savant limited - development of a pda based clinical adverse event recording system
DESCRIPTION
How a PDA based clinical adverse event recording system was developedTRANSCRIPT
Development of a Development of a PDA based Clinical Adverse PDA based Clinical Adverse
Event Event Reporting SystemReporting System
University Hospitals of Coventry and WarwickshireUniversity Hospitals of Coventry and Warwickshire
Coventry UniversityCoventry University
Savant LimitedSavant Limited
Key PlayersKey Players
Valerie FordValerie Ford Clinical Outreach Sister, UHCWClinical Outreach Sister, UHCW
Glyn JonesGlyn Jones Business Development Manager, Business Development Manager,
SavantSavant
Background to Background to CAE Reporting NationallyCAE Reporting Nationally
It is widely recognised that:It is widely recognised that: Paper forms unwieldyPaper forms unwieldy CAEs are under reportedCAEs are under reported Near-misses even more soNear-misses even more so Little feedback to managementLittle feedback to management Less feedback to individual Less feedback to individual
reportersreporters
Background at UHCWBackground at UHCW
Paper forms in usePaper forms in use Two-tier system for form fillingTwo-tier system for form filling Problems with current systemProblems with current system
Paper logisticsPaper logistics Manual completion of formsManual completion of forms
At end-of-shiftAt end-of-shift Near misses not recordedNear misses not recorded
Timeliness of reportingTimeliness of reporting
Existing form (P1&2)Existing form (P1&2)
Existing form (P3&4)Existing form (P3&4)
Evolution of the pilot Evolution of the pilot solutionsolution
CAE Form (PDA Version)
CAE Form Repository
Incident Recording Team
Incident Recording Team
Incident Recording Team
Wireless AccessPoint
CAE Form (PDA Version)
Datix
Netw
ork
Existing Systems (unchanged)
Scope of Pilot System
CAE Form (Tablet Version) Savant
Manager
Manager
Manager
Highlights of the pilot Highlights of the pilot solutionsolution
Data Capture Software on PDAs, Tablets, PCs and Data Capture Software on PDAs, Tablets, PCs and ServersServers
Pocket PC 2003 PDAsPocket PC 2003 PDAs Windows XP TabletsWindows XP Tablets SQL Server DatabaseSQL Server Database Regular email to Datix Data Entry, from database, Regular email to Datix Data Entry, from database,
of new forms received of new forms received Optional wireless connectionOptional wireless connection Repository would need to know which managers Repository would need to know which managers
look after which areaslook after which areas Emails to Managers would include areas for them to Emails to Managers would include areas for them to
complete before forwarding complete before forwarding Could use PDA to PDA routing or round trippingCould use PDA to PDA routing or round tripping
Choice of PDAsChoice of PDAs
User workshopsUser workshops Close collaboration with Coventry Close collaboration with Coventry
University TechnoCentreUniversity TechnoCentre Decided on iMate JasJar becauseDecided on iMate JasJar because
Good screen (VGA)Good screen (VGA) QWERTY KeyboardQWERTY Keyboard
WorkshopsWorkshops
Full user involvement in system designFull user involvement in system design 3x2hour sessions3x2hour sessions
Coventry University School of DesignCoventry University School of Design Technology awarenessTechnology awareness PrototypingPrototyping Hands-on testingHands-on testing
PDA ScreensPDA Screens
Desktop screenDesktop screen
New processNew process
User captures initial details on PDAUser captures initial details on PDA Manager notified of open CAEs via Manager notified of open CAEs via
emailemail Manager updates CAE detailsManager updates CAE details Clinical governance team receive Clinical governance team receive
email with completed CAE form email with completed CAE form detailsdetails
Roll outRoll out
UHCW IT Department fully UHCW IT Department fully involvedinvolved Support PDAsSupport PDAs Host database and web siteHost database and web site
Savant on site forSavant on site for Roll out supportRoll out support Working with usersWorking with users
Next stepsNext steps
Complete pilot and revise Complete pilot and revise applicationapplication
Feedback best practice to the user’s Feedback best practice to the user’s PDAPDA