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PostScript
LETTER
Involving paediatriciansin-training in quality and service improvement We read with interest Lemer et al’s1 introduction to quality improvement in child health, and wanted to share our experience of encouraging the involvement of paediatriciansin-training in quality and service improvement in a large tertiary children’s hospital. Daily, junior doctors experience the inefficiencies and bureaucracies blighting the National Health Service, but often feel distant from management teams and don’t always fully appreciate the constructive roles they can play. We have initiated monthly breakfast meetings where all trainees can meet with the Clinical Director and senior management team. They are invited to discuss issues of concern and find constructive solutions, and a trainee representative now joins the monthly Heads of Service meeting. All trainees are encouraged to take on quality improvement projects, for which practical support is available from the trust Transformation team.
160
An annual multidisciplinary hospitalwide conference is due to be launched this academic year to present and disseminate quality improvement projects and ideas. Doctors-in-training have become involved in several productive quality improvement projects, ranging from small-scale self-directed plans to large-scale reconfigurations involving a number of departments and disciplines. These include introducing e-noting, standardising patient care pathways to reduce unnecessary hospital stays, streamlining handovers and ward rounds, improving communication in telephone referrals, increasing out-patient efficiency, reorganising ward treatment rooms, rationalising laboratory tests and setting up a hospital-wide simulation programme. We have found that junior doctors can play valuable, constructive roles in improving healthcare configuration and delivery within our hospital. Working with senior clinicians and managers, trainees’ ideas and enthusiasm can be harnessed, which helps us to improve the care we give our patients, and provides paediatricians
of the future with the necessary skills to continue to do so throughout their careers. Miriam R Fine-Goulden, Sara Hanna Department of Paediatric Intensive Care, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, London, UK Correspondence to Dr Miriam R Fine-Goulden, Department of Paediatric Intensive Care, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK; miriam.fine-goulden@gstt. nhs.uk
Contributors MRF-G wrote the article which was edited by SH. Competing interests None. Provenance and peer review Not commissioned; externally peer reviewed.
To cite Fine-Goulden MR, Hanna S. Arch Dis Child Educ Pract Ed 2014;99:160. Accepted 18 November 2013 Published Online First 10 December 2013
REFERENCE 1 Lemer C, Cheung CRLH, Klaber RE. An introduction to quality improvement in paediatrics and child health. Arch Dis Child Educ Pract Ed 2013;98:175–80.
Arch Dis Child Educ Pract Ed 2014;99:160. doi:10.1136/archdischild-2013-305476
Downloaded from http://ep.bmj.com/ on June 4, 2015 - Published by group.bmj.com
Involving paediatricians-in-training in quality and service improvement Miriam R Fine-Goulden and Sara Hanna Arch Dis Child Educ Pract Ed 2014 99: 160 originally published online December 10, 2013
doi: 10.1136/archdischild-2013-305476 Updated information and services can be found at: http://ep.bmj.com/content/99/4/160
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References Email alerting service
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Notes
To request permissions go to: http://group.bmj.com/group/rights-licensing/permissions To order reprints go to: http://journals.bmj.com/cgi/reprintform To subscribe to BMJ go to: http://group.bmj.com/subscribe/
PostScript
LETTER
Involving paediatriciansin-training in quality and service improvement We read with interest Lemer et al’s1 introduction to quality improvement in child health, and wanted to share our experience of encouraging the involvement of paediatriciansin-training in quality and service improvement in a large tertiary children’s hospital. Daily, junior doctors experience the inefficiencies and bureaucracies blighting the National Health Service, but often feel distant from management teams and don’t always fully appreciate the constructive roles they can play. We have initiated monthly breakfast meetings where all trainees can meet with the Clinical Director and senior management team. They are invited to discuss issues of concern and find constructive solutions, and a trainee representative now joins the monthly Heads of Service meeting. All trainees are encouraged to take on quality improvement projects, for which practical support is available from the trust Transformation team.
160
An annual multidisciplinary hospitalwide conference is due to be launched this academic year to present and disseminate quality improvement projects and ideas. Doctors-in-training have become involved in several productive quality improvement projects, ranging from small-scale self-directed plans to large-scale reconfigurations involving a number of departments and disciplines. These include introducing e-noting, standardising patient care pathways to reduce unnecessary hospital stays, streamlining handovers and ward rounds, improving communication in telephone referrals, increasing out-patient efficiency, reorganising ward treatment rooms, rationalising laboratory tests and setting up a hospital-wide simulation programme. We have found that junior doctors can play valuable, constructive roles in improving healthcare configuration and delivery within our hospital. Working with senior clinicians and managers, trainees’ ideas and enthusiasm can be harnessed, which helps us to improve the care we give our patients, and provides paediatricians
of the future with the necessary skills to continue to do so throughout their careers. Miriam R Fine-Goulden, Sara Hanna Department of Paediatric Intensive Care, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, London, UK Correspondence to Dr Miriam R Fine-Goulden, Department of Paediatric Intensive Care, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK; miriam.fine-goulden@gstt. nhs.uk
Contributors MRF-G wrote the article which was edited by SH. Competing interests None. Provenance and peer review Not commissioned; externally peer reviewed.
To cite Fine-Goulden MR, Hanna S. Arch Dis Child Educ Pract Ed 2014;99:160. Accepted 18 November 2013 Published Online First 10 December 2013
REFERENCE 1 Lemer C, Cheung CRLH, Klaber RE. An introduction to quality improvement in paediatrics and child health. Arch Dis Child Educ Pract Ed 2013;98:175–80.
Arch Dis Child Educ Pract Ed 2014;99:160. doi:10.1136/archdischild-2013-305476
Downloaded from http://ep.bmj.com/ on June 4, 2015 - Published by group.bmj.com
Involving paediatricians-in-training in quality and service improvement Miriam R Fine-Goulden and Sara Hanna Arch Dis Child Educ Pract Ed 2014 99: 160 originally published online December 10, 2013
doi: 10.1136/archdischild-2013-305476 Updated information and services can be found at: http://ep.bmj.com/content/99/4/160
These include:
References Email alerting service
This article cites 1 articles, 1 of which you can access for free at: http://ep.bmj.com/content/99/4/160#BIBL Receive free email alerts when new articles cite this article. Sign up in the box at the top right corner of the online article.
Notes
To request permissions go to: http://group.bmj.com/group/rights-licensing/permissions To order reprints go to: http://journals.bmj.com/cgi/reprintform To subscribe to BMJ go to: http://group.bmj.com/subscribe/
