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Presentation of the SIG TEL 4 Health

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This presentation provides an overview of the SIG TEL 4 Health that is located at the CELSTEC institute. We are cooperating with various medical partner organization in European projects on topics ...

This presentation provides an overview of the SIG TEL 4 Health that is located at the CELSTEC institute. We are cooperating with various medical partner organization in European projects on topics like patient safety and patient empowerment. We strongly believe that mobile solutions + semantic and analytic technologies will facilitated the empowered patient and health system of the future.

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http://patient-project.eu 12
https://twitter.com 9

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Presentation of the SIG TEL 4 Health Presentation of the SIG TEL 4 Health Presentation Transcript

  • 
 TEL 4 Health " Simple mobile ! innovations! Mobile tools to improve patient safety 1
  • (2012 - 2015) (2009 - 2012) 2
  • The Problem •  In many cases of avoidable maternal death identified in the UK Confidential Enquiry, care was hampered by a lack of cross-disciplinary or cross-agency cooperation and communication problems, ... WHO Patient Safety Curriculum Guide, 2011 3
  • List of Errors in Patient Safety •  Share Information with patients •  Tests pending at discharge •  Diagnostic Test Results •  Identified Hospital Dr •  Treatment/hospital course •  Discharge medications •  Main diagnosis •  Follow-up plans •  Physical Findings 91% 65% 38% 25% 22% 21% 18% 14% 11% Kripalani et al., (2007) Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care Physicians. Implications for Patient Safety and Continuity of Care. JAMA. 2007;297(8) 831-841. 4
  • WHO High 5 Patient Safety The World Health Organization (WHO) lists accurate handovers as one of its High 5 Patient Safety initiatives. Training of handover skills would appear to be a promising approach to improve the quality of patient continue care. WHO Patient Safety Curriculum Guide, 2011 5
  • What is a HANDOVER? Shorter hospitalizations, more frequent patient transitions à high demands on the quality of clinical handovers
  • Mobile health projects
  • Process mapping Handover info
  • 3 challenges for medical practice 10
  • Challenge 1: Standardisation •  General •  Name •  Address •  MRN •  DOB •  Hospital •  Ward •  Consultant •  Speciality •  Date admission •  Date of discharge •  GP’s name 30
  • Challenge 2: Access (mobile) 30
  • Challenge 3: Information Quality 30
  • 2 challenges are addressed in the PATIENT project 30
  • 1. Standardisation: (CLAS) 15
  • 2. Mobile Access: The CLAS App
  • Pilot study of the CLAS App •  80 medical students (4th yr) •  Patient casenotes (fictional) given to students in advance of teaching session •  Experimental group (n=40) students received instruction on the CLAS scale. Asked to write a patient discharge letter (25 mins) •  Control group (n=40) wrote discharge letter without CLAS instruction 17
  • Pilot study at UCC Maher, B., Henn, P., Gaffney, R. (2012). Teaching medical students How to Write Patient Discharge Letters – Development of an i-Phone application. AMEE conference 2012, Lyon, France. 18
  • Difficult to prove that mobile educational interventions improve patient safety •  Lack of research describing / assessment of educational interventions to improve handover. •  Transfer of skills to workplace - some evidence •  Improved Patient Safety - no evidence Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. MEDICAL EDUCATION 2011; 45: 1081–1089 19
  • Conclusions 1. Use of checklists can improve the overall quality, content, structure and clarity of hospital discharge letters written by medical students. • Medical students benefit from formal instruction in letter-writing skills. • Use of the CLAS app at point of practice may improve the quality of hospital discharge letters. 20
  • Future Research and Development 1.  Analysis of 200 hospital discharge letters from 5 different GP practices using CLAS scale 2.  Extending the handover app approach to empower patients •  Pilot phase for CLAS and other mobile apps in the PATIENT project -> TARGET: train 600 students per year with mobile learning tools for handover 21
  • Upcoming: E-DL App •  Extending the idea of apps to support handover processes (communication, awareness, reflection competences). •  Extending the handover app approach to empower patients •  NFC •  Linked Data (ICD9, SNOMED_CT) 22
  • New ap
  • CPR? What? 24
  • Why EMuRgency? •  Appr. 50 reanimations/week by emergency services in the EMR •  8 – 10 people survive •  The survival rate could be doubled if •  Immediate help by laymen would be in place •  Professional help would earlier be in place
  • Why EMuRgency? Chances for survival… …through immediate cardiac massage are increased with the factor 3!
  • Notification System
  • Mobile Client
  • Mobile Client 29
  • Source: http://148apps.biz (Sep. 2013) Study about quality & usability of mobile apps Medical: 19,487 apps Healthcare & Fitness: 23,727 apps 30
  • Study about quality & usability of mobile apps 31
  • Study about quality & usability of mobile apps 13#apps#included#in#evalua/on#step#II Pocket#CPR CPR#&#choking Hands;only 1st#Aid# St.#John# SCDF#Choking Emergency CPR White#Cross Ambulance#1st#aid CPR#AED First#Aid#&# Treatment Pocket#First# Aid#&#CPR Free#CPR SOS# American# Red#Cross Leben#reKen 32 FDNY# Livesaver# Beta Reanima/e
  • Study about quality & usability of mobile apps Kalz, et al., submitted 33
  • Serious Game: HeartRun 34
  • Serious Game: HeartRun •  Addition to school training •  Focus on self-efficacy •  Motivational trigger 35
  • Serious Game: HeartRun Why mobility? •  Location-based •  Role-based •  Authenticity 36
  • Serious Game: HeartRun •  Simulates a real situation •  Requires the recall of BLS related knowledge immediately and correctly •  Integrates tasks and questions Schmitz, et al., 2013 37
  • Public displays Börner,  Kalz,  &  Specht,  submi7ed  
  • Public displays
  • Public displays 40
  • Parra et al., submitted 41
  • Incident visualisation
  • Thank you for attending this lecture! This silde is available at:
 http://www.slideshare.com/Drachsler
 Email: hendrik.drachsler@ou.nl Skype: celstec-hendrik.drachsler Blogging at: http://www.drachsler.de Twittering at: http://twitter.com/HDrachsler 
 Links: patient-project.eu 
 handovertoolbox.eu 43