Authors: (including presenting author): :
LAM BSY(1), WONG EYF(1), WONG JCY(1), PANG JYW (2), CHAN JKY (2), LO FMY(2), CHENG HL(2), CHAU J(3), PANG K(3), CHEUNG BWK(4), CHENG J(2)
Affiliation: :
(1)Chief Pharmacist's Office, Hong Kong Hospital Authority, (2)Health Informatics, Hong Kong Hospital Authority, (3)Quality & Safety, Hong Kong Hospital Authority, (4)Nursing Service Department, Hong Kong Hospital Authority
Introduction: :
In Hong Kong, paper MAR was used to support the in-patient medication management process for over 20 years. In 2010, Hospital Authority (HA) has started development of electronic prescription for in-patients, In-Patient Medication Order Entry System (IPMOE). IPMOE has been piloted at Princess Margaret Hospital (PMH) since 2012. Till now, over 30 hospitals are using IPMOE in Hong Kong. Can it satisfy the need of hospital team? Is there any specific area that the project team need to focus on? Can it improve medication safety as expected? Can it improve the workflow efficiency? In August 2020, IPMOE Project Management Office, has conducted an “IPMOE review: Staff Satisfaction Survey 2020”. Feedback and comments are collected for future development of IPMOE.
Objectives: :
To collect feedback and comments from hospital team who are using IPMOE.
Methodology: :
A set of survey questions was developed. It focused on how can medication safety and workflow efficiency be improved with IPMOE. Free text sessions were available to invite hospital team to feedback on areas of improvement that they identified in daily practices. Electronic survey form was available in both HA intranet and internet. Doctors, pharmacists and nurses were invited to complete the survey through email and HA Chat. Reminder message was sent one week before the survey deadline.
Result & Outcome: :
The survey was conduct in August 2020. 2,215 returns were received from all 7 clusters; 310 from doctors; 150 from pharmacists and 1,755 from nurses. 91.64% of respondents agreed that IPMOE can improve medication safety by elimination of manual transcription. 91.6% agreed that Medication Decision Support checking in IPMOE can improve medication safety in in-patient medication management process. 88.98% of respondents agreed that medication safety can be improved with the order template functions in IPMOE. Do you think that the clinical care process is facilitated by IPMOE? 81.85% of respondents agreed on this point. 84.65% of respondents agreed that IPMOE can improve quality of patient care. 85.51% of respondents found that medication reconciliation with IPMOE is efficient. 81.48% agreed that the operation process is smooth with IPMOE. In general, 80.28% of respondents are satisfied with IPMOE. With the scale of 1 to 6, 1 is the lowest and 6 is the highest, 85.64% of respondents rated 4 or above as the overall rating for IPMOE. Areas of improvements are consolidated and directed to project team for consideration as part of the future improvement plan.
