Track: Clinical Improvement/Innovation
Clinical Improvement/Innovation Poster Session (Posters #164-#173)
Nurses connected for excellence
2020 O.R. nurses should be connected. Barnes-Jewish Hospital Perioperative staff of about 1000 needed a source of reliable, eﬃcient and timely information. Such information is essential in assisting staff to make informed decisions. Educated decisions help with task completion, promoting clinical excellence and avoiding rework. Such information is also useful for reference, as well as support of new education opportunities.
Our team assessed a need to have a source of information for staff that gives accurate information. The information also needs to be updated and accessible without violating our institution’s policies. We also wanted a platform that would allow us to share information hence reducing the clutter and chaos of data and information rich environments. We also wanted something that fits within our budget and allows for various team members to use.
A team of a creator, leadership, educators, and Beta testers went to work. The educator helped map out the content and what is needed from an end user. We also needed the expertise of data compilation and editing into an online platform. This person was essential in ensuring that the content we had flowed into a searchable database that was logical and easy to use. We the sought the approval from hospital leadership and guidance on how to roll the search engine. Once we had a product to showcase, the beta team trialed the system and provided feedback for further optimization.
An online platform met the criteria described above. We referenced the eﬃciency and flexibility of commercial search engines. Within SharePoint, we created an access point with a versatile databank. We then gave it a name that is odd but easy to remember (POOG).
The aﬀordability and versatility of SharePoint allows for easy data administration. Building of the platform requires the help of an Information Technologist (IT) versed with the program. Once the foundation is in place, importing, deleting or editing the page outlook, data and content requires little work and IT knowledge. Edit rights management ensures that information coming and going from the site is vetted.
We started by leveraging clinical, administration and IT experts to supply information for the databank. The content was vetted by peers and administrators for accuracy, consistency with policy and decency. The site was constructed and evaluated for navigation ease. The site host was created within the hospital’s network to allow easy access from any network device. Relevant management rights were developed. Icons were pushed to strategic workstations where the information would most likely be needed on a one-click access. A beta run was made targeting a select group of users. These users gave constructive critique of various features allowing us to optimize and work on bug issues. The rest of the staﬀ were then educated on how to use the site and find content. Staﬀ were also asked to inform administrators if there is information they would like to see that was not available. Some of the keep aways included not placing documents that required regular maintenance like policies. However, users found it helpful having a link that could take them directly into independent hospital sites.
Within this site, staﬀ could go through random documents or search using key phases. A key phrase would bring up all documents with the word. The user would then pick
Staﬀ reported they could easily access information from various workstations on the network. We also leveraged existing video processing and routing to help staﬀ and leaders to share their search. Electronic data reduced clutter from posters and images posted in various places. Central location of the data made it relatively easy for site administrators found it easy managing information that is available to staﬀ. The one click access allows for quick access to the search engine. The search engine can be used to stimulate a culture of evidence based practice. We showed a continual increase in unique users as well as page hits. 22, 227, 132 then stabilizing around 100.
Staff reported easily accessible information reduces guess- work from practice. They also stated that information was readily available that acted as a catalyst for evidence-based practice. Institutional knowledge is boosted when practice information is easily accessible.
Orientees and newer staff can quickly reference material for educational purposes. Reliable reference point for information within the institution reduces the search within commercial/unreliable sources. There was noted slow adoption by some staff members. And finally, storage limitation can limit use of video.
Co-Authors: James Thomas, Kimberly Dick
Martin M. Gitonga
Clinical Nurse manager
Saint Louis, Missouri