Proposed Topic (Most preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
Kwok WC, Cheung SP, Mak TK, Chan LT, Wong WC, Tsui SKA
Affiliation :
Physiotherapy Department, TWGHs Wong Tai Sin Hospital
Introduction :
Rehabilitation Activities Management System (RAMS)2.0 is an innovative system launched in October 2022 in TWGHs Wong Tai Sin Hospital to ensure right patient and right treatment during physiotherapy training. This computerized system aims to promote patient safety, improve treatment efficiency and facilitate E-documentation.
Objectives :
Tailor-made measures have been implemented to facilitate smooth rollout of RAMS2.0 in Physiotherapy Department, enhance staff's competency with RAMS2.0 and strengthen the effectiveness and efficiency of patients care delivery.
Methodology :
Before rolling out the system, staff were well-prepared throughout trainings with sufficient training materials to enhance their engagement and competence. Contingency plan was formulated to maintain service in case of system breakdown. Both professional and supporting staff were invited to participate in the preparation work. RAMS2.0 was launched by phases to ensure staff readiness. Regular evaluation and enhancement was done to minimize operation errors and promote quality improvement.
Designated check-in area was set up to facilitate smooth patient flow. BP monitor and oximeter with Bluetooth connection allowed real time monitoring of vital signs to ensure patient safety. Frequently prescribed treatments were sorted out from the enormous master list to allow easy access. Treatment activities of patient was recorded in the CMS via RAMS2.0. Work station with IPads was set up for therapists to retrieve the record and hence to facilitate timely E-documentation. Handheld devices were stored in well-designed container with in/out record by assigned staff for effective inventory management and equipment maintenance.
Treatment barcodes were posted according to staff practice for operational convenience. Cue cards with commonly used Chinese translation and customized handheld accessories were suggested by frontline colleagues to optimize efficiency. Regular feedback was collected and evaluated with RAMS help desk for further improvement.
Result & Outcome :
Questionnaires were designed to assess the satisfaction of both staff and patients about the operation of RAMS2.0. 27 staffs were assessed. Majority of staff agreed that the above-mentioned measures could increase competence in RAMS2.0 operation (92.6%), ensure "right patient, right treatment" (88.9%), enable patient's safety (81.5%), support effective treatment plan for patient (74.0%) and were satisfied with RAMS2.0 (59.2%). Among 43 patients, 100% and 93.2% of patients were satisfied with patients' safety and treatment logistics respectively. All patients were satisfied with RAMS2.0.
