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Mobile	technologies	to	make	care	processes	more	efficient	
Quarness	SAS	–	Décembre	2015	
Healthcare	ins@tu@ons:	
10	examples	of	mobile	
technologies	usage
Communica@on	and	care	process	efficiency	
•  Task	interrup@ons:	each	interrup@on	increases	
risks	of	errors	by	13%	
•  A	nurse	is	in	average	interrupted	7	@mes	an	hour	
•  Nurses	report	that	interrup@ons	from	
management	phone	calls	lead	to	the	highest	risk	of	
errors	
•  Up	to	2	hours	are	lost	per	day	collec@ng	
informa@ons	needed	for	pa@ent	care	
How	mobile	technologies	can	make	care	processes	
more	efficient	?	
Quarness	SAS	–	Décembre	2015
To	ease	informa@on	exchanges	among	caregivers	
Quarness	SAS	–	Décembre	2015	
Example	n°1	:	Helen,	an	orthopedic	nurse	tries	to	reach	Paul,	anesthe@st,	to	adjust	a	PCA	pump	for	a	pa@ent	
who	is	suffering	from	post-opera@ve	pain	
Helen	calls	Paul:	Paul	is	in	the	OR	star@ng	an	
induc@on	
	-	If	Paul	answers,	he	has	to	stop	
with	the	associated	risk…	
	
	-	If	Paul	doesn’t	answer,	Helen	will	
call	him	back,	and	back,	and	back…		
Before
To	ease	informa@on	exchanges	among	caregivers	
Quarness	SAS	–	Décembre	2015	
Example	n°1	:	Helen,	an	orthopedic	nurse	tries	to	reach	Paul,	anesthe@st,	to	adjust	a	PCA	pump	for	a	pa@ent	
who	is	suffering	from	post-opera@ve	pain	
With	a	secured	Instant	messaging	
Paul,	could	you	come	and	adjust	Mr	Smith	
PCA	as	he	is	suffering	from	pain	
Helen	sends	a	text	message	to	Paul,	and	con@nues	
her	ac@vi@es.	
	
	
	
When	Paul	completed	his	induc@on	he	consults	his	
messages	on	his	mobile	device	and	answers	to	
Helen.	
I	will	be	there	in	20	min	
Helen	calls	Paul:	Paul	is	in	the	OR	star@ng	an	
induc@on	
	-	If	Paul	answers,	he	has	to	stop	
with	the	associated	risk	
	
	-	If	Paul	doesn’t	answer,	Helen	will	
call	him	back,	and	back,	and	back…		
Before
Quarness	SAS	–	Décembre	2015	
Example	n°2	:	Amy,	an	ambulatory	surgery	nurse	is	trying	to	reach	an	available	physician	to	sign	a	pa@ent	exit	
form.	
1st	Call	:	Paul	(No	answer)	
2nd	Call:	Yuri	(consul@ng)	
Nth	Call:	Finally	Hugh	picks	up	the	phone,	he	will	
come	
Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°2	:	Amy,	an	ambulatory	surgery	nurse	tries	to	reach	an	available	physician	to	sign	a	pa@ent	exit	
form	
1st	Call	:	Paul	(No	answer)	
Could	one	of	you	come	to	sign	Mrs	Smith	
exit	form	?	
Amy	sends	a	text	message	from	her	mobile	device	
to	the	predefined	group	of	physicians.	
	
	
	
Hugh	answers,	Paul	and	Yuri	are	not	interrupted	
and	Amy	didn’t	waste	her	@me	calling.	
I	am	coming	Amy.	
2nd	Call:	Yuri	(consul@ng)	
Nth	Call:	Finally	Hugh	picks	up	the	phone,	he	will	
come	
With	a	secured	instant	messaging	Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°3	:	Kate,	a	paediatric	nurse	is	preparing	an	Insulin	dose	for	Kevin,	a	7	years	old	pa@ent.	
Kate’s	phone	starts	ringing	while	she	is	preparing	
the	dose…	
…Kate	answers…	
…Kate	resumes	her	dose	prepara@on	
And	if	Kate	didn’t	answer	the	one	who	is	calling	would	
have	call	again	and	again,	was@ng	his	@me…	
Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°3	:	Kate,	a	paediatric	nurse	is	preparing	an	Insulin	dose	for	Kevin,	a	7	years	old	pa@ent.	
Kate’s	phone	starts	ringing	while	she	is	preparing	
the	dose…	 	Kate	receives	a	no@fica@on	on	her	
mobile	device	indica@ng	that	she	got	a	new	message.	
She	can	con@nue	her	prepara@on,	she	will	read	the	
message	when	she	will	have	completed	the	dose.		
	
	
	
Kate	is	not	interrupted	and	no	one	is	was@ng	his	@me	
trying	to	reach	her.	…Kate	answers…	
…Kate	resumes	her	dose	prepara@on	
And	if	Kate	didn’t	answer	the	one	who	is	calling	would	
have	call	again	and	again,	was@ng	his	@me…	
With	a	secured	instant	messaging	Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Paula	starts	with	an	informa@on	paper	on	the	OR	
paper	board…	
…a	second	one	in	the	res@ng	area…	
…Kate,	who	was	on	leave	yesterday,	calls	Paula	to	
understand	why	room	#3	is	closed	!!	
Before	
Example	n°4	:	Paula,	an	OR	manager	has	to	inform	OR	nurses	and	physicians	that	Room	#3	will	be	closed	
tomorrow	for	air	con	repairing.	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Paula	starts	with	an	informa@on	paper	on	the	OR	
paper	board…	
Paula	sends	a	text	message	to	all	ORs	members..	
	
	
	
	
	
	
	
..everyone	is	immediately	informed…	
	
	
	
	
	
	
......	and	Kate,	is	also	informed	when	she	connects	her	
mobile	device	to	the	Hospital	instant	messaging	
system.	
…a	second	one	in	the	res@ng	area…	
…Kate,	who	was	on	leave	yesterday,	calls	Paula	to	
understand	why	room	#3	is	closed	!!	
With	a	secured	instant	messaging	
Warning!	Tomorrow,	Tuesday,	Room	#3	will	
be	closed	for	air	con	repairing.	
Before	
Example	n°4	:	Paula,	an	OR	manager	has	to	inform	OR	nurses	and	physicians	that	Room	#3	will	be	closed	
tomorrow	for	air	con	repairing.	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°5	:	Elisabeth,	an	ambulatory	surgery	head	nurse,	is	informed	at	4:30pm	that	Paul	an	anesthe@st	
nurse	will	not	be	there	un@l	end	of	the	week.	She	has	to	find	him	a	replacement.	
Elisabeth	starts	calling	temporary	nurses	she	is	
used	to	work	with	….	
…Aher	dozens	of	calls,	Elisabeth	finally	found	one	
who	can	be	there	tomorrow…	
Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°5	:	Elisabeth,	an	ambulatory	surgery	head	nurse,	is	informed	at	4:30pm	that	Paul	an	anesthe@st	
nurse	will	not	be	there	un@l	end	of	the	week.	She	has	to	find	him	a	replacement.	
Elisabeth	starts	calling	temporary	nurses	she	is	
used	to	work	with	….	
Elisabeth	selects	on	her	tablet	the	group	of	contacts	
she	has	predefined	corresponding	to	temporary	
nurses.	She	sends	them	all	a	unique	message.	
	
	
..few	minutes	later,	she	got	her	answer.	July	will	
replace	Paul.	
	
…Aher	dozens	of	calls,	Elisabeth	finally	found	one	
who	can	be	there	tomorrow…	
With	a	secured	instant	messaging	
Hello.	Are	you	available	un@l	end	of	the	
week	for	a	replacement	in	ambulatory	
surgery	?	
Hi	Elisabeth.	Fine	with	me.	7:30am	
tomorrow	?	
Absolutely.	See	you	tomorrow,	
thanks	
Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°6	:	Peter,	an	emergency	physician,	is	with	a	pa@ent	presen@ng	a	red	faces.	He	would	need	a	
dermatologist	advise	before	transferring	her.	
Peter	tries	to	call	an	available	
dermatologist.	Peter	described	
her	the	symptoms,	he	is	suspec@ng		a	food	
poisoning,	but	he	is	not	sure…	
…Suzy,	the	dermatologist	asks	for	info	on	the	red	
area,	and	finally	agreed	to	go	the	emergency	
department	visi@ng	Peter’s	pa@ent.	False	alert,	it	is	
a	light	food	poisoning	as	suspected	ini@ally…	
...she	can	return	to	her	department.		
Before	
To	ease	informa@on	exchanges	among	caregivers
Quarness	SAS	–	Décembre	2015	
Example	n°6	:	Peter,	an	emergency	physician,	is	with	a	pa@ent	presen@ng	a	red	faces.	He	would	need	a	
dermatologist	advise	before	transferring	her.	
Peter	tries	to	call	an	available	
dermatologist.	Peter	described	
her	the	symptoms,	he	is	suspec@ng		a	food	
poisoning,	but	he	is	not	sure…	
Peter	sends	Suzy	a	picture	of	his	pa@ent	associated	
with	a	text	message.		
	
	
Few	minutes	later,	Suzy	confirms	Peter	ini@al	
thoughts.	Descrip@on	made	by	Peter	and	the	picture	
joined	were	clear	enough.	No	need	to	stop	her	task	
and	to	visit	the	pa@ent.	
	
…Suzy,	the	dermatologist	asks	for	info	on	the	red	
area,	and	finally	agreed	to	go	the	emergency	
department	visi@ng.	False	alert,	it	is	a	light	food	
poisoning	as	suspected	ini@ally…	
...she	can	go	back	to	her	department.		
With	a	secured	instant	messaging	
You	are	right	Peter.	Light	food	poisoning	you	can	send	
her	back	home,	with	a	3	days	treatment.	If	it	persists	
then	as	her	to	come	back.	
Thanks,	Suzy.	
Before	
To	ease	informa@on	exchanges	among	caregivers
To	simplify	informa@on	access	in	mobility	
Quarness	SAS	–	Décembre	2015	
Example	n°7	:	Denis	is	opthalmologist,	he	prescribes	a	scan	as	he	is	suspec@ng	a	tumor.	
Denis	prescribes	a	CT	scan	and	con@nues	his	
ac@vi@es..	
…if	Denis	has	the	chance	to	work	in	a	paperless	
hospital	he	can	wait	for	the	CT	scan	diagnos@cs	in	
front	of	his	computer…	
…or	he	can	wait	being	called	…	or	he	can	call	
regularly	the	Rx	Department	to	get	info…		
..his	pa@ent	is	
transferred	to	the	Rx	
dept..	
Before
To	simplify	informa@on	access	in	mobility	
Quarness	SAS	–	Décembre	2015	
Example	n°7	:	Denis	is	opthalmologist,	he	prescribes	a	scan	as	he	is	suspec@ng	a	tumor.	
Denis	prescribes	a	CT	scan	and	con@nues	his	
ac@vi@es..	
Denis	precribed	the	CT	scan…	
	
	
	
		
	
	
	
…When	the	CT	Scan	is	completed,	he	
receives	a	no@fica@on	on	his	tablet	or	
smartphone.	Without	was@ng	his	@me	he	
can	go	to	the	worksta@on	and	read	the	
diagnos@c.	
…if	Denis	has	the	chance	to	work	in	a	paperless	
hospital	he	can	wait	for	the	CT	scan	diagnos@cs	in	
front	of	his	computer…	
…if	not,	he	can	wait	being	called	…	or	he	can	call	
regularly	the	Rx	Department	to	get	info…		
With	a	mobile	interface	to	HIS	
..his	pa@ent	is	
transferred	to	the	Rx	
dept..	 CtT	Scanner	Mr	Dupuis	:	completed	
De	:	Radiologie	
Before
Quarness	SAS	–	Décembre	2015	
Example	n°8	:	Laureen	is	an	anesthe@st	internship.	This	morning	she	has	to	anethe@zed	an	obese	pa@ent.	She	
knows	that	there	is	a	specific	clinical	protocol	for	obese	pa@ents.	
Laureen	can	ask	a	colleague…	
..or	she	can	try	to	call	
one..	
..or	she	can	move	to	a	
worksta@on	and	access	
the	clinical	protocols	
database..	
..and	finally	
starts	her	
induc@on.	
Before	
To	simplify	informa@on	access	in	mobility
Quarness	SAS	–	Décembre	2015	
Example	n°8	:	Laureen	is	an	anesthe@st	internship.	This	morning	she	has	to	anethe@zed	an	obese	pa@ent.	She	
knows	that	there	is	a	specific	clinical	protocol	for	obese	pa@ents.	
Laureen	can	ask	a	colleague…	
Laureen	opens	the	list	of	clinical	protocols	
on	her	mobile	device…	
	
	
	
	
	
…without	was@ng	her	@me,	she	has	
	an	immediate	access	to	informa@on	
where	needed.	
With	a	mobile	interface	to	HIS	
..or	she	can	try	to	call	
one..	
..or	she	can	move	to	a	
worksta@on	and	access	
the	clinical	protocols	
database..	
..and	finally	
starts	her	
induc@on.	
Before	
To	simplify	informa@on	access	in	mobility
Suppor@ng	pa@ent	engagement	
Quarness	SAS	–	Décembre	2015	
Example	n°9	:	Yasmina	is	an	ambulatory	surgery	nurse.	Today	she	has	to	call	all	yesterday	pa@ents	to	ensure	
that	they	have	no	complica@ons.	
Yasmina	starts	calling	the	first	pa@ent	on	her	list…	
Before	
..nothing	special	to	
report..	
..then	the	others..	
..and	finally	few	hours	later	
she	can	start	her	pa@ents	
caring	ac@vity.
Suppor@ng	pa@ent	engagement	
Quarness	SAS	–	Décembre	2015	
Example	n°9	:	Yasmina	is	an	ambulatory	surgery	nurse.	Today	she	has	to	call	all	yesterday	pa@ents	to	ensure	
that	they	have	no	complica@ons.	
Yasmina	starts	calling	the	first	pa@ent	on	her	list…	
At	D1	pa@ents	receive	a	no@fica@on	on	their	
mobile	device	to	complete	the	post-op	check	
list..		
	
..their	answers	are	directly	reported	on	
Yasmina	dashboard..	
	
	
	
	
	
…she	can	focus	on	pa@ents	who	reported	
complica@ons.	
Before	
With	a	pa@ent	App	for	
ambulatory	surgery	pa@ents	
..nothing	special	to	
report..	
..then	the	others..	
..and	finally	few	hours	later	
she	can	start	her	pa@ents	
caring	ac@vity.
Quarness	SAS	–	Décembre	2015	
Example	n°10	:	Mary	is	a	head	nurse,	for	7	years	she	is	in	charge	of	the	Acute	Pain	Department,	she	is	
managing	a	team	of	3	specialized	nurses.	
Every	morning		she	reviews	
the	list	of	pa@ent	to	visit	
during	the	day..	
..with	only	3	nurses,	visi@ng	
pa@ents...		
..is	a	daily	marathon.	
Before	
..from	different	
departments..	
Suppor@ng	pa@ent	engagement
Quarness	SAS	–	Décembre	2015	
Example	n°10	:	Mary	is	a	head	nurse,	for	7	years	she	is	in	charge	of	the	Acute	Pain	Department,	she	is	
managing	a	team	of	3	specialized	nurses.	
Every	morning		she	reviews	
the	list	of	pa@ent	to	visit	
during	the	day..	
2	or	3	@mes	a	day,	all	post	
opera@ve	pa@ents	receive	
a	request	to	evaluate	their	
pain	score	from	their	
mobile	device..	
With	a	pa@ent	app	for	pain	
management	
..with	only	3	nurses,	visi@ng	
pa@ents...		
..is	a	daily	marathon.	
Before	
..from	different	
departments..	
…Mary	can	then	take	care	of	more	
pa@ents	and	concentrate	her	effort	on	
those	who	are	really	suffering.	
..in	case	of	high	Pain	Score,	a	message	is	
automa@cally	generated	to	inform	the	
nurse	in	charge	of	the	pa@ent..	
Mr	Dupuis		
reported	a	pain	
score	of	7	!	
Douleur	
Suppor@ng	pa@ent	engagement
Quarness	SAS	–	Décembre	2015	
Before	 Today	
Communica@on	and	care	process	efficiency
Quarness	SAS	–	Décembre	2015	
Discover	the	partnership	for	mobility	
Quarness		
-	
France	
	
contact@quarness.com	
	
www.quarness.fr

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