A/Prof. Gayle Christie1
1St John Ambulance WA, Australia
Biography:
UK trained FACEM with dual accreditation in Emergency and Pre-hospital Medicine, with over 20-years experience in both fields and multiple post graduate qualifications and fellowships in both disciplines.
Dedication to improving the delivery of pre-hospital care to our communities through excellence in training, education and clinical standards in this space.
Abstract:
Clinical feedback has long been recognized as a key component of the learning process. It is a process that is critical for effective learning and the development of clinical practice, and yet is something that paramedics often do not benefit from after handing their patients over in the hospital.
Confidentiality and legal considerations are often the limiting factor in being able to provide this essential feedback.
A project was undertaken between SJAWA and Sir Charles Gairdner Hospital in Perth – one of the 4 large tertiary teaching hospitals in Western Australia to develop and implement a system whereby paramedics could request and receive feedback on the their patients.
The final project was stood up as a Quality Improvement initiative, with approval from hospital executive and legal departments.
Paramedics scanned a QR code available in the ED or in the SJAWA Connect webpage, and submit case number and contact details. This information was then correlated with ePCR data to confirm requesting paramedic was treating clinician and feedback provided included:
– diagnosis
– results of pertinent investigations
– disposition and interventions
– relevant de-identified key images (e.g. CT scans)
– relevant learning points for pre-hospital practice and/or improvement on review of ePCR documentation
– attachment of relevant peer reviewed literature pertinent to case.
Feedback within the first 3 months of the project have been overwhelmingly positive.
The plan is to utilise this template across other hospital sites to improve paramedics access to clinical feedback