Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Authors (including presenting author) :
Lai SW(1), Ko SH(1), Chan BY (1) Leung SH(1), Chen XR(1), Li YC(1)
(1) Department of Family Medicine & Primary Health Care, Kowloon Central Cluster
Introduction :
The Peer Visit Round (PVR) serves as a collaborative and interdisciplinary learning platform, fostering bottom-up engagement to enhance the quality and safety standards within KCC GOPCs. Comprising presentation sessions and on-site visits, the PVR has conducted 34 rounds before 2019, with the 35th PVR resuming in April 2023 after the post-COVID introduction of technological advancements to contemporize the process.
Objectives :
The objectives of the PVR are threefold: to foster a bottom-up, cross-learning environment, provide a platform for sharing and adopting best practices, and follow up on arising issues during the round to formulate guidelines for risk management. The PVR team composition includes the COS, Consultants, DOM, and PVR subject officer doctor, alongside representatives from various staff ranks.
Methodology :
The methodology involves setting PVR themes based on the departmental risk register and gaps identified during operation. Each round comprises presentations from individual clinics showcasing their performance and on-site visits for a reality check, focusing on two specific themes. Zoom is utilized for online presentations to maximize staff attendance and efficiency, with multimedia encouraged for illustration.
Result & Outcome :
Before the PVR resumed post-COVID, presentations and site visits were conducted at local clinics, limiting coverage to about 7-8 clinics within 2 half-day sessions due to time constraints. However, with the introduction of virtual Zoom sessions and a hybrid approach, the 35th PVR held two virtual meetings, occupying 2 half-day sessions, with active participation from all 13 KCC clinics. Site visits were conducted at four clinics chosen based on their performance in Zoom presentations, showcasing a more focused and efficient approach.
The hybrid round allowed full coverage of all 13 KCC clinics, enabling a more targeted site visit strategy. This innovative approach ensures that only clinics of interest are visited, optimizing the use of resources and time. The outcomes of the 35th PVR included discussions on implementing 5S and strategies for preventing needle stick injuries. Good practices were shared during department meetings, specifically with Advanced Practice Nurse In Charges (APN ICs), and identified gaps during on-site visits will be addressed in the next PVR, emphasizing the commitment to continuous improvement and quality enhancement in healthcare practices.
