2.50
Hdl Handle:
http://hdl.handle.net/10755/163003
Type:
Presentation
Title:
ED Whiteboard: An Electronic Patient Tracking and Communication System
Abstract:
ED Whiteboard: An Electronic Patient Tracking and Communication System
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Vest, Nola, M. Ed, RN
P.I. Institution Name:Vanderbilt University Medical Center
Contact Address:1009 Oxford House, Nashville, TN, 37232 - 4740, USA
Contact Telephone:(615) 936-6782
Clinical Topic: Slow registration processes, long wait times, manual whiteboard procedures, and fragmented interdepartmental communication are common issues in emergency departments that may lead to less than optimal patient care and decreased staff and patient satisfaction. To address these issues, the electronic ED Whiteboard was developed to facilitate patient tracking, improve communication, and monitor patient flow through the emergency department (ED). Implementation: Development and implementation of the ED Whiteboard was a collaborative effort among nurses, physicians, biomedical informaticians, ancillary staff, admitting department, and system support specialists. The entire peri-ED experience is captured in three views on a computer monitor that provides patient information about the waiting room and treatment area, as well as discharge status. The ED Whiteboard interfaces with multiple applications: Admission/discharge/transfer (ADT) system; Computerized provider order entry (CPOE); Electronic orders notification, a tracking application; and the hospital's electronic medical record system. During implementation, changes were made to the ED Whiteboard based on user feedback from physicians, nurses, and management. Work processes were revised to accommodate adoption of the ED Whiteboard. Staff resistance was addressed throughout the change process. Outcomes: A 60-inch plasma ED Whiteboard display was centrally located in the emergency department to function as a communication hub for patient-care discussions and quick informational updates. In addition, numerous computers throughout the emergency department included ED Whiteboard technology that allowed staff to track patient flow visually, health-risk indicator alerts, order status, and staff assignments. A rapid registration process was developed for quick patient entry on the ED Whiteboard, allowing treatment to begin as soon as possible. Utilization of the ED Whiteboard eliminated patient triage prior to 11 a. m. and opened fast-track areas two hours earlier, thereby improving workflow and reducing patient wait times. Standardizing chief complaints, which were attached to ICD-9-CM codes, resulted in more efficient reporting and billing. Lastly, the ED Whiteboard laid the foundation for collaboration among the medical center and city and state health departments on the issue of biosurveillance. Recommendations: Integration of multiple electronic applications is crucial for an electronic whiteboard to work in an ED setting. Improved patient tracking can be accomplished if ED Whiteboard design accommodates the unique ED workflow and serves to enhance patient care. Any change to workflow will meet various levels of resistance. Successful implementation requires attention to user feedback, perseverance in working through the change process, and addressing resistance to change.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleED Whiteboard: An Electronic Patient Tracking and Communication Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163003-
dc.description.abstract<table><tr><td colspan="2" class="item-title">ED Whiteboard: An Electronic Patient Tracking and Communication System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vest, Nola, M. Ed, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Vanderbilt University Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1009 Oxford House, Nashville, TN, 37232 - 4740, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(615) 936-6782</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nola.vest@vanderbilt.edu</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Slow registration processes, long wait times, manual whiteboard procedures, and fragmented interdepartmental communication are common issues in emergency departments that may lead to less than optimal patient care and decreased staff and patient satisfaction. To address these issues, the electronic ED Whiteboard was developed to facilitate patient tracking, improve communication, and monitor patient flow through the emergency department (ED). Implementation: Development and implementation of the ED Whiteboard was a collaborative effort among nurses, physicians, biomedical informaticians, ancillary staff, admitting department, and system support specialists. The entire peri-ED experience is captured in three views on a computer monitor that provides patient information about the waiting room and treatment area, as well as discharge status. The ED Whiteboard interfaces with multiple applications: Admission/discharge/transfer (ADT) system; Computerized provider order entry (CPOE); Electronic orders notification, a tracking application; and the hospital's electronic medical record system. During implementation, changes were made to the ED Whiteboard based on user feedback from physicians, nurses, and management. Work processes were revised to accommodate adoption of the ED Whiteboard. Staff resistance was addressed throughout the change process. Outcomes: A 60-inch plasma ED Whiteboard display was centrally located in the emergency department to function as a communication hub for patient-care discussions and quick informational updates. In addition, numerous computers throughout the emergency department included ED Whiteboard technology that allowed staff to track patient flow visually, health-risk indicator alerts, order status, and staff assignments. A rapid registration process was developed for quick patient entry on the ED Whiteboard, allowing treatment to begin as soon as possible. Utilization of the ED Whiteboard eliminated patient triage prior to 11 a. m. and opened fast-track areas two hours earlier, thereby improving workflow and reducing patient wait times. Standardizing chief complaints, which were attached to ICD-9-CM codes, resulted in more efficient reporting and billing. Lastly, the ED Whiteboard laid the foundation for collaboration among the medical center and city and state health departments on the issue of biosurveillance. Recommendations: Integration of multiple electronic applications is crucial for an electronic whiteboard to work in an ED setting. Improved patient tracking can be accomplished if ED Whiteboard design accommodates the unique ED workflow and serves to enhance patient care. Any change to workflow will meet various levels of resistance. Successful implementation requires attention to user feedback, perseverance in working through the change process, and addressing resistance to change.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:52Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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