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Post on 08-Jul-2015
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SmartRoomTM
Quality and Efficiency on the Front Line
of Healthcare
Agenda
• Challenges of Caregivers at the Bedside
• SmartRoomTM Overview and Value
• Questions / Answers
2
Once upon a time…
• Latex allergy patient
• IV Team nurse
• Executive management team review of all
serious events
• How can we avoid this from happening
again?
3
Policy vs. Reality
• What should be done and what “does” get
done are often two (or more) different
things.
• Example: Observed nurses using bar
code medication administration and
recorded all of the different steps (both
actions and sequence of actions)
4
START
Obtain meds
scan self enter pt room
check med vs
devicescan self
scan med enter pt
room
enter pt
room
scan pt
ID band
doc
admin
give med
to pt
scan pt
ID band
give med
to pt
doc
admin
check med vs
device
scan med
scan pt
ID band
give med
to pt
doc
admin
scan self
obtain meds
check med vs device scan med
scan med
enter pt room
scan pt
ID band
give med
to pt
doc
admin
doc
admin
give med
to pt
give med
to pt
scan pt
ID band
doc
admin
doc
admin
double
check
enter pt room
scan pt ID band
give med
to pt
doc
admin
doc
admin
give med
to pt
scan pt
ID band
doc
admin
enter pt
room
give med
to pt
double
check
scan med
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan med
scan pt
ID band
doc
admin
give med
to pt
check med
vs device
enter pt
room
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan pt
ID band
doc
admin
give med
to pt
Process of Medication Administration – Task Sequences
Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment
Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007 5
Bar Code Medication Admin
There are 4 unsafe pathways and 6 most frequent workarounds
6
START
Obtain meds
scan self enter pt room
check med vs
devicescan self
scan med enter pt
room
enter pt
room
scan pt
ID band
doc
admin
give med
to pt
scan pt
ID band
give med
to pt
doc
admin
check med vs
device
scan med
scan pt
ID band
give med
to pt
doc
admin
scan self
obtain meds
check med vs device scan med
scan med
enter pt room
scan pt
ID band
give med
to pt
doc
admin
doc
admin
give med
to pt
give med
to pt
scan pt
ID band
doc
admin
doc
admin
double
check
enter pt room
scan pt ID band
give med
to pt
doc
admin
doc
admin
give med
to pt
scan pt
ID band
doc
admin
enter pt
room
give med
to pt
double
check
scan med
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan med
scan pt
ID band
doc
admin
give med
to pt
check med
vs device
enter pt
room
scan pt
ID band
give med
to pt
doc
admin
enter pt
room
scan pt
ID band
doc
admin
give med
to pt
Process of Medication Administration – Task Sequences
Bar Code Medication Admin
Many new innovations,
projects, safety devices,
computer systems and
improvements require more
time and effort on the part of
the front line. We have to
stop adding work….we must
to find a way to take hard
work away and make success
easy for the front line.
SmartRoom helps leverage
the large EMR investments. 7
Mind Clutter & Distractions
36 Hospital Med/Surg Nursing
Time and Motion
Source: A 36-Hospital Time & Motion Study: How Do Medical-Surgical Nurses Spent Their Time? – Hendrich/Chow-The Permanente Journal/ Summer 2008
8
What is SmartRoom
A “smart” patient room that…
– Organizes and simplifies the workflow of front-
line staff
– Makes retrieving the right patient information at
the right time as simple as walking into the room
– Pushes information to direct and indirect
healthcare workers in context of situation - who,
what, where
– Solves problems at the point of care
9
SMARTROOM VIDEO
10
Subtraction
• Study – 30 tasks in 10 rooms…
– Batch at end of day
– Chart between rooms using mobile COW
– Chart using Smart Room real time
0
100
200
300
400
500
600
700
Batching Mobile cart Smart Room
589612
255
57% reduction
in time spent
charting + real-
time
documentation
57% Reduction in Tasks
69% Reduction in ADLs
82% Reduction in Vital Signs
11 Batching Mobile Cart SmartRoom
SmartRoom Value
Value Drivers Examples of Benefits
Cost Reduction •Real time bedside documentation
•Compressed Workflow and dynamically balancing workloads
•Reduced OT, Agency Staffing, Turnover and Better Recruiting
Increased
Reimbursement
•P4P with Core Measures
•Minimize losses from Never Events
•HCAHPS Customer Services Reimbursement
•Legal fee may reduce as documentation exists
Improved Quality,
Outcomes and
Decreased Errors
•Tasks done as prescribed and reduced charting errors
•More time critical thinking and with patients
•Less time at shift report charting and more sharing/educating
•Less mis-transcribing numbers
Improved Caregiver &
Patient/Family
Satisfaction
•More time with patients and less documentation time
•More time critical thinking vs. task and documentation
•Patient/Family see caregivers more
•Wandering management
Perfection is achieved, not
when there is nothing left to
add, but when there is
nothing left to take away. -Antoine de Saint-Exupery
13
14
Thank you!
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