Information for Care. Everywhere. Latest innovations from Adastra to improve patient safety Dr Alex Yeates Medical Director

Information for Care. Everywhere. Patient Safety What is essential? Start with basics –Make sure you have the right patient details –Make sure you have any relevant information about that patient –Deal with more urgent patients first –Make sure information is passed to next clinician dealing with patient

Patient Safety - Right Patient Information for Care. Everywhere.

Right patient Duplicate patients –Important previous history not available –Unable to see full story –Special notes not visible Tracing against National Database –Already available in Scotland, Wales and Netherlands –PDS searching

Information for Care. Everywhere. Duplicate patients Matching of patient to database –Patients from other sources – NHSD etc –Wrong match could be more dangerous –Clever logic but often needs human intervention Patient amalgamation queue –Alerts user at first human contact –Active amalgamation while patient active Available now

Information for Care. Everywhere. Patient Amalgamation Cases waiting in the amalgamation queue Reason for entry

Fields to match

Choose master record Amalgamate

Information for Care. Everywhere. Patient Tracing Matching against national register Already available in Scotland and Wales Can run your data against the NHS Strategic Tracing Service (NSTS) to match NHS number – then merge duplicates PDS lookup Available now

Information for Care. Everywhere. PDS lookup Adastra developing ability for PDS lookup Specification approved by CfH Hazard Assessment Workshop completed Patient Safety Case written and approved Coding underway Waiting for ‘Sandpit’ testing time Testing at ‘Early Adopter’ sites Available soon

Information for Care. Everywhere.

Patient Safety - Relevant Data Information for Care. Everywhere.

Relevant data Special Patient Notes –Web access now improved –Templates –Web access to other clinician groups Summary Care Record –Early adopter sites already live –Developing integrated view Available now

Information for Care. Everywhere. Special Patient Notes Template note entry –Gold Standard for Palliative Care –Automatic in Scotland from extended ECS record Web entry –Other user groups can add notes Hospice - Palliative Care Notes Social Services – Children in need Available now

Information for Care. Everywhere. Adastra Web Access

Information for Care. Everywhere. Adastra Web Access

Information for Care. Everywhere. Adastra Web Access

Information for Care. Everywhere. Summary Care Record Summary view of GP record held on Spine –Current medications, allergies, major problems Available now at ‘early adopter’ sites –But embedded CSA viewer separate authentication Fully integrated view being developed in tandem with PDS lookup

Information for Care. Everywhere. CfH aim to have every SHA with at least one PCT and their unscheduled care provider live by the end of this summer Most GP surgery suppliers can now produce SCR Adastra developing integrated viewer –Make use of coded data on record Available soon Summary Care Record

Patient Safety – Prioritisation Information for Care. Everywhere.

More Urgent Patients First Case Prioritisation ACPP now being used in many sites Designed to help customers achieve compliance to QR 9 and 10 Allows non clinicians to give quick consistent prioritisation to callers identifying more urgent cases Available now

Information for Care. Everywhere. ACPP Developed by group of clinicians all expert in out of hours work Tested at East of England Ambulance Service –25,000+ calls studied in detail –Improvements made –Can be adapted by local service Available now

Information for Care. Everywhere. ACPP Overall false negative rate (Calls completed at higher priority than received) Fallen from 8.1% to 5.5% after introduction Emergency false negative rate (Calls completed as emergency but taken at lower priority) Fallen from 4.3% to 2.6% after introduction Thanks to Dr Hugh Tooby and GOToDOC for letting me use their figures Available now

Patient Safety – Information for Patient Journey Information for Care. Everywhere.

Information Information for Care – Everywhere Available at point of care –Aremote + Pocket Aremote Information precedes patient journey –Bi directional flow from NHSD –Flow to A&E systems –Flow from Ambulance systems –Post event messaging Available now

Information for Care. Everywhere. Aremote Fixed in car solution Toughened laptop PDA device

Information for Care. Everywhere. Aremote V3 Aremote –Fixed in car / Panasonic tough book –Designed for Doctor use –Full clinical functionality including prescribing Pocket Aremote –PDA device –Designed for community nurses / palliative care teams / rapid response teams etc. Available now

Information for Care. Everywhere. Interoperation Currently over 120 interoperation projects developed or actively being developed –Ambulance eg. MIS Alert – ‘Cat C’ calls –A&E software eg. Ascribe Symphony – Transfer of A&E calls –Home monitoring eg. Docobo – Home monitoring of patients All allow information to precede patient Journey

Information for Care. Everywhere. Summary Patient safety improved by:- Right patient details Relevant information about patient available More urgent patients seen first Information passed from previous clinician dealing with patient Information passed to next clinician dealing with patient

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