Redesigning Hospital Care

- Trakcare Patient Management System

2010 REGIONAL HEALTH SERVICE OF THE YEAR

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- Trakcare Patient Management System

- Use of visual management

- Handover standard processes

Leanne McCann, Redesign Manager

All Wards have large screens with patient list

- Electronic Patient Status At a Glance boards

(e-PSAG boards)

• Aim of the boards is to assist patient flow using visuals.

• Hover mouse over any icon to see definition

• 4 main sections:

1. Room, patient, Dr, admit & Exp Day Disch (EDD)

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1. Room, patient, Dr, admit & Exp Day Disch (EDD)

2. Safety & risk section icons

3. Flow & multidisciplinary team involvement (e-referrals)

4. Other alerts, Path orders & results, & e-referrals for inpt

surgery & rehab

Automatic icons linked to e-referral systemStaff manipulated risk icons

Path orders, results, other alerts,

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Patient names

& UR covered

here for pt

confidentiality

Remember just hover the mouse over any icon to read the definition

Your responsibility

• if you change

diet or fluids, etc

alter magnets or

Visuals at bedside: Bedside Magnets

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alter magnets or

tell nurse

List of magnets used available in

Orientation section of Medical

Education of Intranet

Standardised Stock Colour Coding Across Wards

Stock easier to

find

– Use of colour

– ‘clumping’ of

like stock to

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like stock to

make it easier

to find

ISBAR –standard handover process at SWH

I – Identification:

Yourself (name, position, location) & patient

S – Situation:

Why you are calling (if urgent say so)

B – Background:

Tell the story

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Tell the story

A – Assessment:

What you think is going on, relevant obs etc

R – Request / recommendation:

What you want them to do

Tip sheets to help you get started (available as handouts from the Medical Orientation site)

• ePSAG screen shots & explanations

• Accessing ward lists on Trakcare

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•

• Viewing clinical notes on Trakcare

• Instructions for e-referrals