Dr Adnan Bashier
Background and Aims: The WORDS Daily Handover is an innovation in multidisciplinary communication within a secure unit. Communication within multi-disciplinary teams working across various health settings can be suboptimal and variable. One of the leading causes of adverse events leading to harm is miscommunication. As such better communication has been demonstrated to lead to improved patient outcomes. On secure wards traditional handovers were considered to be hierarchical, of variable relevance, of limited accountability and variable. Methods: The presentation demonstrates perspectives from the multi-disciplinary team of an innovative approach and development of a multidisciplinary handover procedure on a low secure unit. The WORDS handover framework achieved initial acceptance by the multi-disciplinary team and was embedded into the ward routine and culture. The WORDS mnemonic incorporates development of a WELCOMING culture, reporting of OBSERVATIONS, encouraging appropriate RECORDING, cultivating team DISCUSSION and subsequent appropriate SHARING outside of the immediate MDT. Results: Initial feedback of staff acceptance was significantly positive. Conclusions: The WORDS multi-disciplinary daily handover has scope for wider acceptance within secure care and other healthcare settings supporting multi-disciplinary communication and potential for reducing harm to patients.
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