imerse: improving experience through regular shadowing events

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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