Mobility and care process efficiency dec 2015 uk
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Transcript of Mobility and care process efficiency dec 2015 uk
Mobiletechnologiestomakecareprocessesmoreefficient
QuarnessSAS–Décembre2015
Healthcareins@tu@ons:
10examplesofmobile
technologiesusage
Communica@onandcareprocessefficiency
• Taskinterrup@ons:eachinterrup@onincreasesrisksoferrorsby13%
• Anurseisinaverageinterrupted7@mesanhour
• Nursesreportthatinterrup@onsfrommanagementphonecallsleadtothehighestriskoferrors
• Upto2hoursarelostperdaycollec@nginforma@onsneededforpa@entcare
Howmobiletechnologiescanmakecareprocessesmoreefficient?
QuarnessSAS–Décembre2015
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°1:Helen,anorthopedicnursetriestoreachPaul,anesthe@st,toadjustaPCApumpforapa@entwhoissufferingfrompost-opera@vepain
HelencallsPaul:PaulisintheORstar@nganinduc@on
-IfPaulanswers,hehastostopwiththeassociatedrisk…
-IfPauldoesn’tanswer,Helenwillcallhimback,andback,andback…
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°1:Helen,anorthopedicnursetriestoreachPaul,anesthe@st,toadjustaPCApumpforapa@entwhoissufferingfrompost-opera@vepain
WithasecuredInstantmessaging
Paul,couldyoucomeandadjustMrSmithPCAasheissufferingfrompain
HelensendsatextmessagetoPaul,andcon@nuesherac@[email protected]@onheconsultshismessagesonhismobiledeviceandanswerstoHelen.
Iwillbetherein20min
HelencallsPaul:PaulisintheORstar@nganinduc@on
-IfPaulanswers,hehastostopwiththeassociatedrisk
-IfPauldoesn’tanswer,Helenwillcallhimback,andback,andback…
Before
QuarnessSAS–Décembre2015
Examplen°2:Amy,anambulatorysurgerynurseistryingtoreachanavailablephysiciantosignapa@entexitform.
1stCall:Paul(Noanswer)
2ndCall:Yuri(consul@ng)
NthCall:FinallyHughpicksupthephone,hewillcome
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°2:Amy,anambulatorysurgerynursetriestoreachanavailablephysiciantosignapa@entexitform
1stCall:Paul(Noanswer)
CouldoneofyoucometosignMrsSmithexitform?
Amysendsatextmessagefromhermobiledevicetothepredefinedgroupofphysicians.Hughanswers,PaulandYuriarenotinterruptedandAmydidn’twasteher@mecalling.
IamcomingAmy.
2ndCall:Yuri(consul@ng)
NthCall:FinallyHughpicksupthephone,hewillcome
WithasecuredinstantmessagingBefore
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°3:Kate,apaediatricnurseispreparinganInsulindoseforKevin,a7yearsoldpa@ent.
Kate’sphonestartsringingwhilesheispreparingthedose…
…Kateanswers…
…Kateresumesherdoseprepara@onAndifKatedidn’tanswertheonewhoiscallingwould
havecallagainandagain,was@nghis@me…
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°3:Kate,apaediatricnurseispreparinganInsulindoseforKevin,a7yearsoldpa@ent.
Kate’sphonestartsringingwhilesheispreparingthedose… Katereceivesano@fica@ononher
[email protected]@nueherprepara@on,shewillreadthemessagewhenshewillhavecompletedthedose.Kateisnotinterruptedandnooneiswas@nghis@metryingtoreachher.…Kateanswers…
…Kateresumesherdoseprepara@onAndifKatedidn’tanswertheonewhoiscallingwould
havecallagainandagain,was@nghis@me…
WithasecuredinstantmessagingBefore
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Paulastartswithaninforma@onpaperontheORpaperboard…
…asecondoneintheres@ngarea…
…Kate,whowasonleaveyesterday,callsPaulatounderstandwhyroom#3isclosed!!
Before
Examplen°4:Paula,anORmanagerhastoinformORnursesandphysiciansthatRoom#3willbeclosedtomorrowforairconrepairing.
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Paulastartswithaninforma@onpaperontheORpaperboard…
PaulasendsatextmessagetoallORsmembers....everyoneisimmediatelyinformed…......andKate,isalsoinformedwhensheconnectshermobiledevicetotheHospitalinstantmessagingsystem.
…asecondoneintheres@ngarea…
…Kate,whowasonleaveyesterday,callsPaulatounderstandwhyroom#3isclosed!!
Withasecuredinstantmessaging
Warning!Tomorrow,Tuesday,Room#3willbeclosedforairconrepairing.
Before
Examplen°4:Paula,anORmanagerhastoinformORnursesandphysiciansthatRoom#3willbeclosedtomorrowforairconrepairing.
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°5:Elisabeth,anambulatorysurgeryheadnurse,isinformedat4:30pmthatPaulananesthe@stnursewillnotbethereun@lendoftheweek.Shehastofindhimareplacement.
Elisabethstartscallingtemporarynursessheisusedtoworkwith….
…Aherdozensofcalls,Elisabethfinallyfoundonewhocanbetheretomorrow…
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°5:Elisabeth,anambulatorysurgeryheadnurse,isinformedat4:30pmthatPaulananesthe@stnursewillnotbethereun@lendoftheweek.Shehastofindhimareplacement.
Elisabethstartscallingtemporarynursessheisusedtoworkwith….
Elisabethselectsonhertabletthegroupofcontactsshehaspredefinedcorrespondingtotemporarynurses.Shesendsthemallauniquemessage...fewminuteslater,shegotheranswer.JulywillreplacePaul.
…Aherdozensofcalls,Elisabethfinallyfoundonewhocanbetheretomorrow…
Withasecuredinstantmessaging
Hello.Areyouavailableun@lendoftheweekforareplacementinambulatory
surgery?
HiElisabeth.Finewithme.7:30amtomorrow?
Absolutely.Seeyoutomorrow,thanks
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°6:Peter,anemergencyphysician,iswithapa@entpresen@ngaredfaces.Hewouldneedadermatologistadvisebeforetransferringher.
Petertriestocallanavailabledermatologist.Peterdescribedherthesymptoms,heissuspec@ngafoodpoisoning,butheisnotsure…
…Suzy,thedermatologistasksforinfoontheredarea,andfinallyagreedtogotheemergencydepartmentvisi@ngPeter’[email protected],itisalightfoodpoisoningassuspectedini@ally…...shecanreturntoherdepartment.
Before
Toeaseinforma@onexchangesamongcaregivers
QuarnessSAS–Décembre2015
Examplen°6:Peter,anemergencyphysician,iswithapa@entpresen@ngaredfaces.Hewouldneedadermatologistadvisebeforetransferringher.
Petertriestocallanavailabledermatologist.Peterdescribedherthesymptoms,heissuspec@ngafoodpoisoning,butheisnotsure…
PetersendsSuzyapictureofhispa@entassociatedwithatextmessage.Fewminuteslater,[email protected]@onmadebyPeterandthepicturejoinedwereclearenough.Noneedtostophertaskandtovisitthepa@ent.
…Suzy,thedermatologistasksforinfoontheredarea,[email protected],itisalightfoodpoisoningassuspectedini@ally…...shecangobacktoherdepartment.
Withasecuredinstantmessaging
YouarerightPeter.Lightfoodpoisoningyoucansendherbackhome,witha3daystreatment.Ifitpersists
thenashertocomeback.
Thanks,Suzy.
Before
Toeaseinforma@onexchangesamongcaregivers
Tosimplifyinforma@onaccessinmobility
QuarnessSAS–Décembre2015
Examplen°7:Denisisopthalmologist,heprescribesascanasheissuspec@ngatumor.
DenisprescribesaCTscanandcon@nueshisac@vi@es..
…ifDenishasthechancetoworkinapaperlesshospitalhecanwaitfortheCTscandiagnos@csinfrontofhiscomputer……orhecanwaitbeingcalled…orhecancallregularlytheRxDepartmenttogetinfo…
..hispa@entistransferredtotheRxdept..
Before
Tosimplifyinforma@onaccessinmobility
QuarnessSAS–Décembre2015
Examplen°7:Denisisopthalmologist,heprescribesascanasheissuspec@ngatumor.
DenisprescribesaCTscanandcon@nueshisac@vi@es..
DenisprecribedtheCTscan……WhentheCTScaniscompleted,hereceivesano@[email protected]@nghis@mehecangototheworksta@onandreadthediagnos@c.
…ifDenishasthechancetoworkinapaperlesshospitalhecanwaitfortheCTscandiagnos@csinfrontofhiscomputer……ifnot,hecanwaitbeingcalled…orhecancallregularlytheRxDepartmenttogetinfo…
WithamobileinterfacetoHIS
..hispa@entistransferredtotheRxdept.. CtTScannerMrDupuis:completed
De:Radiologie
Before
QuarnessSAS–Décembre2015
Examplen°8:[email protected]@zedanobesepa@ent.Sheknowsthatthereisaspecificclinicalprotocolforobesepa@ents.
Laureencanaskacolleague…
..orshecantrytocallone..
..orshecanmovetoaworksta@onandaccesstheclinicalprotocolsdatabase..
..andfinallystartsherinduc@on.
Before
Tosimplifyinforma@onaccessinmobility
QuarnessSAS–Décembre2015
Examplen°8:[email protected]@zedanobesepa@ent.Sheknowsthatthereisaspecificclinicalprotocolforobesepa@ents.
Laureencanaskacolleague…
Laureenopensthelistofclinicalprotocolsonhermobiledevice……withoutwas@ngher@me,shehasanimmediateaccesstoinforma@onwhereneeded.
WithamobileinterfacetoHIS
..orshecantrytocallone..
..orshecanmovetoaworksta@onandaccesstheclinicalprotocolsdatabase..
..andfinallystartsherinduc@on.
Before
Tosimplifyinforma@onaccessinmobility
Suppor@ngpa@entengagement
QuarnessSAS–Décembre2015
Examplen°9:Yasminaisanambulatorysurgerynurse.Todayshehastocallallyesterdaypa@entstoensurethattheyhavenocomplica@ons.
Yasminastartscallingthefirstpa@entonherlist…
Before
..nothingspecialtoreport..
..thentheothers..
..andfinallyfewhourslatershecanstartherpa@entscaringac@vity.
Suppor@ngpa@entengagement
QuarnessSAS–Décembre2015
Examplen°9:Yasminaisanambulatorysurgerynurse.Todayshehastocallallyesterdaypa@entstoensurethattheyhavenocomplica@ons.
Yasminastartscallingthefirstpa@entonherlist…
AtD1pa@entsreceiveano@fica@onontheirmobiledevicetocompletethepost-opchecklist....theiranswersaredirectlyreportedonYasminadashboard..…shecanfocusonpa@entswhoreportedcomplica@ons.
Before Withapa@entAppforambulatorysurgerypa@ents
..nothingspecialtoreport..
..thentheothers..
..andfinallyfewhourslatershecanstartherpa@entscaringac@vity.
QuarnessSAS–Décembre2015
Examplen°10:Maryisaheadnurse,for7yearssheisinchargeoftheAcutePainDepartment,sheismanagingateamof3specializednurses.
Everymorningshereviewsthelistofpa@enttovisitduringtheday..
..withonly3nurses,visi@ngpa@ents...
..isadailymarathon.
Before
..fromdifferentdepartments..
Suppor@ngpa@entengagement
QuarnessSAS–Décembre2015
Examplen°10:Maryisaheadnurse,for7yearssheisinchargeoftheAcutePainDepartment,sheismanagingateamof3specializednurses.
Everymorningshereviewsthelistofpa@enttovisitduringtheday..
2or3@mesaday,allpostopera@vepa@entsreceivearequesttoevaluatetheirpainscorefromtheirmobiledevice..
Withapa@entappforpainmanagement
..withonly3nurses,visi@ngpa@ents...
..isadailymarathon.
Before
..fromdifferentdepartments..
…Marycanthentakecareofmorepa@entsandconcentratehereffortonthosewhoarereallysuffering.
..incaseofhighPainScore,amessageisautoma@callygeneratedtoinformthenurseinchargeofthepa@ent..
MrDupuisreportedapainscoreof7!
Douleur
Suppor@ngpa@entengagement
QuarnessSAS–Décembre2015
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