SLIDE 1 Innovative Use of Technology for Patient Safety and Quality Improvement – Mar 23rd, 2019
Sharda Udassi, MD, FAAP, CMQ, FISQua Physician Director of Quality for Sidra Children’s Services Associate Professor of Clinical Pediatrics
SLIDE 2 ME Forum 2019 Orientation
As part of our extensive program and with CPD hours awarded based
- n actual time spent learning, credit hours are offered based on
attendance per session, requiring delegates to attend a minimum of 80% of a session to qualify for the allocated CPD hours.
- Less than 80% attendance per session = 0 CPD hours
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hours Total CPD hours for the forum are awarded based on the sum of CPD hours earned from all individual sessions.
SLIDE 3
Conflict of Interest
The speaker(s) or presenter(s) in this session has/have no conflict of interest or disclosure in relation to this presentation.
SLIDE 4 Objectives
- 1. Introduction
- 2. How to Build a Culture of Healthcare Safety and Quality Improvement by
Innovation using technology – Sidra Medicine
- a. Project Imagine: Crowd-sourced grassroots innovation
- 3. Examples of Quality Improvement (QI) Projects that incorporated innovative
use of technology
- a. 10 Moons mobile application
- b. 3D obstetric patient-flow simulation
- c. Saffara, machine learning, artificial intelligence
- 4. Future of Innovative use of technology in Patient Safety and Quality
Improvement (future possibilities)
- 5. Question and Answer using mentimeter website and directly
SLIDE 5 How to Submit a Question
Follow the instructions to submit your questions. Q&A will be conducted at the end of the session.
- 1. Open menti.com on your
smartphone
- 2. Enter the following passcode:
########
- 3. When prompted, type your
question in the box and click submit
SLIDE 6 Introduction
- Many industries have made significant
safety advancements using technology*
- Aviation has acknowledged human
error potential and made conscious effort in error reduction through use of technology and automation#
*Hetherington C, Flin R, Mearns K. Safety in shipping: the human element. J Safety Res 2006;37:401–11.
#Pronovost PJ, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood) 2009; 28:w479–89
SLIDE 7 Introduction
- Healthcare is more ‘hands on’ activity than other high-risk industries, requiring skilled
interventions, adaptation, flexibility and, most importantly, caring and empathy.
- Technology can improve patient safety (minimize errors), efficiency, patient experience
and cost reduction. E.g. delivery of medication using automated robotic systems.*
- Technology can support, but cannot replace human beings.#
#Rajesh Aggarwal, Oliver T Mytton, Felix Greaves, Charles Vincent; BMJ Quality and Safety Journal; Volume 19, Issue Suppl 2 *Cytocare. CytoCare Robot [Internet communication], 2009. http://www.cytocare.info/
SLIDE 8 Introduction
- Technology can also present new
hazards.*
- Both good and ill, enormously
depends on setting, tools and infrastructure in place
*de Wildt SN, Verzijden R, van den Anker JN, de HM. Information technology cannot guarantee patient safety. BMJ 2007;334:851–2. *Murphy DG, Bjartell A, Ficarra V, et al. Downsides of robot-assisted laparoscopic radical prostatectomy: limitations and complications. Eur Urol. Published Online First: 25 December 2009.
SLIDE 9 WHO Patient Safety Technology Programme
- Published reports on role that technology might play in enhancing
healthcare safety.
- Paper sets out a systematic approach to identifying potential role of
technology and it’s impact on clinical process and patient safety.
SLIDE 10
Building a Culture of Innovation at Sidra Medicine
Sidra Medicine is an ultramodern, all-digital academic medical center. Innovation is one of Sidra’s core values and an important part of our vision to be a beacon of learning, discovery and exceptional care. In most hospitals, innovation occurs at the periphery through partnerships At Sidra, we strive to create a “culture of innovation” that’s rooted in the core of how we function.
SLIDE 11
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Project Imagine
By Koorosh Zarezadeh
SLIDE 12
A crowdsourced innovation platform that is web- based and accessible to all Sidra staff.
Project Imagine – Crowdsourced Innovation
Designed so that staff can be “challenged” to come up with innovation solutions and to contribute to other submissions Provides an opportunity for staff to provide feedback and become an integral part of the ideation process
SLIDE 13
Children’s CMG Innovation Challenge
SLIDE 14
Innovation Challenge Engagement Stats
SLIDE 15
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 10 Moons
By Paula Ibanez and Sofia Ferreira
SLIDE 16
10 Moons – First Pregnancy Mobile App in Qatar
10 Moons is an example of crowd-sourced innovation come-to-life at Sidra. The name refers to the length of the pregnancy using the lunar calendar.
Available on Apple Store 1580 Active Users Available on Play Store
SLIDE 17
10 Moons – App
Empowers women and families to become active partners. Facilitate Referrals US Scans Images Plan of Care Pregnancy Info Increase patient experience Achieve best medical outcomes
SLIDE 18
10 Moons – App
SLIDE 19
10 Moons – App
SLIDE 20 10 Moons – Outcomes for Patients and Institutions
Institution
- Improves referral process
- Reduces waiting time for
referrals
- Enhanced communication
- Supports paper-less
company
plan of care Patient
experience
classes
- Pregnancy information
- Waiting time for referrals
and appointments
SLIDE 21
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 3D Discrete Event Simulation
By Abdou Kadri
SLIDE 22
... is an easy-to-use modelling and analysis tool to visualize current practices and analyze process and policy ... lets you prototype your concepts; in a realistic, cost effective, risk free virtual environment
3D Discrete Event Simulation
SLIDE 23
3D Obstetric Patient Flow Simulation
Problem: Wait times at Sidra OB Outpatient Clinic in 2018
SLIDE 24
VIDEO TO BE ADDED
SLIDE 25
Proposed Model Results
§ Discrete Event Simulation was used to identify a new model of physician room allocation § Doctor to move between 2 rooms § Simulation showed we can reduce patient wait time by 32% § 3 week PDSA pilot actual results correlated with 91% accuracy with predicted improvement via this model
SLIDE 26 PDSA Results – OB Waiting Times for Patients
Dec 03 – Dec 17 Jan 09 – Jan 24 Feb 11 - Feb 25 Baseline Doctor Room Rotating PDSA Doctor Room Rotating/ Resource based assignment Average : 42 mins Average : 27 mins Average : 21 mins 35% Improvement 50% improvement
SLIDE 27
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, Machine learning, Artificial Intelligence
By Eugene Chan
SLIDE 28
Saffara – Intelligent Queue Management
SLIDE 29
Saffara – Intelligent Queue Management
SLIDE 30
Saffara – Intelligent Queue Management
SLIDE 31
Saffara – Intelligent Queue Management
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SLIDE 33
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SLIDE 35
Future of Innovative use of technology in Patient Safety and Quality Improvement (future possibilities)
By Sharda Udassi
SLIDE 36
Digital Health
SLIDE 37
Future of Technology in Healthcare
SLIDE 38 Question and Answer using Mentimeter website and directly
By Shiraz Bajwa
your smartphone
passcode: ########
your question in the box and click submit
SLIDE 39
Thank you for your participation Welcome any feedback comments
SLIDE 40
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - Project Imagine
By Koorosh Zarezadeh
SLIDE 41
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 10 Moons
By Paula Ibanez
SLIDE 42
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 3D Discrete Event Simulation
Abdoul Kadri
SLIDE 43
How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, machine learning, artificial intelligence
By Eugene Chan