Page 133 - Hospital Authority Convention 2018

Service Enhancement Presentations

F3.6 Clinical Safety and Quality Services I 14:30 Room 421

Green Hospital – Paperless Audit in Department of Surgery, United Christian Hospital
Tong WL, Wong WK, Li WQ, Wong KY, Lau SY
Department of Surgery, United Christian Hospital, Hong Kong
Introduction HOSPITAL AUTHORITY CONVENTION 2018
Nursing audit is a common assessment of the quality of nursing care and is used to uphold the nursing standards in
healthcare system. More than 20 different audits were performed in the Department of Surgery of the United Christian
Hospital every year. Indeed, we use many papers during audit activities. Moreover, there is a storage issue as limited space
in ward does not quite allow these audit forms to be kept for three years in our department. Furthermore, some scenarios like
incomprehensive record of audit form and time consuming for data input are sometimes encountered.
Objectives
(1) To develop an electronic e-audit form; and (2) to reduce the number of incomprehensive record of audit form.

Methodology
A pilot project developing an electronic e-audit form was conducted from September to December of 2017 in the Department
of Surgery. By using the “Survey” function in the Share Point provided by Hospital Authority, we converted the original audit
form to e-audit form and uploaded to the Share Point. Different permission levels in the Share Point was set to secure the
audit data. Also, we utilise a function of “require” to prevent missing data.

An introduction workshop was provided to the auditors in August. Moreover, the auditors performed the re-demonstration to
evaluate their understanding in using the e-audit forms. The audit was carried out by using different electronic devices such
as i-pad, notebook and portable computer on wheel (COW). Monday, 7 May 2018

Results
16 e-audit forms were developed and implemented in four surgical wards and Breast Centre during the pilot period. 462 e-audit
forms were completed. As a result, more than 450 pieces of paper were saved as well as storage place. Once the auditors
completed and saved the forms, no data could be amended by setting security permission level.
The graphical summary of responses and results could be generated by computer itself for analysis. Different auditors could
view and analyse depending on different permission levels. All auditors were satisfied with such change. They commented
that it is convenient, easy to use and time saving.

Conclusion
In the blooming technology world, it is a trend to better utilise electronic system to streamline workflows in the healthcare
system. E-audit forms are convenient and easy to use, paperless, and time saving.

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