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Putting an end to Black Wednesday: improving patient safety by achieving comprehensive trust induction and mandatory training by day 1 

Natalie Gaskell, Richard Hinton, Tristan Page, Tracy Elvins and Adam Malin
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DOI: https://doi.org/10.7861/clinmedicine.16-2-124
Clin Med April 2016
Natalie Gaskell
AGeriatric Medicine and General Internal Medicine, Royal United Hospital, Bath, UK
Roles: ST5
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Richard Hinton
BRoyal United Hospital, Bath, UK
Roles: FY2 trainee
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Tristan Page
CRoyal United Hospital, Bath, UK
Roles: FY2 trainee
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Tracy Elvins
DRoyal United Hospital, Bath, UK
Roles: head of learning and development
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Adam Malin
ERoyal United Hospital, Bath, UK
Roles: director of medical education and consultant respiratory physician
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  • For correspondence: nataliegaskell@nhs.net
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    Fig 1.

    Completion rates for mandatory training, 2012–14. Yellow bars represent completion of full mandatory training by topic (e-modules and/or face-to-face) in 2012 (n = 207). Red bars represent those who attended August face-to-face induction in 2013, with brief 5-minute introductory talks on 10 mandatory topics, without assessment of learning (n = 141). Green bars represent completion of e-MT by all starters in the period August 2013–July 2014 (n = 226). Blue bars represent completion of e-MT by August 2014 starters (n = 144). e-MT = electronic mandatory training; VTE = venous thromboembolism.

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    Fig 2.

    Time to completion of e-induction and e-mandatory trainings package by grade of doctor. CMT = core medical training; FY = foundation year; GPST = general practice specialty training; NTG = non-training grade; ST = specialty trainee.

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    Fig 3.

    Comparison of pass rates by grade of trainee and country of primary medical qualification, for all August 2013 starters. ST = specialty trainee.

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    Table 1.

    Delivery of trust induction and mandatory training 2012.

    TopicMode of deliveryDuration, h
    Corporate welcomeFace to face3.5
    Medical equipmentFace to face1
    Loads and patient handlingFace to face3
    Health and safetyFace to face1
    Medical gas safetyFace to face1
    Waste managementFace to face0.5
    CounterfraudFace to face0.5
    Information governanceFace to face1
    IT systemsFace to face3
    Safeguarding adults (level 1 and 2)e-learning (facilitated session on induction)1.5
    Safeguarding children (level 1 and 2)e-learning (facilitated session on induction)1.5
    Fire safetyFace to face1
    Venous thromboembolisme-learning (facilitated session on induction)1
    Medicines managemente-learning (facilitated session on induction)2
    Equality and diversitye-learning (facilitated session on induction)1
    Mental capacity act and deprivation of liberty safeguardse-learning (facilitated session on induction)2
    Record keepingFace to face1
    Basic life supportFace to face2
    Infection prevention and controlFace to face1
    Blood transfusionFace to face1
    Total 29.5
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Putting an end to Black Wednesday: improving patient safety by achieving comprehensive trust induction and mandatory training by day 1 
Natalie Gaskell, Richard Hinton, Tristan Page, Tracy Elvins, Adam Malin
Clinical Medicine Apr 2016, 16 (2) 124-128; DOI: 10.7861/clinmedicine.16-2-124

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Putting an end to Black Wednesday: improving patient safety by achieving comprehensive trust induction and mandatory training by day 1 
Natalie Gaskell, Richard Hinton, Tristan Page, Tracy Elvins, Adam Malin
Clinical Medicine Apr 2016, 16 (2) 124-128; DOI: 10.7861/clinmedicine.16-2-124
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