overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 ·...
TRANSCRIPT
![Page 1: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/1.jpg)
Peter-Marc Fortune
Consultant Paediatric Intensivist,
Chief Clinical Informatics Officer
Royal Manchester Children’s Hospital
NHS Digital Academy Cohort 2
Overcoming communications challenges in
an acute care hospital – beyond pagers!
Invited presentation supported by Vocera Communications
![Page 2: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/2.jpg)
Royal Manchester Children’s Hospital
• Busiest children’s hospital in the UK
• 312 beds
• 276,000 annual patient visits• ED 48,000
• Day Cases 25,000
![Page 3: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/3.jpg)
3
Communication Errors are Widespread
(1) Joint Commission Center for Transforming Healthcare Releases Targeted Solutions Tool for Hand-Off Communications 2012. (2) Ponemon Institute, as cited in WSJ, May 2013. (3) CRICO Strategies. Malpractice risk in communication failures; 2015 Annual Benchmarking Report, as cited by The Joint Commission in 2017 Sentinel Alert. (4) Association for the Advancement of Medical Instrumentation: Alarms Pose Challenges to Healthcare Facilities, Horizons, Spring 2011, cited in The Joint Commission Sentinel Alert Medical device alarm safety in hospitals April 2013 (6) Healthcare IT News December 2015 (7) Brixey, A. Interruptions in Workflow for RNs in a Level One Trauma Center. IJMI. April 2008. (8) WSJ July 2014.
80%of serious medical error in hospitals1
Miscommunication is behind
![Page 4: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/4.jpg)
4
Consequences
Delays in making contact
Delayed
diagnosis/treatment
Sub-optimal patient
experience
Sub-optimal staff
experience
Patient harm
C A R E T E A M
I N T E R R U P T I O N S
C O M M U N I C A T I O N
S I L O SA L A R M
F A T I G U E
![Page 5: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/5.jpg)
Caregivers need to recognize and respond effectively to a change in
a patient’s status and collaborate with appropriate care team
members inside and outside the hospital.
This is not easy as the hospital setting is a complex, chaotic,
unpredictable environment.
The Challenge
![Page 6: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/6.jpg)
Contemporary Communications
![Page 7: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/7.jpg)
Hospital Communications
![Page 8: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/8.jpg)
Hospital Communications
![Page 9: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/9.jpg)
Fixed Telephones
Cordless Telephones
Pagers
10% of the world’s pagers are in the UK
About 130,000
Costing an estimated £6.6M per year!
eMails
eRefferral
Fax
Legacy Communication Technology
![Page 10: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/10.jpg)
Hospital Communications
Locate free telephone
Call Switchboard
Identify on-call specialist
Bleep specialist
Wait!
Speak to bleep holder
![Page 11: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/11.jpg)
The Digital Transformation!
![Page 12: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/12.jpg)
1 2
Alerts
Alarms
Messaging
Voice
• Noisy care environment
• Information overload
• Alarm fatigue
• Delays in response time
Today’s Clinical
Communication Environment
Lack of Central Control
![Page 13: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/13.jpg)
1 3
Communicate, Collaborate, Act
Nurse Call
EHR
Patient
Monitoring
Medical
Device
SYSTEMS AND DEVICES
Consultant
Nurse
Nurse Supervisor
Hospitalist
House Keeping
CARE TEAM
Alarms Text Alerts VoiceData
![Page 14: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/14.jpg)
Workflow Dictates Device
Different Clinical Roles = Different Device Needs
![Page 15: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/15.jpg)
Callflow Tailored to department/user
![Page 16: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/16.jpg)
Our experience
Single Solution
Right time
Better Patient &
Staff Experience
Right person
![Page 17: Overcoming communications challenges in an acute care hospital beyond … · 2019-10-10 · Peter-Marc Fortune Consultant Paediatric Intensivist, Chief Clinical Informatics Officer](https://reader034.vdocuments.us/reader034/viewer/2022042111/5e8d19ee1e14862bdb0979fa/html5/thumbnails/17.jpg)
Our experience