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 I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Cheng CK(1), Chan JCL(1), Lai YYC(1), Pun MT(1)
Affiliation :
(1) Cardiac Diagnostic & Interventional Centre, Kwong Wah Hospital
Introduction :
Kwong Wah Hospital underwent relocation to a new building in May 2023. Hospital relocations are complex process that require extensive planning and preparation to minimize disruptions in operations. Studies have shown that staff often encounter difficulties adjusting to new layouts and work processes during such transitions. Cardiac catheterization laboratory (CCL) is a complex and multidisciplinary workplace for diagnosing and treating cardiovascular diseases. It is crucial for staff to be familiar with the environment and workflow to deliver optimal patient outcomes and avoid occupational hazards. To address these concerns, a multidisciplinary drill was conducted before the CCL relocation to identify operational obstacles and allow staff to be acquainted with the new environment and workflow.
Objectives :
1. Familiarize staff with the routing to new CCL, new CCL environment and workflow before the relocation 2. Identify and resolve operational obstacles before the relocation 3. Ensure occupational safety after the relocation
Methodology :
The drill for the new CCL involved a team comprising one cardiologist, two CCL nurses, and one radiographer. Additionally, three CCL nurses, two cardiologists and one radiologist acted as observers. The drill consisted of three scenarios: 1) Patient transportation and routing to the CCL 2) Simulation of uncomplicated cardiac procedures 3) Simulation of emergency or complex conditions such as CPR, mechanical circulatory support machine insertion, and rotational atherectomy. The performance and coordination of the participants were observed. Participants also completed evaluations to rate their confidence and provide feedback on their experience through open-ended question.
Result & Outcome :
1) Efficient transportation routes to CCL were identified. Clear and sufficient way finding signages were ensured before relocation 2) A safe and efficient facility and equipment layout was established after the drill 3) All staff expressed increased confidence and familiarity in new transportation routing and workflow in new CCL after the drill 3) Emergency CCL service was resumed promptly on the second day after the relocation 4) No occupational environmental factor related incidents were reported during the 837 procedures performed in the new CCL in 2023
