Authors (including presenting author) :
Yuen SK (1), Pun Flora (2), Wong Teresa (1), Ng KH (1), Wong ML (1)
Affiliation :
(1) Department of Medicine & Geriatrics, (2) Information & Technology, Caritas Medical Centre (CMC)
Introduction :
Mobile computer on wheels (COW) possessed printing function but was never popular in CMC as they were bulky and heavy to move around in busy wards with narrow corridors. I-Pads are handy but uses unfamiliar interface with restricted clinical management system (CMS) functions. Laptops (‘notebook’) fixed on a height-adjustable stand combine strengths of ease and familiarity of data entry (keyboard and mouse) and full access to intranet and CMS functions. This compromise between mobility and functionality greatly facilitated ward round but the lack of print-out function remained as hiccoughs in clinicians’ workflow. The demand-supply mismatch of ‘big’ CMS stations during peak ward round hours meant reduced work efficiency since doctors needed to queue for a fixed CMS station merely because they wanted to print.
Objectives :
To improve efficiency by converting laptops into fully functional CMS stations.
Methodology :
One dedicated printer is installed in each of the 7 acute medical wards and assigned as the default printer for all mobile laptops (6-7 per ward). Briefing were made to doctors and nurses, with special emphases on risks containment: 1) all print-outs should be collected immediately, 2) All print-outs should be checked for correct patient identity, 3) prompt attendance to machine failure, 4) prompt disposal of uncollected print-outs. Quality & Safety review was conducted before implementation. An on-line feedback survey was conducted early after promulgation.
Result & Outcome :
Trial-run started on 1 February 2019 in two acute medical wards and then extended to all 7 acute medical wards. Thirteen doctors completed the anonymous questionnaire survey, giving a response rate of 18.8%. All had had switch from a mobile laptop to a ‘big’ CMS station merely because he/she needed to print. All agreed this project allowed them to work more efficiently. Large majority recognized the risk of mixing up reports of different patients and 100% routinely check patients’ identity and collected print-out as soon as possible to reduce the risks. Colleagues commented the project had improved their efficiency and avoided hiccoughs especially during ward round hours. There has been no clinical incident after implementation.
Connection of mobile CMS laptops to a dedicated printer is a feasible and quick way to increase number of fully functional CMS stations, and contributes to improved workflow and efficiency.
