MULTIDISCIPLINARY TEAM (MDT)EXPERIENCE IN THEINCORPORATION OF PACS ANDREAL-TIME ELECRONIC RECORD-KEEPING AT MEETINGSB. Kan...
Overview• Background• Development• Response• Conclusion
Method• Survey• Interviews• Observation• Work process Data
Background - Change• PACS• Electronic Patient Record implementation• Designation as Referral Centre• Guidelines – MDT Meet...
Team Profile - 2011ROLE                   NumberClinicians               9Radiologist              1Pathologist           ...
Team Profile - Clinicians ROLE                   Number Consultant               8 Specialist Registrar     3 Registrar   ...
Team Profile - Experience Experience              Frequency (Years) <1              2 1-3             8 4 - 10          12...
Team Profile – MDTs and MDTMsMDTs to               MDTMs       Numberwhich                 per week             Numbermemb...
Data - Workload    Month of                                                    Increase    November              2005*    ...
How       has increase been        accomplished?350300                     2010250200150100 50  0         1       2      3...
Increase accommodatedMore TIME Instead of 8.00am to 9.00am Now meet 07.45am to almost 09.45amRepresents increase from 14 p...
Coping StrategiesGroupingPrioritisingIncreased FormalisationIncorporate Electronic Record Keeping
Electronic Record-Keeping
Electronic Record-Keeping
Other ConsequencesLess Clinical summaryReduced time spent on radiology images     Mammogram, US, MRPathology pictures rare...
Acknowlegements• Breast Team at St James’s Hospital• IRCSET Research Fellowship• St James’s Hospital Board
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Multidisciplinary Team Experience In The Incorporation Of Pacs And Realtime Electronic Recordkeeping At Meetings - Bridget Kane

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Multidisciplinary Team Experience In The Incorporation Of Pacs And Realtime Electronic Recordkeeping At Meetings - Bridget Kane

  1. 1. MULTIDISCIPLINARY TEAM (MDT)EXPERIENCE IN THEINCORPORATION OF PACS ANDREAL-TIME ELECRONIC RECORD-KEEPING AT MEETINGSB. Kane1, M. Morrough, H. Al Chalabi, S. O’Keeffe, B.Dunne, M. J. Kennedy, D. Hollywood, T. Boyle, E. Connolly,R. McDermott, K. O’Byrne, F. Lynam, S. Luz 1IRCSET Research Fellow
  2. 2. Overview• Background• Development• Response• Conclusion
  3. 3. Method• Survey• Interviews• Observation• Work process Data
  4. 4. Background - Change• PACS• Electronic Patient Record implementation• Designation as Referral Centre• Guidelines – MDT Meetings• Increased Number of Patients• Public Awareness
  5. 5. Team Profile - 2011ROLE NumberClinicians 9Radiologist 1Pathologist 3 Vocal Non-VocalOncologist 6 13 (46%) 15 (54%)Nurse 6Physiotherapist 1Data/Audit Manager 1Administration staff 1Total 28
  6. 6. Team Profile - Clinicians ROLE Number Consultant 8 Specialist Registrar 3 Registrar 5 Intern 2 Total 18
  7. 7. Team Profile - Experience Experience Frequency (Years) <1 2 1-3 8 4 - 10 12 11 - 20 3 > 20 2 Not given 1 Total 28
  8. 8. Team Profile – MDTs and MDTMsMDTs to MDTMs Numberwhich per week Numbermember 1 12belongs 2 4 1 19 3 6 3 6 5 1 10 3 1-2 3 2-3 2Total 28 Total 28
  9. 9. Data - Workload Month of Increase November 2005* 2010 % 22 working daysPatient Cases - 206 255Patient Case 58 237 309Discussions (Mean 14) (Mean 48) (243) *In 2005: In 2010: One MDTM cancelled 28 patients discussed more than once. No. Individuals not noted Three of these were discussed 3 times
  10. 10. How has increase been accomplished?350300 2010250200150100 50 0 1 2 3 -50-100 2003 2005
  11. 11. Increase accommodatedMore TIME Instead of 8.00am to 9.00am Now meet 07.45am to almost 09.45amRepresents increase from 14 per hour in 2005 to 24 per hour 2010 = 71% increase in number of discussion
  12. 12. Coping StrategiesGroupingPrioritisingIncreased FormalisationIncorporate Electronic Record Keeping
  13. 13. Electronic Record-Keeping
  14. 14. Electronic Record-Keeping
  15. 15. Other ConsequencesLess Clinical summaryReduced time spent on radiology images Mammogram, US, MRPathology pictures rarely shownLess discussion, less participation
  16. 16. Acknowlegements• Breast Team at St James’s Hospital• IRCSET Research Fellowship• St James’s Hospital Board

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