TEAMS Time - TEAMS Teaching from Incidents using Multidisciplinary Education

ABSTRACT

Background/Introduction (a brief statement of purpose or why the study was done). Incidents in transfusion require feedback to those involved and learning within the wider Trust. Often lessons learned get disseminated to a few staff and the importance of learning from incidents can be overlooked. With movement about the hospital restricted during Covid it became even more difficult to get the learning out to staff. Ward managers were helpful and included changes and recommendations in morning Huddles (when these were allowed) or in departmental newsletters/ WhatsApp groups. However, we had no way of knowing who had read the information and similar incidents were reoccurring. We needed another way to get information out to staff and the answer came to us whilst on a Teams call - why do not we use Teams? Methods or Study Design (a description of the methods used or work done). An incident was reported relating to major haemorrhage activation (MHP) and during the investigation it became apparent that most of the staff on the ward were unclear about the activation process and communication with blood bank was poor. We really needed to do a MHP teaching sessions with all the staff on that ward and Biomedical scientists (BMS) which in normal times would be virtually impossible and during Covid pandemic was impossible. The solution was to produce a PowerPoint presentation, invite all the staff via Teams to attend the Teams presentation and we booked six 30-minute meetings on various dates and times. Most staff accepted the invitation and we had between 4 and 10 staff at each session. Staff were able to attend from work or home, useful as many were isolating due to Covid requirements, and one attended from her car in the hospital car park using her phone! The presentation was delivered live but also recorded so it could then be shared with other staff unable to access on the dates and times provided. At the end of the presentation a 10-min question and answer slot provoked discussion including appreciation of jobs roles during a MHP activation this enabled the transfusion practitioners to tailor the presentation for the next session. Results (a summary of the results observed). The trial delivering learning from incidents via this method was 100% successful. The ward manager liked this method as she could see who had attended and remind those that had missed a session to book on to another. The lab staff got an understanding of pressures in the clinical area, and the clinical staff learned about the Biomedical scientist (BMS) role. It was beneficial to have these small sessions and to discuss specific details with staff and staff felt comfortable talking and sharing experiences. Another benefit is that we can with confidence know who has received the feedback and learning from an incident. The presentation is available to be used by other wards as and when required. Conclusions (a statement of the conclusions based on the reported results, including any recommendations). We have decided to continue with this use of TEAMS to disseminate learning from incidents and will shortly be doing sessions on transfusion reactions as an action from a recent incident. This use of TEAMS is an example of how we have advanced shared learning from incidents.