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technological solutions to workflow inefficiencies on medical

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technological solutions to workflow inefficiencies on medical

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    1. Technological Solutions to Workflow Inefficiencies on Medical/Surgical Units

    3. Adding to Nursing Supply Efforts at recruitment have resulted in turning away more than 145,000 qualified applicants last year (NLN 2007) Shortages in faculty, classrooms, and clinical placements are slowing preparation of new nurses Inadequate number of nurses prepared to become faculty Supply cannot keep up with demand

    4. Retention of Current Workforce Nurses demand improvements in the hospital work environment Safety Efficient systems Automation Improved communication Technological products and processes have not incorporated nurses’ viewpoints Multiple national and international studies speak to the need to improve the practice environment as a key strategy to retaining nurses and improving patient care outcomes

    5. Addressing the Demand on Nurses Technology Targets Study funded by Robert Wood Johnson Foundation (RWJF) Aims of the study Create an improved process for identifying technology solutions to medical/surgical unit workflow inefficiencies. Capture the attention of and prompt industry to develop technologies that improve workflow processes.

    6. Major Activities of Technology Targets Implement a “Technology Drill Down” or “TD2” process at 25 acute care sites Publish and disseminate a report of findings Disseminate findings broadly across the industry

    7. Project Deliverables Functional requirements for new or revised technology products Analysis and evaluation of the functional requirements emerging from the TD2 processes and synthesis with relevant TCAB/PDA and Time and Motion study findings. A stakeholder-driven planning, dissemination and engagement process that ensures project replication as well as the development of technological processes and products that improve medical/surgical unit workflow.

    11. Site Demographics

    13. Site Demographics

    14. Site Demographics

    15. Site Demographics

    16. Site Demographics

    17. Site Demographics

    18. Site Demographics

    19. 4% PDA or other hand held device 4% RFID or bar code tracking of supplies 3% Complete EHR 2% Bar code medication administration 1% RFID or barcode tracking of equipment 0% RFID tracking of patients

    21. Data Analysis Workflow category 327workflow issues ? grouped into 8 categories Process Issue 946 analyzed ?766 unique process issues Key concept 41 identified Sub-concept Technology Solutions

    22. Data Analysis Workflow categories Admission/Discharge/Transfer Care Delivery Communication Coordination of Care Documentation Medication Administration Patient Movement Supplies and Equipment

    27. Technology Solutions

    28. Technology Solutions

    29. Technology Solutions

    30. Technology Solutions

    35. Major Themes of Technology Solutions

    37. Technology Solutions

    39. TD2: Recommended Next Steps Return RN to bedside for additional direct care time Implement technology to reduce opportunities for error Medication administration Communication Timely acquisition of equipment/supplies Patient identification

    43. Summary Improving the practice environment is essential to retaining nurses, providing safe patient care, and increasing the direct time nurses spend with patients. Using the TD2 process, facilities can identify inefficient and burdensome workflow processes in their institutions that could be improved with technology. Nursing-Technology development partnerships are vital for our future.

    44. Technology Solutions

    45. Technology Solutions

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