to go directly into patient notes?","dir":"ltr","width":"198.19","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","157.70"],"x":420.89,"y":157.7,"line":43,"block":406}
|
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{"page":45,"change":"ContentChange","types":["CODE"],"str":" How is the agreed transfer of care process documented? How d o new staff ","block":406,"line":44,"x":402.89,"y":143.78,"width":"341.19","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":45,"change":"ContentChange","types":["CODE"],"str":"and patients/clients find out about the process?","dir":"ltr","width":"208.73","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","130.58"],"x":420.89,"y":130.58,"line":45,"block":406}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"The first thing you need to do when using the model is answer ","dir":"ltr","width":"277.09","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.21","382.03"],"x":404.21,"y":382.03,"line":4,"block":409}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"these three key questions","dir":"ltr","width":"113.73","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.21","369.07"],"x":404.21,"y":369.07,"line":5,"block":409}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"Then you carry out the ‘plan, do, study, act’ (PDSA) cycles. ","dir":"ltr","width":"263.76","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","304.01"],"fontName":"Arial","x":404.09,"y":304.01,"line":6,"block":410}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"These cycles are used to test an idea by trialling a change and ","dir":"ltr","width":"279.25","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","290.81"],"x":404.09,"y":290.81,"line":7,"block":410}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"assessing its impact. The key to PDSA cycles is to repeat them; ","block":410,"line":8,"x":404.09,"y":277.61,"width":"279.37","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"keep testing small changes until they deliver the sustainable ","dir":"ltr","width":"268.11","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","264.41"],"x":404.09,"y":264.41,"line":9,"block":410}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"improvement you are looking for.","dir":"ltr","width":"145.46","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","251.21"],"x":404.09,"y":251.21,"line":10,"block":410}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" P lan the change and how you will test it .","block":411,"line":11,"x":422.09,"y":227.45,"width":"180.63","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" Do the change and tests .","block":411,"line":12,"x":422.09,"y":213.53,"width":"113.40","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" Study the data before and after the change and learn ","block":411,"line":13,"x":422.09,"y":199.61,"width":"241.29","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"from it .","block":411,"line":14,"x":440.09,"y":186.26,"width":"30.58","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" Act on the learning by refining the change and planning ","block":411,"line":15,"x":422.09,"y":172.46,"width":"250.49","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"another PDSA cycle to test it.","dir":"ltr","width":"129.86","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","159.14"],"x":440.09,"y":159.14,"line":16,"block":411}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"For more ","dir":"ltr","width":"43.42","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","122.66"],"x":404.09,"y":122.66,"line":17,"block":412}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" Quality and service improvement tools","block":414,"line":23,"x":464.71,"y":93.744,"width":"173.84","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":" Improvement Leaders’ Guides – Process Mapping , Analysis and ","block":414,"line":24,"x":464.71,"y":80.04,"width":"288.72","height":"9.96","fontName":["Symbol","Arial",null],"dir":["ltr"]}
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{"page":46,"change":"ContentChange","types":["CODE"],"str":"Redesig n","block":414,"line":25,"x":482.71,"y":66.72,"width":"42.14","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"Set a SMART improvement project aim:","dir":"ltr","width":"224.64","height":"12.00","transform":["12.00","0.00","0.00","12.00","78.24","436.66"],"x":78.24,"y":436.66,"line":3,"block":417}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"Specific: Have a clear and specific improvement aim , e.g.","block":417,"line":4,"x":78.24,"y":415.87,"width":"280.54","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"‘ structured transfer of care, right each time ’.","block":417,"line":5,"x":78.24,"y":401.11,"width":"212.09","height":"11.04","fontName":["Arial",null],"dir":["ltr"]}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"Measurable: Ensure data is available to measure the scale of the ","block":417,"line":6,"x":78.24,"y":380.71,"width":"322.83","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"problem and your success in addressing it .","block":417,"line":7,"x":78.24,"y":366.07,"width":"208.48","height":"11.04","fontName":[null],"dir":["ltr"]}
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{"page":47,"change":"ContentChange","types":["CODE"],"str":"Achievable: Set a suitable challenge and d on’t be afraid to set ","block":417,"line":8,"x":78.24,"y":345.67,"width":"302.47","height":"11.04","fontName":[null,"Arial"],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"distraction.","dir":"ltr","width":"48.22","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","193.70"],"x":166.7,"y":193.7,"line":28,"block":456}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Number of interruptions","block":457,"line":29,"x":361.85,"y":240.05,"width":"108.84","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Staff /patient/client survey – are timing and location appropriate?","block":457,"line":30,"x":361.85,"y":227.93,"width":"286.61","height":"9.96","fontName":["Symbol",null,"Arial"],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Time transfer of care - does it start on time and h ow long does it take?","block":457,"line":31,"x":361.85,"y":215.69,"width":"308.93","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Staff time invested i n transfer of care","block":457,"line":32,"x":361.85,"y":203.57,"width":"167.24","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"Standardised ","dir":"ltr","width":"79.39","height":"12.00","transform":["12.00","0.00","0.00","12.00","74.76","166.22"],"x":74.76,"y":166.22,"line":33,"block":458}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"pro cess","block":458,"line":34,"x":74.76,"y":150.38,"width":"46.21","height":"12.00","fontName":[null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"There is an agreed process for ","dir":"ltr","width":"138.95","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","166.82"],"x":166.7,"y":166.82,"line":35,"block":459}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"transfers of care . This includes an ","block":459,"line":36,"x":166.7,"y":153.62,"width":"155.41","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"agreed set of information to be ","dir":"ltr","width":"138.24","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","140.30"],"x":166.7,"y":140.3,"line":37,"block":459}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"covered in transfers (minimum data ","dir":"ltr","width":"159.40","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","127.10"],"x":166.7,"y":127.1,"line":38,"block":459}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"set). This is communicated in a ","dir":"ltr","width":"140.43","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","113.90"],"x":166.7,"y":113.9,"line":39,"block":459}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"structured way, is action - focused, ","block":459,"line":40,"x":166.7,"y":100.7,"width":"150.94","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"assigns responsibility for actions and ","block":459,"line":41,"x":166.7,"y":87.504,"width":"165.35","height":"9.96","fontName":[null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"supported by clear documentation.","dir":"ltr","width":"153.14","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","74.16"],"x":166.7,"y":74.16,"line":42,"block":459}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Is documentation complete? y/n","block":460,"line":43,"x":361.85,"y":173.42,"width":"142.78","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Length of time for transfer of care","block":460,"line":44,"x":361.85,"y":161.3,"width":"152.29","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Staff/patient/client survey – is appropriate information included in transfer of care? Is ","block":460,"line":45,"x":361.85,"y":149.06,"width":"379.32","height":"9.96","fontName":["Symbol",null,"Arial"],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"anything missing or not required?","dir":"ltr","width":"147.71","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","137.66"],"x":379.85,"y":137.66,"line":46,"block":460}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Audit of transfer of care – is standard communication process followed each t ime?","block":460,"line":47,"x":361.85,"y":125.42,"width":"364.50","height":"9.96","fontName":["Symbol",null,"Arial"],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Number of pieces of information in minimum data set which are communicated","block":460,"line":48,"x":361.85,"y":113.18,"width":"351.63","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Number of pieces of documentation filed in patient notes (or wherever process says they ","block":460,"line":49,"x":361.85,"y":101.06,"width":"398.08","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":"should be)","dir":"ltr","width":"46.51","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","89.66"],"x":379.85,"y":89.664,"line":50,"block":460}
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{"page":51,"change":"ContentChange","types":["CODE"],"str":" Number of outstanding actions not completed at end of shift.","block":460,"line":51,"x":361.85,"y":77.4,"width":"271.27","height":"9.96","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Plan We plan to.... in order to (aim)","block":462,"line":2,"x":59.468935107136,"y":481.11385157773,"width":"139.29","height":"8.58","fontName":[null,"Arial,Bold"],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Aim Get staff input to improve the design of the new handover template .","block":462,"line":3,"x":174.329911705504,"y":470.89406268204993,"width":"267.50","height":"8.58","fontName":[null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Plan","dir":"ltr","width":"17.03","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","450.45"],"x":174.329911705504,"y":450.45448489068997,"line":4,"block":462}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Use the new ISOBAR handover template for 1 bay of patients at afternoon shift handover.","block":462,"line":5,"x":174.329911705504,"y":440.20427995663,"width":"341.03","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Feedback will be gathered during the test and via a flipchart in the nurses office.","block":462,"line":6,"x":174.329911705504,"y":429.98449106095,"width":"304.16","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Risk Management","block":462,"line":7,"x":174.329911705504,"y":409.54491326959,"width":"68.65","height":"8.58","fontName":[null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" All staff will have copies of both the old and new handover templates for the chosen bay. ","block":462,"line":8,"x":174.329911705504,"y":399.32512437390994,"width":"337.96","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Measurement Plan","block":462,"line":9,"x":174.329911705504,"y":379.06804281282996,"width":"71.62","height":"8.58","fontName":[null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Handover will be timed and number of patients used to calculate handover time per patient.","dir":"ltr","width":"342.25","height":"8.61","transform":["8.62","0.00","0.00","8.61","174.33","368.80"],"x":174.329911705504,"y":368.80262985957995,"line":10,"block":462}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"The following questions will be asked:","dir":"ltr","width":"142.34","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","358.58"],"x":174.329911705504,"y":358.58284096389997,"line":11,"block":462}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Suggestions to improve the template? Content, layout, design?","block":462,"line":12,"x":174.329911705504,"y":348.36305206822,"width":"240.35","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Any other information needed during the shift ? Or not needed?","block":462,"line":13,"x":174.329911705504,"y":338.14326317253995,"width":"239.24","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" What support would you like to help you use the template ?","block":462,"line":14,"x":174.329911705504,"y":327.92347427685996,"width":"224.48","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Do: What we did was..... (brief description of actions)","block":462,"line":15,"x":59.468935107136,"y":307.78805686929996,"width":"212.20","height":"8.58","fontName":[null,"Arial,Bold"],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Bay 3 was handed over by Staff Nurse KS to Staff Nurse YB.","block":462,"line":16,"x":174.329911705504,"y":297.56826797362,"width":"232.30","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Time to handover Bay 3 – 5:45 minutes","block":462,"line":17,"x":174.329911705504,"y":287.34847907794,"width":"149.75","height":"8.58","fontName":["Symbol",null,"Arial"],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Feedback:","block":462,"line":18,"x":174.329911705504,"y":277.12869018225996,"width":"43.91","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o Addition of mobility and dietary needs is good","block":462,"line":19,"x":202.26018732462398,"y":266.90890128658,"width":"176.02","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o Expected Date of Discharge is not required","block":462,"line":20,"x":202.26018732462398,"y":256.6891123909,"width":"167.04","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o Include patient age as well as date of birth","block":462,"line":21,"x":202.26018732462398,"y":246.42369943765,"width":"163.65","height":"8.61","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o Increase font size for recommended actions column","block":462,"line":22,"x":202.26018732462398,"y":236.20391054197,"width":"199.14","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o With suggested changes it will be better than current template","block":462,"line":23,"x":202.26018732462398,"y":225.98412164628996,"width":"236.93","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o Guidelines for completing the template on the computer are required","block":462,"line":24,"x":202.26018732462398,"y":215.765853552529,"width":"262.00","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"o More practice using SBAR and readback is required for it to feel comfortable","block":462,"line":25,"x":202.26018732462398,"y":205.728560887129,"width":"289.61","height":"8.58","fontName":["ABCDEE+Courier New",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Study Looking at what happened, what we learned from this was..... ( lessons learned)","block":462,"line":26,"x":59.468935107136,"y":185.434980079993,"width":"348.15","height":"8.58","fontName":[null,"Arial,Bold"],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Handover per patient using the new template is quicker than the current process. This may be because it ","block":462,"line":27,"x":174.329911705504,"y":175.215191184313,"width":"401.41","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"eliminates the need for questions until all information has been communicated about that patient.","dir":"ltr","width":"362.84","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","165.00"],"x":195.140705304064,"y":164.995402288633,"line":28,"block":462}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" The template is popular, with some changes to be made.","block":462,"line":29,"x":174.329911705504,"y":154.775613392953,"width":"217.00","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Although the team asked to remove expected date of discharge, Senior Sister wants to keep to encourage ","block":462,"line":30,"x":174.329911705504,"y":144.555824497273,"width":"404.55","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"discharge planning.","dir":"ltr","width":"73.55","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","134.34"],"x":195.140705304064,"y":134.33603560159298,"line":31,"block":462}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":"Act What we plan to do next is .... (state next plan )","block":462,"line":32,"x":59.468935107136,"y":115.21043066824899,"width":"203.28","height":"8.58","fontName":[null,"Arial,Bold"],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Make agreed changes and test template again with night staff for 2 bays .","block":462,"line":33,"x":174.329911705504,"y":104.99064177256899,"width":"276.91","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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{"page":52,"change":"ContentChange","types":["CODE"],"str":" Deliver more training and practice opportunities using SBAR with readback","block":462,"line":34,"x":174.329911705504,"y":94.770852876889,"width":"285.08","height":"8.58","fontName":["Symbol",null],"dir":["ltr"]}
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|||
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{"page":54,"change":"ContentChange","types":["CODE"],"str":"Reproduced with permission of ","dir":"ltr","width":"154.05","height":"11.04","transform":["11.04","0.00","0.00","11.04","660.46","473.74"],"x":660.46,"y":473.74,"line":2,"block":465}
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|||
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{"page":54,"change":"ContentChange","types":["CODE"],"str":"Dr S ebastian Yuen","block":465,"line":3,"x":719.14,"y":461.02,"width":"89.42","height":"11.04","fontName":[null],"dir":["ltr"]}
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|||
|
{"page":59,"change":"ContentChange","types":["CODE"],"str":"2011 - 2012 - First learning phase","block":483,"line":2,"x":111.07,"y":465.96,"width":"143.46","height":"11.04","fontName":["ABCDEE+Calibri,Bold"],"dir":["ltr"]}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"QI project, Patient Safety Leaders Programme, NHS Institute for Innovation and Improvement ","dir":"ltr","width":"420.61","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","449.14"],"fontName":"ABCDEE+Calibri","x":111.07,"y":449.14,"line":3,"block":483}
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|
{"page":59,"change":"ContentChange","types":["CODE"],"str":"Ali Cole, Quality Improvement Project Lead. Nicola Davey, Topic Expert ","dir":"ltr","width":"321.05","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","432.34"],"fontName":"ABCDEE+Calibri","x":111.07,"y":432.34,"line":4,"block":483}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Staff at George Eliot Hospital NHS Trust (see acknowledgements on page 3) ","dir":"ltr","width":"340.80","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","415.54"],"fontName":"ABCDEE+Calibri","x":111.07,"y":415.54,"line":5,"block":483}
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|||
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"2012, First deisgn and testing phase","dir":"ltr","width":"162.75","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","357.53"],"fontName":"ABCDEE+Calibri,Bold","x":111.07,"y":357.53,"line":6,"block":484}
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|||
|
{"page":59,"change":"ContentChange","types":["CODE"],"str":"Sandra McNerney, Freelance Writer","dir":"ltr","width":"160.63","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","340.73"],"fontName":"ABCDEE+Calibri","x":111.07,"y":340.73,"line":7,"block":484}
|
|||
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Focus Groups x 2, NHS Institute Associates, Fellows and Critical Friends","dir":"ltr","width":"316.01","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","323.93"],"fontName":"ABCDEE+Calibri","x":111.07,"y":323.93,"line":8,"block":484}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"2013 - 2014 - Second learning phase","block":485,"line":9,"x":111.07,"y":257.5,"width":"156.68","height":"11.04","fontName":["ABCDEE+Calibri,Bold"],"dir":["ltr"]}
|
|||
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Nicola Davey, Quality Improvement Practitioner, Quality Improvement Clinic Ltd ","dir":"ltr","width":"360.41","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","240.70"],"fontName":"ABCDEE+Calibri","x":111.07,"y":240.7,"line":10,"block":485}
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|||
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Ali Cole, QI Practitioner and Topic Expert","dir":"ltr","width":"181.61","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","223.90"],"fontName":"ABCDEE+Calibri","x":111.07,"y":223.9,"line":11,"block":485}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"2014 - 2015 - Second design and testing phase","block":486,"line":12,"x":111.07,"y":157.46,"width":"202.63","height":"11.04","fontName":["ABCDEE+Calibri,Bold"],"dir":["ltr"]}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Nicola Davey, Quality Improvement Practitioner, Quality Improvement Clinic Ltd","dir":"ltr","width":"357.92","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","140.66"],"fontName":"ABCDEE+Calibri","x":111.07,"y":140.66,"line":13,"block":486}
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{"page":59,"change":"ContentChange","types":["CODE"],"str":"Rachel Hammel, Learning Expert, Quality Improvement Clinic Ltd","dir":"ltr","width":"288.87","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","123.86"],"fontName":"ABCDEE+Calibri","x":111.07,"y":123.86,"line":14,"block":486}
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