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Bringing Information Technology Bringing Information Technology to the Perito the Peri--operative Setting to operative Setting to

Increase Patient Safety. Increase Patient Safety.

Rose Clarke, RN, B.Sc., CNOR, RNFARose Clarke, RN, B.Sc., CNOR, RNFALaurie Sullivan, RN, MSN, CNORLaurie Sullivan, RN, MSN, CNOR

Understanding how computer technology has evolved and its effects on healthcareLearn about how a website can be used to increase safety in the OR Learn what forces brought about the need for the Perioperative websiteShare ideas that may be used in other facilities that face the same issues

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Fewer medical errorsIncreased use of clinical

guidelines and evidence-based clinical decisions

Improved access to care and quality of care

Increased physician productivity

Improved coordination of careGreater patient involvement in

health care

.

Pearl HarborThanksgiving as a holidayM & MsLincoln Continental 

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Manhattan projectTsunami hits Hawaii London to New York = 19 h 45 m10,000 American homes have TVs.

The Eagle has landed…

1st draft since WW2Wendy’s opensBrady Bunch premiersLast public Beatles

performance

Voting age lowered to 18Death penalty for MansonNASDAQ index debutsArchie Bunker on TV

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Exxon Valdez oil spillVoyager 2 passes

NeptuneBerlin wall comes downSeinfeld premiersGame Boy portable

premiers

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How did we get from there to here?

Paper

Virtually paper free

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To “Err is Human” Report

Memorial Hospital System's

Commitment to patient safety

Build the system to best meet needs of clinicians and patients

“The impossible can always be broken down into possibilities.” -Unknown

“There is nothing like a dream to create the future.” - Victor Hugo

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Paper information + Online information

=Too many areas to lose information

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List thethe Projects End Goal

•Name your project!•State the overall purpose of the project•State the end results•Consider budget and time constraints

•Depict the end product based on customer’s requirements•Distinguish between “must haves” and   “nice to haves”•List the major tasks involved•Develop a “work breakdown” structure

Identify activities, tasks etc.

Flag all important points along the way.Distribute a “first Draft” of the plan of the

entire project for review and analysis.

•Early in the project these will be the major tasks and    activities

•As the project progress more detail will emerge•Set timelines and deadlines

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8 hour sessionUse Memorial’s Site PublisherAdditional 8 hour training for Form Publisher

Be prepared!What information do you want accessedCreate page in Word or PowerPoint first

Decide major categoriesPick a color themePage designed only as

wide as your screenPlace HOME button

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Not an open-access public websiteWhat content should be availableWho is responsible for upkeepRecognition

Performance Improvement projectsProfessional organizationsPolicies & ProceduresCodes for “The Informationally

Challenged”Unit Specific Isolation Procedures for the

“The Informationally Challenged

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Time Out COMPLIANCE NOVEMBER 2010

0

10

20

30

40

50

60

70

80

90

100

CVOR MCOR MOR WOR AVERAGE

%

Standard Operating Procedure Compliance No errors in documentation

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CNOR

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19,848 hits in 19,848 hits in the 1the 1stst

3 months3 monthsConcurrent Concurrent

audits audits show show increase increase in in targeted targeted

behaviorsbehaviors

Med Labeling

50

6369

84

0

20

40

60

80

100

August September October November December

%

Med labeling

Time Out

6154

48

76

0

20

40

60

80

100

August September October November December

%

Time Out

Site Marking

6268 68

77

0

20

40

60

80

100

August September October November December

%

Site marking

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REWARDS:REWARDS:Increase in staff knowledgePerformance Improvement InitiativesLatest infoQuality of care improvesIncrease in staff participationIncrease interest in certification

Challenges:Challenges:Keeping the website updatedEducation of staffV

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•AAMI.org•AORN.org•ASPAN.org•AST.org•CBSPD.org•Kluver, Randy (n.d.), Globalization, informatization, and intercultural

communication. Retrieved from www.acjournal.org/holdings/vol3/Iss3/spec1/kluver.htm

•MGMA Connexion (2004). Health information technology: The government moves toward a national mandate. Retrieved from

http://findarticles.com/p/articles/mi_qa4083/is_200408/ai_n945324/•Morgenstern, Ira (n.d.). Why HIPPA will make paper records obsolete