Discover through 10 examples how mobile technologies can make care process more efficient and safer.

1. Mobile technologies to make care processes more efficient
Quarness SAS – Décembre 2015
Healthcare ins@tu@ons:
10 examples of mobile
technologies usage

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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.

20. 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.

21. 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

22. 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

23. Quarness SAS – Décembre 2015
Before Today
Communica@on and care process efficiency

24. Quarness SAS – Décembre 2015
Discover the partnership for mobility
Quarness
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France
contact@quarness.com
www.quarness.fr