DIGI TAL HEALTH
The Trust’s action on sepsis not only addressed improved patient outcomes and quality standards. Its work has also been recognised by a national award: in April 2020, the Trust won the ‘Best Use of Data’ category in the Leading Healthcare Awards 2020.
COVID-19 response
The novel coronavirus arrived in the UK in late January 2020 and reached the Midlands a few weeks later. As part of its COVID-19 response, the Dudley Group made rapid changes to its Sunrise EPR. Patients with COVID-19 and at risk of sepsis were also identified on the tracking boards. Bill Dainty said: “These patients frequently represented those experiencing a concurrent bacterial infection and being able to identify these patients allowed earlier administration of antibiotics and a respiratory team review.”
Existing Sunrise functionality meant clinicians treating patients with COVID-19 had fast, easy access to relevant blood test and imaging results. But the Trust optimised documentation and created a critical care review document to record intensive care unit input and consultations consistently, with a clear plan of care and escalation points. It also created new documentation to record “ceilings of care” to consistently capture the extent of treatment plans, through enhancements to its documentation for capturing and acting on “do not resuscitate” instructions.
Coronavirus expedites dbMotion activity
dbMotion is a population health platform that aggregates information from multiple systems
We have seen individual teams ‘own’ their data and look for ways to constantly improve outcomes and shorten the time taken to commence treatment. By identifying the very sick earlier, we have been able to expedite treatment for many patients who might otherwise have experienced extended
stays or poorer outcomes. Bill Dainty, resuscitation and deteriorating patient lead, The Dudley Group NHS Foundation Trust.
to create a single view of a patient’s data. Unlike other information sharing products, it appears to clinicians as a “blue box” in the top corner of the EPR that they use every day. The “blue box” alerts them automatically if there is information available from other sources about the patient whose record they are viewing – without needing to leave their workflow or log into a separate system and then search for the patient. At the Dudley Group, clinicians can click to
see additional information from two sources: the EMIS system used by GP practices in the area and other systems in use within the Trust. Further data will be added. Following the initial proof of concept, the
Trust worked with Allscripts on the technical integration required to expose discrete data from all GP practices using EMIS to hospital clinicians. But multiple, conflicting priorities meant activation was delayed. In March 2020, as the Trust responded to the coronavirus outbreak, it decided to
accelerate a three- to six-month rollout project planned for summer 2020, starting with the information most useful for the triage and treatment of COVID-19 patients. This included a patient’s GP medical history and medications data.
Visibility of historical clinical data in dbMotion saved admitting doctors valuable time when assessing patients with dementia. For example, they could see whether patients were recorded on the dementia register, which gave them immediate confirmation as to whether their symptoms were new or historic.
Meanwhile, pharmacists noted how much quicker it was to validate patients’ home medications – a process that otherwise required logging into other systems and/or calling the GP practice or retail pharmacy. Max Hodges, the Trust’s chief clinical information officer, said: “Being able to find out quickly what medications the GP thought they were taking was enormously helpful. These benefits will continue post- COVID-19.”
The CCIO noted that the information available through the EPR and dbMotion is supporting clinicians who are delivering clinics remotely, and who might not be able to access paper documentation from home. “Information is valuable, and we have improved the quality of information available for clinicians,” he said. “In time, we will be able to bring it into our Sunrise EPR, using Send To My EHR, which will save more time for clinicians and reduce transcription error.”
E-prescribing and medical device integration The Trust is working on a project to implement electronic prescribing and medicines administration and has just gone live with a first-phase roll-out to adult inpatients. The Trust has begun to integrate its bedside medical devices with the EPR. This work has been piloted in the
coronary care unit and there are plans to go live in the ED resuscitation area, where
48 l
WWW.CLINICALSERVICESJOURNAL.COM JANUARY 2022
©everythingpossible -
stock.adobe.com
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84
