The document discusses the strategies taken by Aintree Hospital in the UK to transition to a paperless system. It details how:
1) Aintree resolved legacy paper records by scanning over 195 million pages and completing the entire archive conversion.
2) They implemented systems to stop generating new paper such as electronic prescribing and results management to eliminate paper forms.
3) These electronic systems provide benefits like improved clinical efficiency, safety from all records being accessible remotely, and cost savings from reducing logistical burdens of paper.
Strokepad is a comprehensive, real-time, point-of-care digital clinical record specifically designed for stroke patients, encompassing the entire management pathway from admission to discharge.
It is a highly optimized, digital tablet interface with 'pen and paper' functionality, eliminating the need for dual entry or the use of parallel paper records throughout the care pathway.
Strokepad contains a built-in data field management which optimizes the collection of clinical and managerial data, reducing revenue loss through inaccurate coding.
Strokepad fully automates the processing of outcome data which eliminates resource intensive duplicate data collection for reporting and audit.ion of clinical and managerial data, reducing revenue loss through inaccurate coding.
The fundamental source of cost and error is in duplication:
^The clinician or nurse inputs the patients data directly into StrokePad at the bedside
^No duplication
^No data misunderstandings
^No duplicate recordings
^Reduced costs
^Reduced errors
More time for patient care
Didier Delfort, Global Vice President & General Manager, GE Healthcare, was the guest speaker at the first ever Health Tuesday, organised by the Finnish Innovation Fund Sitra.
Strokepad is a comprehensive, real-time, point-of-care digital clinical record specifically designed for stroke patients, encompassing the entire management pathway from admission to discharge.
It is a highly optimized, digital tablet interface with 'pen and paper' functionality, eliminating the need for dual entry or the use of parallel paper records throughout the care pathway.
Strokepad contains a built-in data field management which optimizes the collection of clinical and managerial data, reducing revenue loss through inaccurate coding.
Strokepad fully automates the processing of outcome data which eliminates resource intensive duplicate data collection for reporting and audit.ion of clinical and managerial data, reducing revenue loss through inaccurate coding.
The fundamental source of cost and error is in duplication:
^The clinician or nurse inputs the patients data directly into StrokePad at the bedside
^No duplication
^No data misunderstandings
^No duplicate recordings
^Reduced costs
^Reduced errors
More time for patient care
Didier Delfort, Global Vice President & General Manager, GE Healthcare, was the guest speaker at the first ever Health Tuesday, organised by the Finnish Innovation Fund Sitra.
Workflow & Business Process Automation Opportunities in the Healthcare MarketY Soft Corporation
Wouter Koelewijn, Y Soft Vice President and Managing Director of Y Soft Scanning Division, talked about opportunities in workflow and business process automation for healthcare market in USA.
YSoft SafeQ is a leading print management and document capture solution currently uses by more than 14 000 companies in more than 100 countries.
If you want to find out more about YSoft SafeQ, contact us at www.ysoft.com/contact-us or schedule your Live Demo at www.ysoft.com/demo.
Whether you run a hospital or clinic, you know that managing all internal processes can become a nightmare. With a well-built hospital management software (HMS), things become easier.
85% of clinical trials fail to recruit enough patients, 80% fail to finish on time. A key issue is 70% of patients live more that 2 hours from the study site. Wearable devices can support the collection of real world data in the patients home as well as create novel endpoints
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Simulation modeling of pre/post bed needs for an Interventional PlatformSIMUL8 Corporation
Architect Frank Zilm discusses how simulation software was used to explore the implementation of an interventional platform concept, integrating surgery, cardiac procedures, interventional radiology and endoscopy services, at Saint Louis University Hospital.
Efficiency of Remote Technical Support for the ICD follow-up outpatientsNayaMed
During the EHRA Pacing 2013, NayaMed had the chance to present a poster showing the :"Efficiency of Remote Technical Support for the ICD follow-up outpatients."
Workflow & Business Process Automation Opportunities in the Healthcare MarketY Soft Corporation
Wouter Koelewijn, Y Soft Vice President and Managing Director of Y Soft Scanning Division, talked about opportunities in workflow and business process automation for healthcare market in USA.
YSoft SafeQ is a leading print management and document capture solution currently uses by more than 14 000 companies in more than 100 countries.
If you want to find out more about YSoft SafeQ, contact us at www.ysoft.com/contact-us or schedule your Live Demo at www.ysoft.com/demo.
Whether you run a hospital or clinic, you know that managing all internal processes can become a nightmare. With a well-built hospital management software (HMS), things become easier.
85% of clinical trials fail to recruit enough patients, 80% fail to finish on time. A key issue is 70% of patients live more that 2 hours from the study site. Wearable devices can support the collection of real world data in the patients home as well as create novel endpoints
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Simulation modeling of pre/post bed needs for an Interventional PlatformSIMUL8 Corporation
Architect Frank Zilm discusses how simulation software was used to explore the implementation of an interventional platform concept, integrating surgery, cardiac procedures, interventional radiology and endoscopy services, at Saint Louis University Hospital.
Efficiency of Remote Technical Support for the ICD follow-up outpatientsNayaMed
During the EHRA Pacing 2013, NayaMed had the chance to present a poster showing the :"Efficiency of Remote Technical Support for the ICD follow-up outpatients."
Talk at Heart Rhythm Society's 2013 annual Sessions discussing why and how patients will be able to obtain data from their implantable cardiac devices.
From the Archives, 2008:Clinical and Economic Advantages Implantable Defibril...David Lee Scher, MD
This presentation from 2008 discusses the most early recognized merits of remote patient monitoring as it pertained to implantable defibrillators. It was prsented at the European Cardiac Arrhythmia Society Annual Congress. These advantages of RPM can be extended to monitoring of other conditions today.
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This presentation focuses on issues related to wearable technologies in the healthcare sector whose main expression has been given so far by the so called remote patient monitoring systems
Hospital Management and Inventory Control Solution for Public Hospitals in De...Mamoon Ismail Khalid
Historic underinvestment in public health has left Ecuador
with one of the most inefficient health systems in the region.
The Problem
Little info sharing
The lack of interoperable
systems and records
management contributes to a
lack of understanding of public
health needs leads to
treatments that don't really
address overall health issues
Bureaucracy
Public health employees are
engaged in redundant
administrative tasks that divert
resources from patient care and
clog system
PAPER RECORDING OF INFORMATION
Medical assistants need to manually fill in 5
different records (1 per prescription), they
first do it in paper and then typed it in the
computer since the Wi-Fi is not reliable.
Excessive waits
Lead times for getting
appointments in and long
check in processes lead to
patients abandoning
preventative care that could
save money and improve
patient outcomes
Most people we surveyed
complained about lead time. It
becomes even more
aggravating when it’s an
emergency.
Abuse and waste
Inability to track prescriptions
and inventory offer opportunity
for abuse that undermines the
system's overall quality
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
eHealth as a tool to support health practitioners November 2013Rajeev Rao Eashwari
“Telemedicine begins with a vision of connecting people to people, connecting resources to needs, and connecting healthcare problems to health care solutions”
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
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The KIMS Story: The Interplay with TechnologyMED E Talks
Dr. Sheriff Sahadulla, the Group CEO of KIMS Healthcare Group. KIMS is a top-notch healthcare group with footprints across South India and GCC countries. This presentation is on the KIMS story, and its interplay and occupation with the beast called technology.
Visit our Website : https://www.medetalks.com/
Contact Us @ https://www.medetalks.com/contact-us.html
Like our Facebook page @ https://www.facebook.com/MedeTalks
Follow us on Twitter @ https://twitter.com/MedeTalks
Follow us on Linkedin@ https://www.linkedin.com/company/medetalks-2019/
Evaluation of the Integrated Care and Support Pioneers ProgrammeNuffield Trust
Nick Mays of the Policy Innovation Research Unit presents some conclusions from the early evaluation of the Integrated Care and Support Pioneers Programme.
Effectiveness of the current dominant approach to integrated care in the NHSNuffield Trust
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
Thomas Woodcock, Improvement Science Fellow at Imperial College London, talks about the various measurement approaches and processes when working at large scale to assess care quality improvements.
Ramani Moonesinghe, Associate National Clinical Director for Elective Care at NHS England, discusses the use of data for monitoring care quality at various levels within the system.
Paul Aylin, Co-Director of the Dr Foster Unit at Imperial College London, gives concrete examples of using a specific statistical model for monitoring care quality, cumulative sum (CUSUM).
Martin Utley, Director of the Clinical Operational Research Unit at University College London, reflects upon his involvement in the launch of specific tools to monitor care quality for paediatric cardiac surgery.
Evaluating new models of care: Improvement Analytics UnitNuffield Trust
Martin Caunt, Improvement Analytics Unit Project Director and NHS England and Adam Steventon, Director of Data Analytics at The Health Foundation share insights into how they have approached evaluating new models of care.
Lisa Annaly, Head of Provider Analytics at the Care Quality Commission, discusses lessons learned from the CQC as they have worked to monitor care quality over time.
Kate Silvester, a healthcare systems engineer, discusses the challenges of working with data and statistical techniques for real-time monitoring of care quality.
Monitoring quality of care: making the most of dataNuffield Trust
Chris Sherlaw-Johnson, Senior Research Analyst at the Nuffield Trust, introduced the Monitoring quality of care conference and gives an overview of some of the approaches that we've been using at the Trust to identify where care quality has been improving, especially for frail and older people.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Providing actionable healthcare analytics at scale: A perspective from stroke...Nuffield Trust
Benjamin Bray, Research Director and the Sentinel Stroke National Audit Programme, presents at the Monitoring quality of care conference about stroke care analytics.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. The path to greater efficiency –
the paperless hospital
• NHS organisations are drowning in paper
– Incredibly inefficient/expensive
– Logistical nightmare
– Disorganised – difficult to access information
– Barrier to change – archaic processes
• Aintree’s two prong strategy
– Resolve the legacy paper
– Stop generating the paper
3. The path to greater efficiency –
support for clinicians
• IT as a clinical tool
• Data for clinicians
• Safer care for patients
• First time, right every time
6. The paper trail
• 195 million pages on 10 miles of shelving
• 686,000 patients (381,000 active)
• Finding/transporting/tracking 1200 requests per day
• Missing notes inevitable, especially out of hours
• Six figure sums spent on external storage and
retrieval
• Paper is our biggest data loss vector
7. Resolving the legacy paper issue
• Records scanned by Capita – and whole archive completed by end of next
month
• All doctors have adapted to EDMS with clinical change support and attitudes
moving from universal dislike, to tolerance and now some plaudits
• Some errors (mostly clerical) but less than on paper in past and records
available 24/7
• Gains on staffing (mostly redeployed), and on estate amounting to £2M
revenue and £20M capital for a £1.5 M outlay
• Gains of 24/7 availability and fewer missing records, external access a
bonus
• Revolutionised our approach to clinical records
• Opens up the expectation of importing data from any other system
• Allows the organisation to be more nimble
• Provides a better experience for patients
11. Stop generating paper
Results Management
• Results move with the patient e.g. from AED to MAU to ward
to ITU to ward
• On discharge from hospital – checks for outstanding
unacknowledged results and can prevent discharge until
they are dealt with
Net effects
• No paper results– no filing/scanning needed = COST SAVING
• Consultants aware of delays = CLINICAL EFFICIENCY
• No patient goes home without someone checking the
results = SAFETY
13. Electronic Patient Records
• E-assessments – triggers tests, calculates scores
• E-orders/results – no result can be lost or missed
• Integration – other systems/organisations
• Remote access – Trauma/OOH support
• Reporting – true Business Intelligence
• Reduced costs – logistics of paper is expensive
• Transparency – clear view of what is happening
• Flexibility – can treat patients quicker
14. Ward-based Eboards – real-time bed state
• Safety information - falls, alerts, nutrition
• Patient information - EDD, location,
Consultant
• Results availability - alerts results are
available
15. ePMA
(electronic prescribing and medicines administration)
• Safer system
• Greater transparency
• Improves compliance with medication policies
• Allows data analysis and improves patient care
16. These records can be
just as available for:
• Clinicians in other
hospitals
• Clinicians working from
home
• Full access to all systems
from home decreases the
risk of losing highly
confidential data
17. A modern clinical desk at Aintree
PAS/Letters/results dictation control PACS (Xrays) EDMS (archived records)
Blood label
printer
18. The paperless office and support for clinicians
Benefits
• Financial
• Greater flexibility
• Better experience for the patient
• More informed care delivery
• Real-time reporting/management
Issues
• Totally dependent upon the IT systems, outages are major
incidents
• Changing the culture
• Change management is critical