National guidelines for the on-screen presentation of discharge - - PowerPoint PPT Presentation

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National guidelines for the on-screen presentation of discharge - - PowerPoint PPT Presentation

Feb 23, 2024 163 likes •341 views

National guidelines for the on-screen presentation of discharge summaries Siobhan McFadden Project manager NIA Conference 6 August, 2017 Why have national guidelines? Information in the discharge summary varies between settings and is not

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NIA Conference 6 August, 2017

Siobhan McFadden Project manager

National guidelines for the

  • n-screen presentation of

discharge summaries

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Why have national guidelines?

  • Information in the discharge summary varies between settings and

is not displayed in a consistent order.

  • Terminology between the hospital discharge summaries and the

general practitioner software view is sometimes inconsistent.

  • The format of medications information across discharge

summaries varies which can lead to medication errors.

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  • Literature review and environmental scan
  • NEHTA style guide and discharge summary clinical document architecture

specification

  • NEHTA EDS core components
  • Desktop reviews:

▪

  • f current processes for creating discharge summaries

▪ presentation of discharge summaries in clinical information systems, GP software and the My Health Record

  • Project consultation across multiple clinical settings both public and private - up to

70 stakeholders

  • Prototype development
  • Workshops and heuristic testing - eye tracking testing
  • Develop and finalise guidelines

Scope

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Methodology

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Findings and outcomes from phase one - current state assessment

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Eye-tracking - initial fixations

Analysing the data from the first eye-tracking sessions indicated that healthcare providers were confused about where to look first when reviewing the discharge summary.

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Eye tracking – distribution of gaze

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Recommendations and outcomes

Section one Section two Section three

PATIENT AND HOSPITAL

DETAILS

ALLERGIES AND ADVERSE

REACTIONS

RECOMMENDATIONS Recipients and authors MEDICINES ON

DISCHARGE

FOLLOW-UP

APPOINTMENTS

PRESENTATION DETAILS CEASED MEDICINES INFORMATION PROVIDED

TO THE PATIENT

PROBLEMS AND

DIAGNOSES

ALERTS RECIPIENTS PROCEDURES SELECTED INVESTIGATIONS RESULTS CLINICAL SUMMARY

  • Stakeholder review Workshops x 3 - reviewed and

updated multiple prototypes over an iterative process

  • Eye tracking testing x 3 - reinforced the findings and

changes adapted from the workshops

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Recommended presentation Section 1

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Section 2

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Section 3

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Summary

  • Standardised and consistent presentation of clinical

information promotes safety and improves patient care

  • Presenting elements in a consistent and sequential manner

allows the receiver of a discharge summary navigate more efficiently

  • Heuristic analysis and consumer testing contributed to the
  • n-screen presentation of discharge summaries
  • Platform for health services procuring clinical information

systems

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Published in February 2017

https://www.safetyandquality.gov.au/wp-content/uploads/2017/02/Guidelines-

  • n-screen-presentation-of-discharge-summaries.pdf
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Questions?

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Contact details: siobhan.mcfadden@safetyandquality.gov.au

Siobhan McFadden