Improving Impatient Medical Care with Mobile Devices

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Improving Impatient Medical Care with Mobile Devices. Perez Valina M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Improving Impatient Medical Care with Mobile Devices

  1. 1. Improving in-patient clinical care with MCA Manuel Pérez Vallina CIO
  2. 2. Gregorio Marañón Hospital
  3. 3. Some figures Área 1 H. General Universitario Población asignada: 700.000 Gregorio Marañón Complejo Hospitalario: 24 Edificios RRHH Personal: 8.000 Centros de Especialidades: 3 Equipo Directivo Personal de Actividad Asistencial 18 Dirección Recursos Materiales Puestos Atención de Día Altas Totales 67.843 Equipo Asistencial Camas Médico 23 Ingresos Urgentes 41.045 1730 Personal instaladas 1416 Urgencias Atendidas 320.664 Facultativo Oncohematológico 32 Camas utilizables 1692 Personal Sanitario Consultas Realizadas 526.549 4725 Sida 7 Actividad Quirúrgica 35.429 Personal No Consultas 207 2732 Psiquiátrico 24 Sanitario Hospitalización Domicilio 463 Equipo Informático Quirófanos 45 Tratamientos H. de día 30.000 Infraestructura Terapias respiratorias 108.000 CIO 1 Q. de Urgencia 5 PC´s 2702 Diálisis 53.790 Internos 10 Servers 101 Paritorios 9 Actividad Obstétrica 20.791 Externos 15 Printers 1047 Extracciones/ 190 LAN devices 160 Trasplantes CPD 50% virtualised Cuidados Paliativos 572
  4. 4. Why?  Hospital’s healthcare activity is, clearly, an example of mobility working environment.  Healthcare professionals has to do intensive queries of patient’s information (clinical data, test results, treatments,…) and data inputs.  Doing this with MPoC solutions would make tasks easier and improve efficiency.
  5. 5. Cardiology Service  64 beds  13 Day Hospital puestos  3 Hemodynamics wards  1 electrophysiology  30 medical staff, 15 residents  Short length of stay  Need to improve access to patient information
  6. 6. Project The project aim at the Cardiology Service was to determine the value of the MPoC solution for the improvement of the ward daily rounds for hospitalised patients. Key points: » Quality of care » Patient safety » Staff productivity and satisfaction
  7. 7. First steps »A delimited área of the cardilogy unit was selected for the pilot »Test of ward round times without mobility solution »2 doctors were equipped with MCA devices. » The MCA’s provide access to the same patient’s clinical information as available on the office’s desktop computers.
  8. 8. Ward round workflow
  9. 9. Quality of Care  Availability of the patient data and update of clinical information  Improvement of the electronic prescription workflow  Improvement of orders circuit and access to lab and test results  Reduction of unnecessary or repeated tests  Quicker and more informed clinical decision-making  Improvement in team communication
  10. 10. Patient Safety  Quicker and more informed clinical decision- making  More informed patients  Reduce risk of error  Unnecesary lengh of stay reduction
  11. 11. Staff Satisfaction  Perceived improvement in working conditions  Better visibility of workload  Quicker and more informed clinical decision-making  Improvement in team working  Improvement in ward round workflow  More time spend on clinical tasks
  12. 12. Areas of improvement  Wi-Fi coverage  User interface design  MCA Battery life  Lack of availability of some orders input
  13. 13. From pilot to daily work  Wireless LAN Optimization.  8 more MCA devices to extend the solution to all the Cardiology Unit.  Re-design of user interface  The results of the pilot were confirmed, with full staff satisfaction and improvement of the assistance delivered.
  14. 14. New implementations  Mobility solution with MCA for the 40 operating theatres of the Hospital  Target: Nursing and surgery data  All Circulating nurses with an MCA.  Ward round of hospitalised patiens of Surgery Units.
  15. 15. Thank you

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