Authors (including presenting author) :
Wong WMB(1), Cheung KL(1), Chan SK(1), Lam WK(1), Chan SY(1), Lee SN(1)
Affiliation :
(1) Accident and Emergency Department, Pok Oi Hospital
Introduction :
The current and traditional workflow in most of the AEDs in Hong Kong is based on the paper record for communication and documentation. However, computer technology in clinical services with unprecedented success is common in the world. Besides Hong Kong, computerization in clinical services is already established in Japan, Singapore, China and Macau with good result. Both clinical efficiency and patient safety is benefited from computerization. Accident and Emergency Information System (AEIS) and Clinical Management System (CMS) have been used over twenty years in local AEDs. eAED is a combined interface which was piloted in NLTH since 2013. And, TSWH, RTSKH and POH are subsequently joined. eAED has been implemented with CQMS in October 2019. Clinical Queuing Management System (CQMS) is designed to facilitate the patient queuing in HA and it is one of the smart programs in AED POH.
Objectives :
AED nurses performed SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis on eAED and CQMS to evaluate the development of smart programs in POH.
Methodology :
The SWOT analysis is focused the impact of eAED and CQMS on clinical safety, clinical workflow and clinical monitoring in AED. eAED strengthen the accuracy in documentation, it avoids handwriting to reduce error from misinterpretation and mis-identification. Smart program facilitate clinical-decision and aid to standardize patient care. Triage templates enhance the quality and efficiency of nursing triage. It strengthens the patient-tracking for massive volume of patients within AEDs at various locations. Multilingual announcement function of CQMS improves the patient communication. The e-list function of eAED facilitates clinical handover. The real-time situation monitoring helps resources and manpower management. Corporate A&E real-time data would also facilitate mass casualty management. However, the stability and user interface of both systems still have rooms for improvement. The systems give a chance to fix redundancy in manual transactions and paper-based communication. It provides timely big data to HA/ HKSAR Govt. It helps to develop service standards and common protocols. In this connection, the clinical service will be badly affected by system downtime. In addition, preventive maintenance cost is also a concern.
Result & Outcome :
The advantages of eAED and CQMS in clinical safety, clinical workflow and clinical monitoring are not only a support to develop smart program in POH, but it is also the world trend. In conclusion, it is time for all local AEDs to prepare for the new generation.
