112 - “OR Phone” - Smart System for Notifying Operative Patient Status
Clinical Issue When a beloved undergoes the surgical operation, caregivers are eager to know the patient’s operative status. They have since always allowed to stay outside the operating theatre for any enquiries. Importantly, they feel anxiously and desperately while waiting. Description of Team In order to address this, Operating Room and Information Technology Department cooperated closely in creating and developing of a smart system. The team work together to integrate with the existing Operating Theatre Management System (OTMS) and Interactive Voice Response System (IVRS) to enable the caregivers to be notified the operative patients’ status. The team is aimed to alleviate the anxiety of patients’ family members, caregivers or friends while waiting for the patients’ surgical operation in perioperative setting. Preparation and Planning “OR Phone” is a local system which enable users to utilize a mobile phone to track the updated operative status in perioperative setting on the day of the patients’ operation, including ‘In preparation for the operation’, ‘In the operating theatre’, ‘In the recovery room’ and ‘ Already left the operating room’, even ‘Operation has been cancelled’. Assessment To assess the safeguard of patient’s privacy, patient’s passcode is issued for users’ registration under patients’ authorization. In addition to the users’ self-service tracking the patients’ status, the users can be self-determined receiving the patients’ status by an auto-notification function which enabling faster messages transmission. Meanwhile, the dashboard is provided the visible patients’ status information in the Day Surgery Centre. Implementation In May 2019, the “OR Phone” started roll-out in all surgical specialties. Outcomes The results were encouraging. “OR Phone” has been covered 95% of surgical patients. The system was able to provide the latest and timely patients’ status. 92% of users strongly agreed this service was able to alleviate the anxiety while waiting for patients’ surgery. All agreed the status information could reduce the frequent visiting to hospital for enquiries. Also, 100% of users highly appreciated its simplicity and accessibility, and gained a higher overall satisfaction rating. In addition, all of the nursing staff members willingly agreed and supported “OR Phone” was a smart idea to enhance the better service to our patients. It minimized the staff members to check the operative patient status, and it was worth to spend time on introducing this service to patients. Implications for Perioperative Nursing The value of the intelligence gleaned from “OR Phone” operative patient status system can be maximized by combining it with ‘Self-service, Self-determined, Anytime and anywhere’ to optimize users accessibility. “OR Phone” has achieved the required functional benefits to enable the users to be notified the updated patients’ status in perioperative setting. It is able to ease the users’ anxiety while waiting for patient's surgery.