Post on 07-May-2015
Tracking Pair of Hands to Increase
Patient SafetyDr Samir Sawli
ssawli@sidra.org
How Do we Achieve Patient Safety Using Technology?
• Achieve the Balance
• Outcomes
• Process• 1.Resources
Staff Management
Communication Is Key
Staff Satisfaction
Management Efficiency
Prevent ErrorsContuity of care
Patient Safety
1. Resources
Automated non Bias Schedule
Ability to swap and request time off
Workaholic contribute to sentimental
events
Unfair distribution of Overtime
Satisfaction
Under work
Overwork
Staff Scheduling System Provides automated 4-6 weeks schedule
applying organizational policies Provides electronic tracking of staff trends Enforces organizational policies example no
day shift after night shift Provides the tools to offer fair distribution of
overtime and rotation of shifts Provides seamless tools to enhance staff
satisfaction upon requesting time off, swap or floating
• Achieve the Balance
• Outcomes
• 2. Process• Resources
Staff Management
Communication Is Key
Staff Satisfaction
Management Efficiency
Prevent ErrorsContuitey of
care
Patient Safety
Most sentimental errors are due to
Break In Communicatio
n
Communication gap2.Process
Failure to deliver the right
message to the right care provider
Ineffective routing of messages
Break in care consistency
Poor tracking of staff
Prevent Errors
• Route the message to the right person
Enhance Communication
• Staff to Staff Communication
• Patient to Staff Communication
Track Communica
tion
• Message sending and receiving
• Accountability
Scheduling and Communication Tools
Staff Scheduling System Provides An infra structure to interface communication and
messaging tools like Vocera/Conexall Routing of alarms and patient call to the assigned
staff avoiding overhead paging and noise Routing of staff to staff communication like text
paging Call upon resources in case of emergency or code Call upon messengers to collect samples or bring
cross matched blood units Email and dashboard staff announcements and
alerts Overtime signup for nursing staff
• Achieve the Balance
• 3.Outcomes
• Process• Resources
Staff Management
Communication Is Key
Staff Satisfaction
Management Efficiency
Prevent ErrorsContuitey of
care
Patient Safety
Are we Maintaining
continuity of care
Tracking of staff
Who is working more than safe
Work Schedule
Trends
Manage under/overstaffi
ng
Staff time managemen
t
. 3. Outcomes Prevent Errors
Tracking • Who is on-duty
Routing• Route the
staff/patient call/requests
Trends• Enforce Policies• Track trends
across units
Scheduling System+ Time and Attendance
Scheduling System with Time and Attendance Provides Continuity of care through assigning the
same nurse to the same patient when applicable
Management of staff check-in and out in real time alerts
Monitor adequacy of unit coverage highlighting under/over staffing
Routing staff and patient messaging to enhance communication
Patient call
Assigned Nurse
Fulfill request
Manual workflow of no show
Call Unit
•1. Check staff Attendance
•2. Identify no show
Find Replaceme
nt
•3. Start calling possible replacement
•4. Check overtime rules (sickness, long hours)
Adjust
Schedule
•5. Create shift
•6. Assign staff code
Receive alertSystem
suggests replacement
Confirm replacement
Automated No show Workflow
• Achieve the Balance
• Outcomes
• Process• Resources
Staff Management
Communication Is Key
Staff Satisfaction
Management Efficiency
Prevent ErrorsContuitey of
care
Patient Safety
Avoid overtime to keep management happy• Track Demand and Supply
To satisfy accreditation standards• Report on adequate/inadequate
coverage
. Achieve the Balance
Use patient acuity module to avoid under/over staff
• Adequate Staffing based on Acuity
Paperless Automated schedule Flexible swap and rescheduling option for staff Driven by patient acuity and workload Has Time and Attendance component Interface able with Clinical Information System
and Enterprise Resource Management ERP system and LMS
Can be linked to messaging systems such as Vocera, conexall, email and sms
Supports handheld devices
The Ideal Staffing and Scheduling solution
Define your requirements (Research, consultant, workflows) Scan the market KLAS RESEARCH REPORT Issue RFI See on-line demo Refine requirements Issue RFP Conduct demonstration Ensure technical operability and adequate local
support and training
Sourcing Approach
Gather empowered implementation team Consult experienced experts Work with the vendor Plan deliverables and tie to contract Track milestones Automate current processes after improving them Test, unit, volume, integration, load Share outcomes and issues with stakeholders Provide training 3 months prior to go live Ensure at the point of care support and not behind
command centers Log issues, communicate resolution
Implementation