Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Ngan HT (1), Tsai CPC (1), Tong AYH (1), Yiu KC (1), Lee KCY (1), Cheung AHL(1), Lau KW (1), Lau JK (1)
Affiliation :
(1) Information Technology and Health Informatics Division(IT&HI), Hospital Authority Head Office(HAHO)
Introduction :
Accurate documentation of fluid balance data is crucial for managing a patient's condition and providing appropriate treatment. However, inadequate monitoring and documentation of fluid balance in hospitals and healthcare facilities worldwide have raised concerns about insufficient patient hydration. To address these limitations, an electronic intake and output (e-I&O) system is being developed to automate workflows, enhance data accessibility, and facilitate effective communication within the Hospital Authority.
Objectives :
The objective of this project was to develop an extension for the e-Vitals mobile application, focusing on the electronic intake and output (e-I&O) functionality. The aim was to digitize the current clinical intake and output documentation process, improving accuracy, work effectiveness, accessibility, and user-friendliness. Seamless integration of e-I&O data with existing clinical systems was also a key goal.
Methodology :
The development of the "e-I&O" followed the Smart Hospital Program framework and consisted of several components: Requirement Analysis: Consultations with healthcare professionals and end-users identified specific needs, including workflow automation, ward patient overview, and innovative visualization tools. Design and Development: Based on the requirements, the worklist design automated the recording and tracking of fluid intake and output, while the summary list design provided a comprehensive overview of ward patients' fluid balance. Innovative visualization tools, such as total intake, total output, and net balance charting, were developed. Testing and Validation: Rigorous testing ensured the accuracy, functionality, and usability of the "e-I&O." Feedback from healthcare professionals and end-users was collected and incorporated to refine the application. Integration and Deployment: The "e-I&O" was integrated with the existing e-Vitals mobile application, allowing seamless communication and synchronization of fluid balance information. The application was deployed in healthcare settings, with necessary training and support provided to users.
Result & Outcome :
The pilot implementation of the "e-I&O" in two rehabilitation wards in TWEH and YCH received positive feedback. Participating nurses reported a significant reduction in daily verification time, streamlining their workflow and increasing efficiency. Supporting staff praised the elimination of paper forms, convenient tablet-based recording, and user-friendly design. A pilot user review indicated a remarkable level of satisfaction and acceptance, with 93% user preference for the e-I&O extension over traditional paper forms. The positive feedback highlights the success of the e-I&O extension in fulfilling user requirements and revolutionizing fluid balance monitoring and documentation. Overall, the "e-I&O" implementation improved efficiency, reduced manual workload, and enhanced user satisfaction. These promising results pave the way for further adoption and expansion of the "e-I&O" in other wards and healthcare settings, potentially revolutionizing fluid balance monitoring.
