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Michael Boroch- SmartRoom: The Naked Truth About Quality and Errors on the Front Line
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Michael Boroch- SmartRoom: The Naked Truth About Quality and Errors on the Front Line

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Michael Boroch- SmartRoom: The Naked Truth About Quality and Errors on the Front Line …

Michael Boroch- SmartRoom: The Naked Truth About Quality and Errors on the Front Line

Presented at Naked Hospital, August 26, 2010

Published in: Health & Medicine

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  • 1. SmartRoomTM
    The Naked Truth about Quality and Errors on the Front Line
    Michael Boroch, CEO
    SmartRoom
    August 26, 2010
  • 2. Agenda
    Challenges of Caregivers at the Bedside
    SmartRoomTM Overview and Value
    Questions / Answers
    2
  • 3. Policy vs. Reality
    What should be done and what “does” get done are often two (or more) different things.
    Example: Observed nurses using bar code medication administration and recorded all of the different steps (both actions and sequence of actions)
    3
  • 4. Bar Code Medication Admin
    Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment
    4
    Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007
  • 5. Bar Code Medication Admin
    There are 4 unsafe pathways and 6 most frequent workarounds
    5
  • 6. Healthcare’s Major Problem
    Many new innovations, projects, safety devices, computer systems and improvements require more time and effort on the part of the front line. We have to stop adding work….we must to find a way to take hard work away and make success easy for the front line.
    6
  • 7. Mind Clutter & Distractions
    With all the advantages of EMRs, the last mile to improve productivity, reduce errors and improve quality has not been reached.
    SmartRoom helps leverage the large EMR investments.
    7
  • 8. 36 Hospital Med/Surg Nursing Time and Motion
    8
    Source: A 36-Hospital Time & Motion Study: How Do Medical-Surgical Nurses Spent Their Time? – Hendrich/Chow-The Permanente Journal/ Summer 2008
  • 9. What is SmartRoom
    A “smart” patient room that…
    Organizes and simplifies the workflow of front-line staff
    Makes retrieving the right patient information at the right time as simple as walking into the room
    Pushes information to direct and indirect healthcare workers in context of situation - who, what, where
    Solves problems at the point of care
    9
  • 10. SmartRoom Video
    10
  • 11. Subtraction
    Study – 30 tasks in 10 rooms…
    Batch at end of day
    Chart between rooms using mobile COW
    Chart using Smart Room real time
    57% reduction in time spent charting + real-time documentation
    57% Reduction in Tasks
    69% Reduction in ADLs
    82% Reduction in Vital Signs
    Batching
    Mobile Cart
    SmartRoom
    11
  • 12. SmartRoom Value
  • 13. Perfection is achieved, not when there is nothing left to add, but when there is nothing left to take away.
    -Antoine de Saint-Exupery
    13
  • 14. Thank you!
    14

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