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?


Toeaseinforma@onexchangesamongcaregivers


Examplen°1:Helen,anorthopedicnursetriestoreachPaul,anesthe@st,toadjustaPCApumpforapa@entwhoissufferingfrompost-opera@vepain

HelencallsPaul:PaulisintheORstar@nganinduc@on

-IfPaulanswers,hehastostopwiththeassociatedrisk…

-IfPauldoesn’tanswer,Helenwillcallhimback,andback,andback…

Before



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


Examplen°2:Amy,anambulatorysurgerynurseistryingtoreachanavailablephysiciantosignapa@entexitform.

1stCall:Paul(Noanswer)

2ndCall:Yuri(consul@ng)

NthCall:FinallyHughpicksupthephone,hewillcome

Before



Examplen°2:Amy,anambulatorysurgerynursetriestoreachanavailablephysiciantosignapa@entexitform

1stCall:Paul(Noanswer)

CouldoneofyoucometosignMrsSmithexitform?

Amysendsatextmessagefromhermobiledevicetothepredefinedgroupofphysicians.Hughanswers,PaulandYuriarenotinterruptedandAmydidn’twasteher@mecalling.

IamcomingAmy.

2ndCall:Yuri(consul@ng)

NthCall:FinallyHughpicksupthephone,hewillcome

WithasecuredinstantmessagingBefore



Examplen°3:Kate,apaediatricnurseispreparinganInsulindoseforKevin,a7yearsoldpa@ent.

Kate’sphonestartsringingwhilesheispreparingthedose…

…Kateanswers…

…Kateresumesherdoseprepara@onAndifKatedidn’tanswertheonewhoiscallingwould

havecallagainandagain,was@nghis@me…

Before



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



Paulastartswithaninforma@onpaperontheORpaperboard…

…asecondoneintheres@ngarea…

…Kate,whowasonleaveyesterday,callsPaulatounderstandwhyroom#3isclosed!!

Before

Examplen°4:Paula,anORmanagerhastoinformORnursesandphysiciansthatRoom#3willbeclosedtomorrowforairconrepairing.



Paulastartswithaninforma@onpaperontheORpaperboard…

PaulasendsatextmessagetoallORsmembers....everyoneisimmediatelyinformed…......andKate,isalsoinformedwhensheconnectshermobiledevicetotheHospitalinstantmessagingsystem.

…asecondoneintheres@ngarea…

…Kate,whowasonleaveyesterday,callsPaulatounderstandwhyroom#3isclosed!!

Withasecuredinstantmessaging

Warning!Tomorrow,Tuesday,Room#3willbeclosedforairconrepairing.

Before

Examplen°4:Paula,anORmanagerhastoinformORnursesandphysiciansthatRoom#3willbeclosedtomorrowforairconrepairing.



Examplen°5:Elisabeth,anambulatorysurgeryheadnurse,isinformedat4:30pmthatPaulananesthe@stnursewillnotbethereun@lendoftheweek.Shehastofindhimareplacement.

Elisabethstartscallingtemporarynursessheisusedtoworkwith….

…Aherdozensofcalls,Elisabethfinallyfoundonewhocanbetheretomorrow…

Before



Examplen°5:Elisabeth,anambulatorysurgeryheadnurse,isinformedat4:30pmthatPaulananesthe@stnursewillnotbethereun@lendoftheweek.Shehastofindhimareplacement.

Elisabethstartscallingtemporarynursessheisusedtoworkwith….

Elisabethselectsonhertabletthegroupofcontactsshehaspredefinedcorrespondingtotemporarynurses.Shesendsthemallauniquemessage...fewminuteslater,shegotheranswer.JulywillreplacePaul.

…Aherdozensofcalls,Elisabethfinallyfoundonewhocanbetheretomorrow…


Hello.Areyouavailableun@lendoftheweekforareplacementinambulatory

surgery?

HiElisabeth.Finewithme.7:30amtomorrow?

Absolutely.Seeyoutomorrow,thanks

Before



Examplen°6:Peter,anemergencyphysician,iswithapa@entpresen@ngaredfaces.Hewouldneedadermatologistadvisebeforetransferringher.

Petertriestocallanavailabledermatologist.Peterdescribedherthesymptoms,heissuspec@ngafoodpoisoning,butheisnotsure…

…Suzy,thedermatologistasksforinfoontheredarea,andfinallyagreedtogotheemergencydepartmentvisi@ngPeter’[email protected],itisalightfoodpoisoningassuspectedini@ally…...shecanreturntoherdepartment.

Before



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.


YouarerightPeter.Lightfoodpoisoningyoucansendherbackhome,witha3daystreatment.Ifitpersists

thenashertocomeback.

Thanks,Suzy.

Before


Tosimplifyinforma@onaccessinmobility


Examplen°7:Denisisopthalmologist,heprescribesascanasheissuspec@ngatumor.

DenisprescribesaCTscanandcon@nueshisac@vi@es..

…ifDenishasthechancetoworkinapaperlesshospitalhecanwaitfortheCTscandiagnos@csinfrontofhiscomputer……orhecanwaitbeingcalled…orhecancallregularlytheRxDepartmenttogetinfo…

..hispa@entistransferredtotheRxdept..

Before



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


Examplen°8:[email protected]@zedanobesepa@ent.Sheknowsthatthereisaspecificclinicalprotocolforobesepa@ents.

Laureencanaskacolleague…

..orshecantrytocallone..

..orshecanmovetoaworksta@onandaccesstheclinicalprotocolsdatabase..

..andfinallystartsherinduc@on.

Before



Examplen°8:[email protected]@zedanobesepa@ent.Sheknowsthatthereisaspecificclinicalprotocolforobesepa@ents.

Laureencanaskacolleague…

Laureenopensthelistofclinicalprotocolsonhermobiledevice……withoutwas@ngher@me,shehasanimmediateaccesstoinforma@onwhereneeded.

WithamobileinterfacetoHIS

..orshecantrytocallone..

..orshecanmovetoaworksta@onandaccesstheclinicalprotocolsdatabase..

..andfinallystartsherinduc@on.

Before


Suppor@ngpa@entengagement


Examplen°9:Yasminaisanambulatorysurgerynurse.Todayshehastocallallyesterdaypa@entstoensurethattheyhavenocomplica@ons.

Yasminastartscallingthefirstpa@entonherlist…

Before

..nothingspecialtoreport..

..thentheothers..

..andfinallyfewhourslatershecanstartherpa@entscaringac@vity.



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.


Examplen°10:Maryisaheadnurse,for7yearssheisinchargeoftheAcutePainDepartment,sheismanagingateamof3specializednurses.

Everymorningshereviewsthelistofpa@enttovisitduringtheday..

..withonly3nurses,visi@ngpa@ents...

..isadailymarathon.

Before

..fromdifferentdepartments..



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



Before Today

Communica@onandcareprocessefficiency


Discoverthepartnershipformobility

Quarness-

France

[email protected]

www.quarness.fr

Mobility and care process efficiency dec 2015 uk

Healthcare

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