Patients are more vulnerable after-hours because there are fewer doctors and nurses looking after them. After reviewing a couple of adverse events that happened after-hours, CCDHB found that the root cause was communication problems between doctors and nurses.
After researching a number of different solutions, CCDHB decided to implement Smartpage in both Wellington and Kenepuru Hospitals to improve communication, efficiency and patient safety.
With Smartpage, nurses can quickly enter the details of their task, along with all the patient details a doctor needs. They can see that the message has been sent to the doctor, when the doctor has seen their message, and receive responses.
Before, a majority of communication between doctors and nurses was verbal, but now this is all captured by Smartpage for better reporting.
“The reporting tool in Smartpage is very useful, especially when we review a reportable event that is related to communication error or breakdown. It helps identify what the problem or issue was, and it gives us the opportunity to provide a resolution in a more efficient manner.”
– Zaffer Malik, Clinical Nurse Educator, Capital and Coast District Health Board
Smartpage also allowed the management staff at the hospital to gain better visibility of their doctors’ workload after-hours. This has allowed them to move doctors around more efficiently, and equalise their workloads.
Smartpage is now used by CCDHB in over 30 wards, with mobile orderlies being dispatched to over 1,500 tasks a day.
Smartpage has not only improved communication in the hospital, but has also improved visibility, efficiency, and above all, patient safety.
Nurses like having the ability to communicate with doctors accurately and rapidly, no matter where they are in the hospital. Doctors are saving 10 to 15 minutes per hour, as they don’t have to waste time calling around, trying to find the nurse that paged them.
“The quick resolution of issues is now happening on a continual basis. The efficiency of the doctors getting through their messages, getting back to the nurses, and getting their work done quickly has been a critical improvement.”
– Dr Kyle Perrin, Head of Department for Medicine, Capital and Coast District Health Board
Efficiency has also improved because staff can now see the logistics of their work flow, along with important patient information, so they have more detail to get the job done.
Being able to get reporting on workloads has also proven very useful. The hospital has already made changes to the way after-hours cover works, and is continuing to look at ways to improve the balance of work across the hospital to improve efficiency and patient safety.
“I love Smartpage because it is easy to use, it is very efficient, and it gives transparency of care.”
– Isabella McKenzie, Registered Nurse, Capital and Coast District Health Board