Background North Middlesex University Hospital is a District General Hospital based in Central London and has recently developed a weekly ED simulation programme as part of specialty training. The simulation programme is run by a simulation fellow and ED consultant and aims to improve trainees’ confidence in core ED competencies including trauma and paediatric emergencies. It is recognised that there are difficulties in obtaining accurate and complete feedback from participants due to time constraints i.e. need to return to clinical work; because traditional methods of collecting feedback via paper forms are cumbersome and has an environmental impact with paper wastage, or feedback is lost through illegible writing. To improve the collection of feedback, we created a standardised online feedback form which participants access via a QR code using their mobile phones, and can be filled in quickly and accurately. This process will soon be rolled out to the entire hospital as the standardised method of collecting feedback from simulation sessions.
To improve the collection of feedback after simulation sessions, such that the simulation team is better able to capture feedback from all participants and analyse a complete set of data.
To improve data analysis with electronic record by reducing human errors in transcribing feedback from paper forms during analysis.
To standardise the feedback collection process in the hospital.
Reduce paper wastage and become more environmentally friendly.
Methods Participants scan a QR code that is made available at the start and end of the simulation sessions which directs them to a short online feedback form where they can fill in feedback anonymously.
Results There is an average of 83% feedback response rate from the simulation sessions conducted between Sept 2020 to Dec 2020. There is no previous formal data on feedback collection prior to this. There is also a reduced use of paper for obtaining feedback as a result of this initiative, as no paper feedback forms were printed for simulation sessions. Participants who did not have a mobile phone or adequate internet access had the feedback forms sent via email or WhatsApp to them. Finally, the use of an QR code and online feedback tool resulted in accurate data analysis with no loss of data due to illegible writing and an ease of data analysis using Microsoft Excel.
Conclusions The use of QR codes has resulted in an improvement in feedback response rate from participants, as well as an improvement in the completeness and legibility of the data. We also note a high level of satisfaction from the participants in terms of the ease in providing feedback. As a team, we believe that the use of QR code to direct participants towards online feedback forms will be a sustainable and lasting method for the department. This will also improve the ability of the simulation team to continually improve delivery of the simulation sessions through accurate analysis of the feedback received.