Innovative Use of Technology for Patient Safety and Quality - - PowerPoint PPT Presentation

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Innovative Use of Technology for Patient Safety and Quality - - PowerPoint PPT Presentation

Innovative Use of Technology for Patient Safety and Quality Improvement Mar 23 rd , 2019 Sharda Udassi, MD, FAAP, CMQ, FISQua Physician Director of Quality for Sidra Childrens Services Associate Professor of Clinical Pediatrics As part of


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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

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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
  • 80% or higher attendance per session = full allotted CPD

hours Total CPD hours for the forum are awarded based on the sum of CPD hours earned from all individual sessions.

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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.

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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
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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

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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

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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/

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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.

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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.

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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.

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Project Imagine

By Koorosh Zarezadeh

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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

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Children’s CMG Innovation Challenge

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Innovation Challenge Engagement Stats

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 10 Moons

By Paula Ibanez and Sofia Ferreira

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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

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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

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10 Moons – App

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10 Moons – App

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10 Moons – Outcomes for Patients and Institutions

Institution

  • Improves referral process
  • Reduces waiting time for

referrals

  • Enhanced communication
  • Supports paper-less

company

  • Structured pregnancy

plan of care Patient

  • Improves patient

experience

  • Antenatal education

classes

  • Pregnancy information
  • Waiting time for referrals

and appointments

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 3D Discrete Event Simulation

By Abdou Kadri

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... 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

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3D Obstetric Patient Flow Simulation

Problem: Wait times at Sidra OB Outpatient Clinic in 2018

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VIDEO TO BE ADDED

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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

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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

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, Machine learning, Artificial Intelligence

By Eugene Chan

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Saffara – Intelligent Queue Management

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Saffara – Intelligent Queue Management

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Saffara – Intelligent Queue Management

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Saffara – Intelligent Queue Management

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Future of Innovative use of technology in Patient Safety and Quality Improvement (future possibilities)

By Sharda Udassi

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Digital Health

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Future of Technology in Healthcare

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Question and Answer using Mentimeter website and directly

By Shiraz Bajwa

  • 1. Open menti.com on

your smartphone

  • 2. Enter the following

passcode: ########

  • 3. When prompted, type

your question in the box and click submit

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Thank you for your participation Welcome any feedback comments

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - Project Imagine

By Koorosh Zarezadeh

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 10 Moons

By Paula Ibanez

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 3D Discrete Event Simulation

Abdoul Kadri

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How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, machine learning, artificial intelligence

By Eugene Chan