We have been working with E.care ED at the emergency ward of the Jan Yperman Hospital since 15 December 2014. In merely 2.5 months this electronic patient file system was implemented. Together with Tom Cools of E.care and a number of key users a standard E.care ED was set up as ‘customised emergency package’.
LEAN AND JCI
Finally, the paper nurse file is a thing of the past. We no longer have to search for lost files in vain …
But there is more: we had a lot of desires as to assessments and had just received the long-wished-for JCI label in September 2014. This label entailed a lot of demands and requirements, but these could be easily integrated in the programme.
The X-ray requests have become readable and all the required fields are nicely filled out.
Automatic pop-ups guarantee a safe care provision.
Triage via Boston ESI, pain, time stamping and all other kinds of (automatic) tasks were digitalized.
Important assessments included the triage assessment, the Early Warning Score, pre-operative assessment etc.
The transfer to the ward was organised via a transfer assessment.
The previous overview screen has been replaced by the E.care ED overview screen. To us it was important to, next to the traditional data such as name, age, disease and triage colour, also receive information about the admission.
That is why the ward, room number and status of the free room are also visible at one single glance. Furthermore, we can follow the progress of the file from each box via the status bar.
TASKS AND MATERIALS
Our key users entered 450 nurse tasks, ranging from ‘request for blood products’ to ‘providing oxygen’. A lot of these tasks required materials subject to a charge, which were then linked with the tasks and led to an improvement of the whole invoicing process.
The big advantage is that the own key users can make plenty of adjustments in the programme themselves without the help of the IT department or E.care.
The medication part was conscientiously not used by the hospital, as it already works with a hospital-wide medication application: C-medication. Nevertheless, the link was established.
BILATERAL LINK C2M
The main prerequisite for the doctors was the bilateral link with C2M. For the nursing staff too, this offers plenty of advantages as to transparency and extra medical information.
We were the first hospital in Flanders to send our data to the Federal Public Service for the obliged UREG. This was also integrated in the already existing, obligatory MZG-MKG (minimal hospital data - minimal clinical data)
E.care ED is a solid system customised to the emergency ward that tries to comply with as many personal desires as possible. The E.care assistants are always there to answer questions and to help, to think along and to look for solutions.
This allows the executives to follow up on a lot of statistics, to react quickly and to make many adjustments themselves.
Koen De Ridder
Chief nurse at the emergency ward
Jan Yperman Hospital