Authors (including presenting author) :
Poon WK, Yau CY, Poon WF, Lau M, Yue SY
Affiliation :
Occupational Therapy Department, Shatin Hospital
Introduction :
The Patient Monitoring and Scheduling System (PMS) was developed and launched to in-patient rehabilitation in Occupational Therapy Department (OTD) of Shatin Hospital (SH) in 2015. In 2017, the enhancement of PMS was extended to Geriatric Day Hospital (GDH) of SH. New facelift functions include: (1) Prescribed activities and precautions are retrieved by scanning patient barcodes instead of using conventional paper activity cards. (2) A complete facelift demonstrates a clear patient profile of attendance, treatments and vital sign records. (3) Simplified barcode scanning workflow enhances efficiency of daily operation. (4) Bluetooth blood pressure monitor synchronizes data to server, minimizing errors in manual input (5) Patient’s time slots are organized by PMS, which saves time by eliminating redundant steps with traditional names tags. (6) Therapist could assign patients to therapeutic groups through PMS. Therapeutic group statistics could be retrieved by PMS instead of manual counting.
Objectives :
To compare the effect on quality and safety in patient care and work efficiency of staff by using PMS and traditional practice
Methodology :
To evaluate quality and safety in patient care, data was collected for 3 months in using traditional method while another set of data was retrieved from PMS database. For evaluating staff efficiency, the operational time and steps were compared before and after the implementation of PMS. Five parameters were evaluated: (1) Accuracy of treatment delivery (2) Compliance of infection control and fall preventive measures (3) Efficacy of barcode scanning system (4) Efficiency of filing and clerical work (5) Efficiency of statistical analysis of therapeutic groups
Result & Outcome :
(1) Treatment accuracy improved from 97% to 100% in treatment delivery (2) In traditional practice, compliance of infection control measures was 77% and that of applying fall preventive measures was 73%. With PMS, compliances of taking those measures improved to 97% and 100% respectively (3) Number of transactions in barcode scanning during treatment was reduced by 25% when compare with the original PMS for in-patient. (4) Operation time for filing and clerical work was reduced from 45 mins to 30 mins (33%) (5) Retrieval of therapeutic group statistics were reduced from 105 mins to 10 mins (90%) when compare with manual counting Apart from the effectiveness of PMS in enhancing accuracy, safety and efficiency in patient care, the facelift GDH version also simplified workflow and improved efficiency of non-clinical operation.
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