Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Po, LN; Lee, Maggie; Tang, YL; Yan, HW; Fung, WY; Lam, WT; Pang, YY; Lam, WK; Lin, HY; Chi, CY; Lee, HK; Yam, P W
Affiliation :
Medicine and Geriatric, Tuen Mun Hospital
Introduction :
There are growing evidences highlighting the benefits of remote patient monitoring in patients undergoing Home Automated Peritoneal Dialysis (APD). As recognizing the benefit of this advanced technology, TMH Renal Unit has implemented a new nursing service of Remote Patient Monitoring (RPM) for home APD patients.
Objectives :
To improve the quality of care and continuous support to home APD patients
Methodology :
A program of Remote Patient Monitoring for Home APD patients had been developed by Renal Nurse Consultant and Associate Nurse Consultant. The nursing staff of Renal Unit/TMH had received a hands-on training on how to use the RPM system and deliver the related care from August to September 2022. Apart from the training, a quick guide has also been produced as a practice reference. After completed the nurse training, named nurses have been assigned to all patients who are performing home APD with the remote platform. The nurses will monitor the patients’ home APD performance via the RPM system on a monthly basis and the related education or care will be delivered as appropriate.
Result & Outcome :
The program evaluation period was from October to December 2022. The number of patients involved during that period of time was increased from 20 to 44. A total of 17 episodes of catheter related problems, 5 instances of non-adherence, 2 instances of fluid problems, and 7 episodes of technical problems were identified and prompt education and nursing advices were delivered by the named nurses and no patient required hospitalization or advanced medical follow-up because of these identified issues. The results demonstrate the successful implementation of RPM in TMH Renal Unit. It facilitated early detection and intervention for a range of APD related problems including catheter related problems, non-compliance, fluid problems, and technical glitches. Continuing evaluation and analysis of the outcomes will provide further insights into the long-term benefits and improvement of the program.
