Authors (including presenting author) :
PUN KL(1), TANG SW(2), CHAN M(1)
Affiliation :
(1)Nursing Services Division, Tung Wah Eastern Hospital, (2)Department of Medical & Rehabilitation, Tung Wah Eastern Hospital
Introduction :
To meet the direction of HA on the smart ward approach, and with the collaboration among different clinical teams, Electronic Vital Signs (e-Vital) measurement and record system was implemented in all in-patient wards, day wards, and Operating Theatres in our Hospital in mid-2022. We conducted a comprehensive evaluation after the implementation. Positive feedback was identified, and we shared the experience with other hospitals in the cluster.
Objectives :
(1) To evaluate staff satisfaction to the system; (2) To identify rooms for further enhancement
Methodology :
There were two phases of evaluation, i.e., phase one after full implementation in May 2022 and phase two in early 2023. The survey was targeted at all medical, nursing, and allied health staff. Google form was sent to target participants to be completed on a voluntary base.
Result & Outcome :
Results: In the phase one survey, 89% of respondents agreed the system was easy to use and could facilitate the workflow in patient care. 88% of respondents agreed that the system was convenient in reviewing and interpreting patients' vitals and helped to reduce documentation errors. Clinical teams could review real-time vital signs in one platform anytime and anywhere. In addition, 84% of respondents agreed that they were overall satisfied with the system. In the phase two survey, all aspects' satisfaction rates increased. 88.7% of respondents agreed that they were overall satisfied with the system. Over 82% of respondents did not want to return to previous paper-based vital sign documentation. 84% of respondents recommend other settings to use the E-vital system. On the areas for improvement, respondents were mainly concerned with the feasibility of interfacing with other clinical systems, network connectivity, and improvement on the viewing interface. Few respondents suggested Smart scoring features in the decision support to aid decision-making and improve clinical outcomes. Since we are the 1st hospital fully implements the system in HKEC. Our experience was shared with the other five hospitals of HKEC through site visits and half-day attachment by hospitals' coordinators. Conclusion: Local healthcare workers well accepted the system according to the two-phase evaluation results. In addition, respondents were confident about introducing the system to other settings, so we shared the experience of implementation with other hospitals.
