Presentation on theme: "Whats wrong with a piece of paper? The Electronic Transfer of Care Princess of Wales Hospital Rowena Lewis."— Presentation transcript:
Whats wrong with a piece of paper? The Electronic Transfer of Care Princess of Wales Hospital Rowena Lewis
Electronic Transfer of Care (e-TOC) Clinical information Medication information Sent electronically to GP 10 medical wards over two sites 2 mental health wards 2 orthopaedic wards
The situation that had to change Mind the gap! Carbon copy paper take-home prescription Patient had to transfer information Varying clinical summary sent or not sent at all GPs asked for better communication
Aims of e-TOC project Improve discharge communication from hospital to primary care. Improve patient safety and reduce clinical risk by providing better medication information to GPs. GPs to receive in a timely manner with a target of 80% discharge summaries within 5 working days.
Objectives Carbon copy typed medication list Transfer electronically to GP immediately Reasons why medicines are started and stopped - NICE/NPSA medicines reconciliation Provide GP with full clinical details in uniform format
Method Designed by clinicians Produced by our IT department Accessed via PIMS+ Hospital wide wireless network
Ward Process Junior doctor enters initial information Updated during patient stay Doctor marks ready for discharge Pharmacist verifies medication list Junior doctor completes clinical info Consultant approves it for GP
Implementation One ward pilot Many improvements made initially Dosage codes taken from the pharmacy system Colours and symbols distinguish between new, changed and stopped medicines Format of printed list of medication to improve clarity Screen icons to aid communication between staff Laminated crib sheets Helpful hints boxes
Key Success Factors Gradual roll out Dedicated project manager Multidisciplinary training sessions Regular feedback from all users
Key Success Factors Frequent updates to system Regular audits of doctors input On site IT support Determination to succeed
Training within Pharmacy Pharmacist users Entering medication Verifying medication Signing off medication Trouble shooting Regular updates Listening to feedback Ward Technicians Marking drug chart Dispensing from drug chart Dispensary staff New format of discharge prescriptions Printing medication orders
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