Guide Reading of Controlled Document

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Abstract Description
Abstract ID :
HAC402
Submission Type
Proposed Topic (Most preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Law KY (1); Wong WY (1);Leung SM (2);Yiu CH (3);Fong KY (4); Tsui YC (2); Chan TF (2);Wong SF (5);Choy KY (6);Mau KY (2);Leung YC (1)
Affiliation :
(1)Central Nursing Division, (2) Department of Medicine and Geriatric, (3) Department of Family Medicine (4) Department of Surgery (5)Community Nursing Service (6) Operating Theatre
Introduction :
At OLMH, all controlled documents are maintained through the Electronic Document Management System(EDMS). However, we have encountered an issue with the current notification process for staff to read new or reviewed documents. Despite the EDMS sending email notifications, many staff do not read these documents. This lack of notification and monitoring of staff reading has made it challenging to ensure that staff are informed about and reading the new or reviewed controlled document of the Cluster.
Objectives :
1.Alert staff about new or reviewed controlled documents 2.Ensure that staff have read the content of the guidelines 3.Ensure staff are following the guideline
Methodology :
1. Send email notifications with a staff record for reading the guideline to the department head for dissemination 2. Assign staff as guide reading ambassadors to assist staff in understanding the document and monitor if nursing practice are following the guidelines 3. Create a hyperlinks of Cluster- controlled documents and upload to the Hospital Nursing web page for easy access
Result & Outcome :
We have observed a significant improvement in staff compliance with reading controlled documents, either through the EDMS or by checking the records. In comparison to last year’s average compliance rate of 12-15%, we have achieved an impressive increase to 78-80 %. Feedback for the program was collected through an evaluation form that assessed how staff perceived the guide reading on controlled documents. A total of 118 staffs provided their feedback. Among the respondents, an overwhelming 93 % agreed that the program increased accessibility and raised staff awareness of the new or revised controlled documents. Furthermore, 94 % respondents agreed that the program improved staff understanding of the controlled documents and helped them stay up-to-date with their practice. Additionally, 94% respondents agreed that the program enhanced staff competency and confidence in implementing nursing practices. Moreover, 92 % of guide reading ambassadors also agreed that staffs would adhere to new guidelines in their nursing practice.
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