Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Cheung YP (1),Winnie Kwan WY (1), Rebecca Law YC (2), Tabris Siu WH (3), Marcus Chan MH (1), Mandy Kwok WM(1), Nancy Chow WY (1)
Affiliation :
(1)Nursing Services Division, Tseung Kwan O Hospital
(2)Paediatrics & Adolescent Medicine Ward, Tseung Kwan O Hospital
(3) Information Technology Department, Tseung Kwan O Hospital
Introduction :
As one of the Smart Hospitals in HA, TKOH has implemented the system of “E-vital and Smart Panel” in all in-patient settings and expected more new IT initiatives will be came. Thus, stability of IT system and backup plan would become a focus to ensure the smooth of clinical operation. In 2022/23, TKOH NSD has included this concern in the “Risk Registry” under nursing. With the support from local IT Team, a system downtime drill was conducted in a pediatrics ward and various department representatives had joined as assessors and observers. Contingency plan was drilled and showed effective, while feedback from participants were collected for further enhancement.
Objectives :
1. Identify good practices and risk during E-Vital and Smart Panel downtime
2. Increase staff preparedness and response in handling E-Vital and Smart Panel system failure
3. Ensure patient safety and clinical operation during downtime
Methodology :
Nursing Services Division and local IT Team conducted a drill focusing on E-vital and Smart Panel system downtime management. Hospital top management, including Hospital Chief Executive, General Manager (Nursing), Quality & Safety Service Director, Chief of Service (Department of Paediatrics & Adolescent Medicine), and department nursing representatives were invited as observers. A tailored checklist was used to identify good practices and areas for improvement. Debriefing was performed right after the visit, and the reports were shared in the hospital meetings.
Result & Outcome :
1. Ward staff responded appropriately during the system drill and effectively maintained service by switching to manual mode.
2. Good practices and suggestions for improvement were shared immediate after the drill.
3. Patient safety was tightened as staff were familiar with the workflow of handling E-vital and Smart Panel system breakdown.
4. Timely communication between IT department and clinical units was enhanced by developing a HA Chat communication group as suggested by the drill members.
