Background: The fundamental aim of any handover is to achieve the efficient transfer of high-qual... more Background: The fundamental aim of any handover is to achieve the efficient transfer of high-quality clinical information at times of transition of responsibility for patients. Studies have shown that poor handover can be associated with adverse patient events. Due to a change in work patterns, namely shift work, the need for clear, standardized, and safe handover is vital. We aimed to assess adaptation to a new virtual handover format, consisting of verbal and written handover presented daily by the post call registrar to the general surgery department. Methods: A survey was distributed amongst the General Surgery consultants and non-consultant hospital doctors (NCHDs) that assessed: the level of engagement in daily handover, overall satisfaction with the new virtual handover process, and comparison with previous handover experiences in other hospitals. Re-evaluation and modifications of the standardization will be completed over the next 2-month period. Results: There was a 54% response rate with the distributed survey. The consultants attended daily while NCHDs tended to join only when their team was on call. The virtual handover process was introduced at the beginning of the coronavirus disease 2019 (COVID-19) pandemic. Reported handover experienced prior to this was verbal (50%); both verbal and written (33%) and written (18%). One hundred percent of those surveyed preferred the new virtual handover process for reasons including: ease of hand-backs, discussion of overnight problems and issues, and learning opportunity for the junior surgical doctors. Virtual handover also allowed for greater flexibility, easy access and practicality. 83% of the participants agreed that the handover was valuable. Conclusions: Standardization and implementation of virtual handover has proven to be a viable, safe and efficient option for handover. Ongoing evaluation would be beneficial to further optimize the handover process.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, Jan 19, 2018
To summarize information on the maternal and perinatal outcomes among pregnant women with a mater... more To summarize information on the maternal and perinatal outcomes among pregnant women with a maternal age greater or equal to 45 years old compared with women with a maternal age of less than 45. A comprehensive systematic search of online databases from January 1946 through June 2015 was completed. The maternal outcomes were: fetal loss, preterm birth, full-term birth, complications of pregnancy, the type of delivery, and periconception hemorrhage. The fetal outcomes were: intrauterine growth restriction/LGA, fetal anomalies, APGAR score, and neonatal death. Twenty articles were included in the systematic review and 15 included in the meta-analysis. There was a 2.60 greater likelihood of fetal loss (I = 99%). Newborns of women of a very advanced maternal age were 2.49 more likely to have a concerning 5-minute APGAR score. Very advanced maternal age women had a 3.32 greater likelihood of pregnancy complications (I = 91%). There was a 1.96 greater likelihood of preterm birth at very a...
Background: The fundamental aim of any handover is to achieve the efficient transfer of high-qual... more Background: The fundamental aim of any handover is to achieve the efficient transfer of high-quality clinical information at times of transition of responsibility for patients. Studies have shown that poor handover can be associated with adverse patient events. Due to a change in work patterns, namely shift work, the need for clear, standardized, and safe handover is vital. We aimed to assess adaptation to a new virtual handover format, consisting of verbal and written handover presented daily by the post call registrar to the general surgery department. Methods: A survey was distributed amongst the General Surgery consultants and non-consultant hospital doctors (NCHDs) that assessed: the level of engagement in daily handover, overall satisfaction with the new virtual handover process, and comparison with previous handover experiences in other hospitals. Re-evaluation and modifications of the standardization will be completed over the next 2-month period. Results: There was a 54% response rate with the distributed survey. The consultants attended daily while NCHDs tended to join only when their team was on call. The virtual handover process was introduced at the beginning of the coronavirus disease 2019 (COVID-19) pandemic. Reported handover experienced prior to this was verbal (50%); both verbal and written (33%) and written (18%). One hundred percent of those surveyed preferred the new virtual handover process for reasons including: ease of hand-backs, discussion of overnight problems and issues, and learning opportunity for the junior surgical doctors. Virtual handover also allowed for greater flexibility, easy access and practicality. 83% of the participants agreed that the handover was valuable. Conclusions: Standardization and implementation of virtual handover has proven to be a viable, safe and efficient option for handover. Ongoing evaluation would be beneficial to further optimize the handover process.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, Jan 19, 2018
To summarize information on the maternal and perinatal outcomes among pregnant women with a mater... more To summarize information on the maternal and perinatal outcomes among pregnant women with a maternal age greater or equal to 45 years old compared with women with a maternal age of less than 45. A comprehensive systematic search of online databases from January 1946 through June 2015 was completed. The maternal outcomes were: fetal loss, preterm birth, full-term birth, complications of pregnancy, the type of delivery, and periconception hemorrhage. The fetal outcomes were: intrauterine growth restriction/LGA, fetal anomalies, APGAR score, and neonatal death. Twenty articles were included in the systematic review and 15 included in the meta-analysis. There was a 2.60 greater likelihood of fetal loss (I = 99%). Newborns of women of a very advanced maternal age were 2.49 more likely to have a concerning 5-minute APGAR score. Very advanced maternal age women had a 3.32 greater likelihood of pregnancy complications (I = 91%). There was a 1.96 greater likelihood of preterm birth at very a...
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Papers by Amrit Bajwa