playing for change 1
TRANSCRIPT
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PLAYING FOR CHANGEDr Sanjeev Bhoi MD.FACEE
Additional Professor
Department of Emergency Medicine
AIIMS
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Objective
• Gaps • Issues and hurdles• Games of Mind• Playing for Change
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Gaps
•System- •Manpower•Equipment•Guidelines and protocols
•Heath care personnel•Training
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Issues and hurdles
• Casualty:- • orphan child of the hospital
• Lack of Team • Coordination• Abused,miused by established disciplines
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Issues and Hurdles
•CMO a traffic police•Nurse- injectionolgist.•MLC
• Computer facility
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Game of Minds
• Lack of motivation
• Apathy• Callous attitude• Commonly Misused Oppressed by established specialty
• Victim of lack of ownership
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VideoPlaying for Change
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Championing Playing for Change• Leadership• Ownership• Making a Team• Connecting ideas into reality• Introspecting within
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Ownership
Mine Ours
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Leadership
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Making a Team
Team- Team
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Connecting Ideas into Reality
ED
• MLC• Emergency Medical
record• Nurse Monitoring Chart• Patient monitoring• Reviewing images
IT
• E-MLC• Computerized Medical
Record systems• E- vital sign monitoring• E-patient monitoring • PACS, KiosKs
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Introspecting within
• Emergency Department
• E-Emergency Department
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To assess the perception of Emergency care providers towards the implementation of Electronic Medical Record system in Emergency Department
of a level -1 trauma centre
Courtesy :Sonia Chauhan (Trauma Nurse Coordinator)
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METHODOLOGY
• Study design- Qualitative survey • Performance centre - ED of JPN Apex Trauma Centre, AIIMS.
• Study duration-February to October 2010 (3 surveys)
• Study Group-22 Emergency Care ProvidersDoctors 8
Nurses 14
Total 22
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Study Tool
Structured, closed ended questionnaire consisted of 12 questions based on:
UsabilityApplicability Security Helpful in research of EMR.
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SURVEY ON CPRS IN ER (JPNATC, AIIMS) BY HEALTHCARE WORKERS Are you aware of CPRS (computerized patient record system)? a) Yes b) No If your answer to the above question is ‘Yes’ please proceed below:
Usability: 1. Do you have problem in logging into CPRS? a) Never b) Sometimes c) Very often d) Always 2. Overall, how easy is the computerized MLC form? a) Not at all b) To some extent c) easy d) Very useful
3. Overall, how easy is the computerized transfer notes? a) Not at all b) To some extent c) easy d) Very easy
4. Overall, how easy is the computerized discharge summary? a) Not at all b) To some extent c) easy d) Very easy
5. Overall, how easy is the computerized entry of patient vitals? a) Not at all b) To some extent c) easy d) Very easy
Applicability:
6. Do you think this system is helpful in overall patient care? a) Never b) Sometimes c) Very often d) Always
7. Do you feel demographics are more accurately entered in all forms (MLC form, transfer out forms, discharge summary) by using the computerized system? a) Never b) Sometimes c) Very often d) Always
8. Do you think computerized MLC form is helpful for police and judiciary (courts)? a) Never b) Sometimes c) Very often d) Always
Security:
10. Do you think data can be manipulated in system (after sign off)? a) Never b) Sometimes c) Very often d) Always
11. Do you think this system will help in improving transparency and accountability? a) Never b) Sometimes c) Very often d) Always
Research: 12. Do you feel this system can be helpful in research? a) Never b) Sometimes c) Very often d) Always
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• Likert scale(LS) was used (Likert 1=wrost, likert 4=best).
• Surveys were done on day- 20 ,day- 45 day and 9 months of implementation of EMR.
• Response of emergency care providers(ECP) were compiled
• Data analyzed by SPSS version 16.
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Result
log
in p
robl
em
ease
of c
ompu
teriz
ed M
LC
ease
of e
lect
roni
c tra
nsfe
r not
es
elec
troni
c di
scha
rge
sum
mer
ies
vita
l ent
ry
help
ful i
n pa
tient
car
e
dem
ogra
phics a
ccur
acy
appl
icabi
lity
of e
lect
roni
c MLC
form
man
ipul
atio
n of
dat
a
trans
pare
ncy
and
acco
unta
bilit
y
rese
arch
0
0.5
1
1.5
2
2.5
3
3.5
4
2.23
2.5 2.45 2.41
2.71 2.72
32.82
1.41
2.77
3.32
S1S2S3
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Usability
S1S2
S3
2
2.1
2.2
2.3
2.4
2.5
2.6
Likert Scale
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Application of EMR
S1 S2 S30
0.5
1
1.5
2
2.5
3
3.5
likert scale
likert scale
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Mission with a vision
To
play for change
A journey from ED to e-ED