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