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CREATING AN ELECTRONIC PATIENT ROUNDING APP
John Torous, Kari Phillips, Leslie Ajl, Alfred Kyrollos, Sean Murphy, Anabela Cardoso, Venkat Jegadeesan, Qiang Wang, Tricia Bourie, Jean Campbell, Guoping Xu, Tammy Deng, Bobbie Carney, Rohn Friedman
Introduction/Problem
Patient safety is a priority at BIDMC. All patients on Deaconess 4, the inpatient psychiatric unit, must be
rounded upon every 15 minutes; those judged at high risk must be rounded upon every 5 minutes. The
current paper record only records a check box to indicate that the patient was checked some time in the
15 minute (or 5 minute) time block; if a patient was checked at the start of one 15 minute period and then
again at the end of the next 15 minute period, a total of nearly 30 minutes could elapse. In addition
patients have to sign out potentially dangerous items such as a razor or an electronic cord. Those items
are signed out on a paper sheet and signed back in, but it is only at the end of shift that a Resource
Nurse makes sure all items are reconciled. These two paper systems (the patient checks and the item
sign out) create a significant safety risk. In addition, paper records do not allow meaningful data analysis
and require storage.
TAP TO GO
BACK TO
KIOSK MENU
The Interventions
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Establish set of necessary functionality via multidisciplinary meetings with all stakeholders
Mock up a version of the tool and seek feedback from all stakeholders
Review with frontline staff and adapt prototype to their workflow needs
Create an operational pilot for further feedback and iterative design improvements
Review and test with staff on Deac 4, the inpatient psychiatry unit
Results/Progress to Date
Aim/Goal
➢ The aim of this quality improvement project was to develop an app that would serve as an electronic
rounding tool by which a mental health associate making rounds would get electronic reminders when
patients were due to be checked, that would record the actual time a patient was seen, and that would
capture unified data in a standardized manner to enable future quality improvement and patient safety
projects.
➢ This app is developed to be generalizable as a standard framework for electronic rounding on other
areas of hospital.
The Team
➢ Psychiatry: John Torous, MD; Rohn Friedman, MD
➢ Nursing: Kari Phillips, RN; Gerry Howell, RN; Leslie Ajl, RN, CNS; Alfred Kyrollos; Sean Murphy;
Tricia Bourie, RN, MS; Jean Campbell, RN, MS; Bobbie Carney, RN
➢ IS: Anabela Cardoso, Venkat Jegadeesan, Qiang Wang,, Guoping Xu, Tammy Deng
Initial MOCKUP OF TABLET SCREEN
For more information, contact:
John Torous, MD, jtorous@bidmc.harvard.edu
�CREATING AN ELECTRONIC PATIENT ROUNDING APP
John Torous, Kari Phillips, Leslie Ajl, Alfred Kyrollos, Sean Murphy, Anabela Cardoso, Venkat Jegadeesan, Qiang Wang, Jean Campbell, Rohn Friedman
More Results/Progress to Date
➢ The app development is complete, the user testing is in progress and planning to go-live in summer
2019
Log on screen, followed by screen to give reason for accessing the app
Examples of pull down menus for the rounder to document where patient was and what their state was
when checked
Lessons Learned
➢ Frontline involvement is needed to understand workflow and issues
➢ The more complicated something is, the more things that can go wrong
Next Steps
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Main Screen of app. Shows when and where patient was when last checked, when next check is due,
any dangerous object signed out and when.
Expand wireless connectivity to dead spots on the floor
Purchase tablets
Pilot the electronic system alongside the paper system
Correct any problems uncovered in pilot
Implement on floor
Consider expanding to med-surg units
Consider marketing to outside systems
For more information, contact:
John Torous, MD, jtorous@bidmc.harvard.edu
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
John Torous (<a href="mailto:jtorous@bidmc.harvard.edu" target="_blank" rel="noreferrer noopener">jtorous@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Psychiatry
Nursing
Information Systems
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
John Torous
Rohn Friedman
Kari Phillips
Gerry Howell
Leslie Ajl
Alfred Kyrollos
Sean Murphy
Tricia Bourie
Jean Campbell
Bobbie Carney
Anabela Cardoso
Venkat Jegadeesan
Qiang Wang
Guoping Xu
Tammy Deng
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Creating an Electronic Patient Rounding App
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Format
The file format, physical medium, or dimensions of the resource
pdf
Effectiveness
Efficiency
Safety