Authors (including presenting author) :
Lam WK, Chan SK, Cheung KL, Chan SY, Lee SN, Billy Wong, Chan KH, Cheng N, Cheung KW, Chow KP, Irvandip Kaur, Ko WC, Li TS, Ng WL Owen, Pang KM, Wong KK
Affiliation :
Accident & Emergency Department, Pok Oi Hospital
Introduction :
In order to enhance the efficiency and accuracy of vital signs and Point-Of-Care-Test data capture, a simple electronic clinical documentation (eAED lite) is developed for Accident and Emergency Department (AED) in Pok Oi Hospital (POH). After implementation, supporting staff is available to participate in the informatics technology (I.T.) developed by Hospital Authority (HA). The system streamlines the workflow from clinical data input to clinician response. It is a big challenge to formulate a precise training for supporting staff to access the eAED lite.
Objectives :
A tailor-made training is designed for supporting staff to overcome their worries and difficulties in using the eAED lite. It is expected that they will show confident and work with the eAED lite independently after the training. And, properly input the assigned patient clinical data such as vital signs and POCT result is crucial.
Methodology :
1. Create Urgency – sharing the timeline of the eAED lite implementation.
2. Form a powerful coalition – identify change leaders from the department and invite them as team members.
3. Create a vision for change – ensure the idea simple and understandable.
4. Communicate the vision – address the new practice in every occasion and address staff’s concerns.
5. Remove Obstacles - acknowledge their worrisome thoughts; let the staff understand how technologies can help.
6. Create Short-Term Wins –publicly recognize staffs that help.
7. Build on the Change – encourage feedbacks, analyse the feedbacks, improve the workflow.
8. Anchor the Change in Corporate Culture - report the progress and highlight those achievements among staff and publish the success story.
Result & Outcome :
All supporting staff is tested by return demonstration after training and it is noted that they could properly handle the eAED lite. eAED lite has been implemented for three months and there is no problem reported in using the eAED lite by supporting staff and clinicians. Regarding the eAED lite training, it is confirmed that staffs are ready to face the new I.T. world in HA if appropriate training provided to them. Patient care and safety should be enhanced if more new I.T. features are applied in clinical setting in HA.
