Page 215 - Hospital Authority Convention 2017

Service Enhancement Presentations

F5.7 Healthcare Advances, Research and Innovations 09:00 Room 421

Patient Monitoring and Scheduling System – a Solution to Provide Safe Treatment to the Right Patient
Suen WS, Yue SY, Lau M, Chan WC
Occupational Therapy Department, Shatin Hospital, Hong Kong HOSPITAL AUTHORITY CONVENTION 2017
Introduction
The Patient Monitoring and Scheduling System (PMS) is a newly designed computerised system for occupational therapists
to manage daily treatment scheduling and provide vital signs monitoring for patients. By using PMS, therapists can prescribe
treatments for patients on a tablet device. All the instruction details and precautions will be retrieved and displayed on the
handheld barcode scanner. The patient’s journey in Occupational Therapy Department is started when the barcode on his/
her wristband is checked-in. The prescribed training activities, real-time vital signs monitoring, the precautions alert are then
automated to run. In order to evaluate the effectiveness of PMS, a preliminary study was conducted in January 2016.

Objective
To compare the effectiveness of treatment delivery of PMS and the conventional practice of using paper activity card.
Methodology
Patients attending Occupational Therapy Department for treatments were divided into two groups: (1) Using PMS; and (2)
conventional practice of using paper activity card in treatment delivery.
Five parameters were evaluated in our study:
(1) Implementation of right treatment to the right patient.
(2) Protection of patient data privacy.
(3) Implementation of vital signs monitoring.
(4) Implementation of fall prevention measures.
(5) Implementation of Infection control measures.
Data in PMS group was retrieved from the PMS electronic database. For conventional group, data was collected by on-spot
checking and retrospective records from paper activity cards.

Results
(1) 100% accuracy in implementation of right treatment to the right patient, and 100% protection of patient data privacy
after using PMS. While it is 98% and 53% respectively in the conventional group.
(2) The compliance of vital signs monitoring improved from 18% in the conventional group to 76% in PMS group.
(3) 95% of fall precaution measurements were correctly done after using PMS and it is 82% in conventional group.
(4) The compliance of infection control measurements in PMS group is 88% for patients with contact precaution and 90%
for patients with droplet precaution. While they are only 36% and 78% respectively in conventional group.
There were promising results on the effectiveness of PMS in improving the accuracy of treatment implementation,
implementation of patient safety measurements and compliance of patient data privacy practice. Since March 2016, PMS has
replaced all paper activity cards in treatment prescription. This system can also provide summary reports for therapists to Wednesday, 17 May
review patient’s progress and update treatment, it greatly increases the efficiency of patient management.

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