Chris Paton's Posts (137)

ICCBBA are recruiting a Technical Director to oversee the development and maintenance of the ISBT 128 Standard.  The position is geographically internationally flexible, and the appointee will be expected to work from their home location and be able and willing to travel to the US and globally.  They will manage a technical and standards development department located in Southern California.

Committed to the vision of the global adoption of ISBT 128 for medical products of human origin (MPHO), the successful candidate will have proven leadership skills and the cultural sensitivity and diplomacy to communicate effectively on an international stage.  The individual will have the creativity, critical thinking and problem-solving skills to build consensus among experts and develop robust solutions that meet the long-term needs of the MPHO community.

Self-motivation and an ability to manage a team at a distance are essential skills.

Candidates will:

  • hold a Graduate (Bachelor’s) degree or equivalent, preferably in healthcare informatics or a discipline related to MPHO, and ideally a post-graduate qualification;
  • have experience of working in a leadership position and of building consensus in complex situations;
  • be able to communicate effectively in written and spoken English; and,
  • have an understanding of transfusion and transplantation processes and the role of information standards in supporting these processes.

Applicants should submit a CV together with a covering letter in which they are invited to describe their interest in, and suitability for, the position.  The letter must also confirm their ability to travel internationally.  Documents are to be submitted by email to the Executive Director (execdir@iccbba.org) by 28-Feb-2019.

About ICCBBA

ICCBBA is an international not-for-profit standards development organization based in Redlands, California, USA.  It manages the ISBT 128 Information Standard for Medical Products of Human Origin (MPHO) and is a nongovernmental organization in official relations with the World Health Organization.  The organization is governed by an international volunteer Board of Directors and managed by an Executive Director located in the UK.  ICCBAA is ISO 9001:2015 certified.

The ISBT 128 Standard was developed in 1994 and today is used in more than 5,000 facilities across 89 countries. Originally developed for use in blood transfusion the standard now supports all MPHO.  Development of the standard is achieved through a collaborative process involving a global network of volunteer subject matter experts.

Further information is available at the websites www.isbt128.org and www.iccbba.org.

Read more…

3445849046?profile=RESIZE_710x

Come and join us for an exciting e-Seminar live on YouTube on 11 Sept 9.30 pm GMT!

Subscribe to the Health Informatics Forum channel to get notified when the event begins!

3445838161?profile=RESIZE_710x

e-Seminar Title: "Using text messaging to extend diabetes self management support outside the clinic environment"

Innovative interventions are needed to address the growing burden of diabetes and associated costly and debilitating long-term complications. This seminar will present the evidence for a text message based diabetes self-management support programme for people with poorly controlled diabetes. The programme was developed through extensive end-user consultation and was designed to focus on those with low technology access, those living more remotely, and those from indigenous and ethnic minority populations. The programme’s effectiveness was assessed in a randomised controlled trial with participants followed up at 9 months and 2 years. The presentation will also include discussion of the challenges of implementing such programmes after research is complete.

Presenters:

Dr Rosie Dobson – Health Psychologist and Research Fellow, University of Auckland, New Zealand

Dr Robyn Whittaker – Public Health Physician and Associate Professor, University of Auckland, New Zealand

Read more…

A Review of the WHO Guidelines on Digital Health: Process and Next Steps

Presenters:

Dr Alain Labrique is an infectious disease epidemiologist, community trialist and a globally recognized leader in the application of information and communication technologies (ICTs) to strengthen health systems in resource-limited settings. Currently serving on the faculty of the Global Disease Epidemiology and Control Program of the Department of International Health, Labrique holds joint appointments in Epidemiology, Community-Public Health (Nursing), Health Sciences Informatics (Medicine), Bioengineering Innovation and Design (Engineering). Labrique has a Master’s in Molecular Biology from the University of North Carolina at Chapel Hill, a Master’s in Epidemiology and a PhD in Infectious Disease Epidemiology from Johns Hopkins University. He completed his field work as a research fellow at the International Centre for Diarrheal Disease Research in Bangladesh.

Dr Smisha Agarwal is an Assistant Professor at Johns Hopkins Bloomberg School of Public Health. Her research is aimed at improving maternal and newborn health in low-income settings through strengthening community health systems and leveraging innovative technological solutions. Over the last decade, she has developed methods for evaluating programs that employ digital tools such as mobile phones for health service delivery. She also led a series of systematic Cochrane reviews that have been leveraged by the WHO to develop global guidelines on the use of digital tools to strengthen health services.

Read more…

 

Friday, June 14th, 2019 11am EST (4:00 PM - 5:00 PM BST)

Attendence fee: $10 USD

Free attendence for attendees from DAC-listed countries: please use coupon code INT01 when registering.

Presenters:

Dr Alain Labrique is an infectious disease epidemiologist, community trialist and a globally recognized leader in the application of information and communication technologies (ICTs) to strengthen health systems in resource-limited settings. Currently serving on the faculty of the Global Disease Epidemiology and Control Program of the Department of International Health, Labrique holds joint appointments in Epidemiology, Community-Public Health (Nursing), Health Sciences Informatics (Medicine), Bioengineering Innovation and Design (Engineering). Labrique has a Master’s in Molecular Biology from the University of North Carolina at Chapel Hill, a Master’s in Epidemiology and a PhD in Infectious Disease Epidemiology from Johns Hopkins University. He completed his field work as a research fellow at the International Centre for Diarrheal Disease Research in Bangladesh.

Dr Smisha Agarwal

Dr Smisha Agarwal is an Assistant Professor at Johns Hopkins Bloomberg School of Public Health. Her research is aimed at improving maternal and newborn health in low-income settings through strengthening community health systems and leveraging innovative technological solutions. Over the last decade, she has developed methods for evaluating programs that employ digital tools such as mobile phones for health service delivery. She also led a series of systematic Cochrane reviews that have been leveraged by the WHO to develop global guidelines on the use of digital tools to strengthen health services.

Register here: https://attendee.gototraining.com/r/3356524625453571329

Read more…

Dr Niall Winters, Associate Professor, University of Oxford

This talk focuses on how mobile technologies can support the training and supervision of CHWs in LMICs, drawing on empirical work in Kenya and Uganda. Dr Winters examines on-going research into how the latest advances in artificial intelligence may be leveraged to support exploratory learning by CHWs during their day-to-day work.

Dr Judith McCool, Associate Professor, University of Auckland

Dr McCool discusses the opportunities and challenges of mHealth as it is evolving in Small Island Developing States (SIDS), the Pacific in particular. SIDS are distinctive yet share similar challenges as other LMICs. Dr McCool discusses how mHealth can advance UHC and in particular, health equity, in this context.The talk is focused on the pragmatic considerations (capacity, adaptation, access) alongside implicit concerns about (public private) partnerships, ownership and design leadership.

Read more…

mHealth e-Seminar: Dr Niall Winters and Dr Judith McCool

Tuesday, June 4, 2019 4:00 PM - 5:00 PM BST at:

https://attendee.gototraining.com/r/1895308856266139649

This e-Seminar will consist of 2 presentations on the use of mobile technology to improve healthcare in Low- and Middle-Income Countries (LMICs) followed by a group discussion.

Attendence fee: $10 USD

Free attendence for attendees from DAC-listed countries: please use coupon code INT01 when registering.

Presenters:

Dr Niall Winters is an Associate Professor of Learning and New Technologies at the Department of Education, University of Oxford and a Fellow of Kellogg College.

His main research interest is to design, develop and evaluate technology enhanced learning (TEL) programmes for healthcare workers in the Global South. He mainly works in Kenya, in partnership with the KEMRI-Wellcome Trust Research Programme and Amref Health Africa. Niall also has a strong research interest in the role technology can play to support social inclusion in the UK. He is co-Director of the Learning and New Technologies Research Group and was formerly Deputy Director for Research at the Department and Director of the MSc Education (Learning & Technology).

---

Dr Judith McCool: Mhealth for accelerating Universal Health Coverage in Small Islands Developing States (SIDS)

Dr Judith McCool is an Associate Professor at the University of Auckland. She has led the postgraduate courses in global health delivered within the Master of Public Health and Master of Health Leadership programmes since 2008. In 2009, Judith was instrumental in establishing the Global Health Group at the University of Auckland, a network of academics and practitioners working in global health, with a focus on the Asia Pacific Rim region.

Judith has led research grants in her field of expertise, including tobacco control, mHealth, health communications and been involved in research relating to hearing and eye health. Judith’s specific research interests lies in understanding the role of media, including social and digital media as a communication tool for social and behaviour change and health equity.

---

After registering you will receive a confirmation email containing information about joining the training.

Read more…

A research group based at KEMRI-Wellcome Trust – Kenya and Oxford University has developed a free smartphone app for training health workers called “LIFE” which was launched during the Kenya Paediatric Association 2019 annual conference in Mombasa, Kenya.

The Life-saving Instruction for Emergencies (LIFE) smartphone app uses interactive 3D simulations of life-threatening emergencies to train healthcare workers to save lives. The simulations take place in a virtual 3D hospital where users have to find the correct pieces of medical equipment to manage an emergency and then use this equipment to carry out a sequence of life-saving steps. At the end of the simulated emergency, if they have carried out the steps correctly, the LIFE system awards a digital Continuing Professional Development (CPD) credit that is registered with the Kenya Paediatric Association (KPA).

There is a desperate need for new methods to train the growing numbers of healthcare workers around the world, particularly for managing emergencies in children. In Africa, approximately 1 million children die in their first month of life and the World Health Organization (WHO) estimates that two-thirds of these children could be saved if the healthcare workers who look after them had adequate training and resources.

Currently available face-to-face training programmes for healthcare workers are expensive and are associated with knowledge decay over time requiring frequent refresher training which only adds to the cost and inconvenience. To overcome these challenges, LIFE has been designed as a freely available app that all healthcare workers can download onto their own smartphones. The LIFE app reminds users on their phones when they need to refresh their training so that they can quickly test their knowledge to ensure they are always ready to act in an emergency. The LIFE app issues CPD credits each time they refresh their knowledge so that healthcare workers are rewarded with professional recognition for keeping up-to-date.

The development of the LIFE app was initially funded by contributors to a crowdfunding campaign, including the Skoll Foundation, HTC, and Medicins Sans Frontieres, with matched funding from the Wellcome Trust. The LIFE team went on to win funding from the Saving Lives at Birth Grand Challenge for Development (funded by the Bill and Melinda Gates Foundation, USAID, DFID, KOICA and Grand Challenges Canada). In 2018, LIFE won the “VR for Impact” award from HTC at the World Economic Forum in Davos to develop a Virtual Reality version of the app.

Healthcare workers around the world can now download the LIFE app for free from www.oxlifeproject.org or the Google Play Store https://play.google.com/store/apps/details?id=uk.ac.ox.NDM.LIFE

Read more…

The MedStar Health National Center for Human Factors in Healthcare has authored a letter to Congress urging them to ensure safety is prioritized in the EHR Reporting Program that is already mandated by the 21st Century Cures Act. You can read that Act here and search “Sec. 3009A. Electronic Health Record Reporting Program” for the related information.

Complete the form by Feb. 28, 2019 to have your name included on this letter. They're focused on encouraging collective action this month—the 10-year anniversary of the Health Information Technology for Economic and Clinical Health (HITECH) Act that prompted the near universal adoption of EHRs—so healthcare providers, patients, policymakers, and EHR vendors can all play our part in helping realize the tremendous potential of EHRs over the next decade.

Link: https://ehrseewhatwemean.org/letter-to-congress/

Videos: https://ehrseewhatwemean.org/videos/

Read more…

Our LIFE:Neonatal Resuscitation simulator for LMICs is now available for beta testing.

Download from:

Android ()

iPhone ()

Please let us know your feedback. More details about the LIFE proejct are available here: www.oxlifeproject.org

Read more…
HIPAA is the Health Insurance Portability and Accountability Act and constitutes a set of U.S. regulatory standards including privacy and security rules. These standards, set for the US as a whole relate to the protection of individually identifiable health information and the confidentiality, integrity, and availability of electronic protected health information. There are also other rules relating to enforcement and breach notification for example.
 
In an AWS blogpost Amazon Web Services has announced that their list of HIPAA eligible machine learning (ML) services has now increased. Services newly added are: Amazon Translate, that the blog says healthcare organisations could use to construct transcripts from audio relating to patient calls, Amazon Comprehend, that it is noted might allow patients to interact with their healthcare provider in whichever language they prefer, and Amazon Transcribe, which is described as offering the potential for healthcare professionals to better understand their patents and improve engagement.

This blogpost continues: "To support our healthcare customers, AWS HIPAA eligible services enable covered entities and their business associates subject to HIPAA to use the secure AWS environment to process, maintain, and store protected health information. Healthcare companies like NextGen Healthcare, Omada Health, Verge Health, and Orion Health are already running HIPAA workloads on AWS to analyze numerous patient records." and "Many healthcare customers are exploring new ways use the power of ML to advance their current workloads and transform how they provide care to patients, all while meeting the requirements of HIPAA."
Read more…

Originally founded in 2010 in the UK and later acquired by Google, DeepMind describe themselves as "...on a scientific mission to push the boundaries of AI, developing programs that can learn to solve any complex problem without needing to be taught how." 
 
The mobile app for clinicians that they developed named Streams was the subject of their recently released Blogpost entitled "Scaling Streams with Google" where details are given regarding plans for those behind Streams, to join Google.
 
 
This news comes after Dr. David Feinberg, former Geisinger Health CEO joined Google to lead their newly-formed health team as detailed by CNBC.  

"One of the reasons for joining forces with Google in 2014 was the opportunity to use Google’s scale and experience in building billion-user products to bring our breakthroughs more rapidly to the wider world. It’s been amazing to put this into practice in data centre efficiency, Android battery life, text-to-speech applications, and now the work of our Streams team." says the DeepMind blog. 
 
"Our vision is for Streams to now become an AI-powered assistant for nurses and doctors everywhere - combining the best algorithms with intuitive design, all backed up by rigorous evidence. The team working within Google, alongside brilliant colleagues from across the organisation, will help make this vision a reality." the entry continues, concluding: "Over the coming years, we expect AI to help scientists make transformative advances on problems ranging from protein folding to image analysis, potentially improving medical diagnosis, drug discovery and much more. We’re excited to play our part in that journey both at DeepMind and at Google, in the service of patients and clinicians around the world."

 

Read more…
A UK report recently issued from the Royal College of Physicians (RCP) entitled "Outpatients: the future – adding value through sustainability"  describes the need for a re-appraisal of how outpatient care functions and discusses how this might be brought into line with current patient expectations and lifestyle.
 
The RCP report highlighted the cost to both patients and the NHS that the traditional outpatient care system incurs. It describes that one in five attending pensioners reportedly feel worse flowing their outpatient appointment due simply to the stresses incurred by the journey itself and explained that if A&E were excluded, remaining hospital activity would consist primarily (85%) of outpatient appointments and yet DNA's (where a patient Did Not Attend) occur roughly a quarter of the time.
 
Assessments of value (cost vs outcome) and sustainability (enduring consequences) are needed, says the report, and moving forwards the volume of face to face consultations might be substituted, where appropriate, with more modern alternatives while patents might be encouraged to take control of their care, becoming partners in all relevant decisions, with trusts being flexible enough to facilitate this. At the heart of these changes is suggested adoption of modern technology and other innovations including telephone consultations, skype, apps and online tools, text messaging and remote monitoring systems.
 
5 key recommendations were determined in this report focusing on improvement being measured in terms of population and system effects (as well as individual outcomes), remuneration of trusts for clinical value, national guidance creation in relation to outpatients, collaboration with organisations/charities in order to develop resource signposting and finally guidance being established regarding partnerships with the voluntary and community sectors.  
 
Professor Stephen Powis National medical director of NHS England is quoted here as calling for "honest conversations within our local health communities – with patients, with colleagues in primary care and community services, and with professionals across different specialties and providers – to ensure that reforms are in the interests of all concerned and sustainable in the long term. This report provides an excellent basis on which to base those conversations, and on which to build the consensus for change."
Read more…
The paper entitled "Prevention is better than cure. Our vision to help you live well for longer" describes the UK government's vision for targeted preventative interventions, empowering and facilitating people with regards to their health and harnessing modern technology. It outlines a goal of improving healthy, independent life by at least five additional years before 2035 through these and other means.
 
Technology is seen as significant moving forwards in prevention with the paper noting: "It also allows us to target support far better to those that need it most." and in more detail the section entitled "The Future of Healthcare: our vision for digital, data and technology" explains "Over the next ten years, digital services will become even more widespread, and the first point of contact for many. The management of health will move out of clinical settings, and into the hands of people. Devices and applications will provide guidance and support around the clock. To reach this potential, we need to get the basics right: personal data security, the digital architecture of the health and social care system, open data standards, secure identity services, and improved interoperability. This will allow people to use their personal health data for prevention, as well as enabling developers to build products and services that meet the needs of users. The aim is to become a global leader in health technology, and to create a thriving ecosystem of innovation. "
 
Predictive prevention is to be optomised with the paper noting "We want to have the most advanced healthcare system in the world - so as part of our long-term plan for a 21st century health and social care system, the way we view public health must evolve. Moving to the next phase means a more intelligent and personalised approach to improve the health of the nation." and " Predictive prevention will transform public health by harnessing digital technology and personal data - appropriately safeguarded - to prevent people becoming patients. The availability of public data, combined with the existing understanding of wider determinants of health, means we can use digital tools to better identify risks and then help the behaviours of people most in need - before they become patients."
 
This paper concludes "Prevention and supporting good health matters at every stage of life. It matters in the decisions taken by our parents before we are born, and in decisions we make throughout our lives. If we embrace opportunities to live well, we maximise our chances of a long, happy and fulfilled life."
Read more…
In order for organisations to measure their improvements in the field and also to compare against others locally and globally HIMSS Analytics® constructed EMRAM, an eight-tiered model, with attainment stages 0 - 7, detailing specific measures for the adoption and use of Electronic Medical Record (EMR) functions and notably those that support optimised patient care through technology and are needed in order to achieve a paperless environment.  
 

Stage 6 of this ladder indicates that the organisation should achieve “technology enabled medication, blood products, and human milk administration; risk reporting; full clinical decision support”.

HIMSS EMRAM stage 6 organisations now include Cambridge University Hospitals NHS Foundation Trust (CUH) as one of only three stage 6 validated NHS organisations in the UK. 
 
CUH news describes the validation announcement on November 1st 2018 and credits Epic (the Trust’s electronic patient record system). Details of their adoption this year of the international best practice of medication administration via barcode were also given (and constitute scanning a wristband barcode on the patent and also the barcode on medication).
 
Renal Consultant and Chief Clinical Information Officer, Dr Afzal Chaudhry was quoted in this CUH news article as saying: “We are absolutely delighted to be validated and would like to thank our hard-working staff and our Epic colleagues for making this happen. Clinical decision support combined with electronic prescribing is helping prevent at least 850 significant adverse medication reactions a year with allergy-related alerts triggering a change in prescriptions, and we have reduced sepsis mortality by 42 per cent with electronic alerts designed and built by ourselves within our Epic system. Today over 99 per cent of all our clinical activity is recorded in a patient’s health record within Epic, in real-time, using integrated computers, laptops, handheld and mobile devices.”  
 

HIMSS Analytics Regional Director for Europe and Latin America, John Rayner is quoted here as saying: “It was a real pleasure to return to Cambridge after three years to successfully revalidate the Trust against the international EMRAM standards. This organisation has made enormous progress since their initial go live in 2014. I can see genuine value and benefit to patient safety and to the overall quality of clinical care following their move from paper to electronic records. They are making good use of electronic clinical decision support and there are well calibrated alerts and warnings in their Epic system to improve the quality of inpatient medication prescribing, and an extensive array of order sets to enhance and improve the standardisation of clinical care - a good hospital with dedicated clinicians and staff.”  

Read more…

NHS Networks reported that the Widening Digital Participation Programme (WDP) from NHS Digital has seen success in a project designed to boost breast screening participation through social media connection. Facebook community groups were used to post information about screening and to facilitate communication between potential attendees and health practitioners. The goals were to disseminate information, answer queries, reduce potential apprehension surrounding the screening process and allow women to make appointments. This campaign resulted, over a four year period in Stoke-on-Trent, in a 13% increase in first time attendances for breast screening. NHS Digital notes that in partnership with the charity Good Things Foundation twenty digital inclusion pathfinders are being run in order to assess novel ways to help people access health related digital tools. Pete Nuckley, Service Delivery Manager at Good Things Foundation is quoted there as saying: “It’s been fantastic to see the increase in attendance rates across the Stoke pathfinder area. It shows that being able to receive quality information about screening and ask questions makes the whole process more human - and that’s key to engaging patients in their own healthcare.”

Read more…
Carrot was founded by Dr. Utley who is an inventor on more than 65 issued U.S. patents. The company aims to engage and empower individuals to cease smoking and to this end mobile technology and behavioural science is used alongside clinical expertise in their Pivot approach. A recent partnership announcement with RedBrick Health (a company 
similarly looking to improve health within organisations using behaviour design, health and technology awareness, data analytics and consumer engagement) described Carrot's potential to help employers avoid the excess healthcare costs and lost productivity associated with smoking.
 
The Pivot system is described in this announcement as attaining enrolment rates that are "several times" the national average for employer-delivered cessation programs. The program involves an FDA-cleared carbon monoxide breath sensor system, smartphone app, human coaching, and a particular approach to behavioural science with the process starting not with smoking cessation but with learning. Altogether constituting a methodology viewed as quite different to that of phone or classroom -based programs.  
 
RedBrick CEO Dan Ryan concluded that “Pivot represents a completely new and innovative solution for smokers that we’re excited to offer our clients.”    

Carrot defines six stages of smoking cessation with Pivot, each with a it's own duration or duration range. To start there is explore (to increase awareness), followed by build (to motivate and prepare), mobilize (to commit to the process), quit (or quit attempt, approaching quitting as a skill), secure (coping with challenges) and finally sustain. 
 
New funding to the extent of $25 million has involved JJDC, New York Life Ventures and current investors Khosla Ventures, Marc Benioff, Carrot founder David S. Utley, M.D., and R7 Partners according to October's announcement where note is also made that estimated cost (by the WHO) of smoking in terms of in healthcare costs and lost productivity is $1.4 trillion.

Carrot’s mission, as described here is "to save millions of lives by delivering a smoking cessation solution that can scale to the 40 million people in the U.S.—and 1 billion globally—who smoke".  

Tim Del Bello, Director of Investments at New York Life Ventures commented here that “Carrot is a strong example of those companies that are driving exciting innovations at the intersection of digital health and life insurance,” and “These technologies have the potential to play a meaningful role in the future of the life insurance industry.”
Read more…
Epilepsy sufferers may be at risk from sudden unexpected death in epilepsy (SUDEP). Witnessing of night time seizures is obviously difficult. Monitoring methodologies (seizure alarms) are available but their relative efficacy and usability have been open to further investigation.
 
A prospective trial published in the scientific journal Neurology used the Nightwatch bracelet device in their evaluation of nocturnal epileptic seizure detection methods.

The Nightwatch device is based on the concept of neurologist and research leader Prof. Dr. Johan Arends and colleagues and has been developed by a consortium comprising an epilepsy centre, a University of Technology, the Foundation for Epilepsy Institutions in the Netherlands (SEIN), UMC Utrecht, the Epilepsy Fund, patient representatives and LivAssured (the company bringing the product to market).
 
Its website describes Nightwatch as using a "unique algorithm that can recognize specific heart rate and motion patterns indicating a clinically urgent seizure. " The device then acts to send a wireless alert to the caregiver.  

The Neurology journal study evaluated performance of the device as compared to a bed sensor which senses the vibrations that can be caused by rhythmic jerks, and found that multimodal Nightwatch's sensitivity was superior.   
 
In fact the Journal described the sensitivity of the bed sensor (median 21%) as being significantly lower than the Nightwatch (median 85%). User-friendliness of the device was also measured via questionnaire and found to be 7.3 for Nightwatch (1 being the lowest and 10 being highest user-friendliness).

A press release from LivAssured surmised that "The Nightwatch can now be widely used among adults, both in institutions and at home" and that Prof. Dr. Johan Arends "expects that this may reduce the number of cases of SUDEP by two-thirds, although this also depends on how quickly and adequately care providers or informal carers respond to the alerts." The press release concluded that, if applied globally, Nightwatch could save thousands of lives.
Read more…

The HIMSS Value Recognition Program's Davies Award of Excellence focuses on organisations achieving significantly improved patient outcomes through the use of health information technology.

HIMSS details that winning organisations may be chosen on the basis of "promoting health information and technology-enabled improvements in patient and business outcomes through sharing evidence-driven best practices on implementation strategies, workflow design, change management and patient engagement."

Sparrow Health System works to improve outcomes using health information and technology and has been recognised as a 2018 Davies Enterprise Award winner with further note to come at the February 2019 Orlando, Florida HIMSS Global Conference & Exhibition.

Sparrow Health System observed that red blood cell and platelet transfusions have the potential for overuse and in such a situation might expose patents to unnecessary transfusion-related risks and side effects. In addition resource waste both in terms of the blood itself and of medical, nursing and blood bank time lead to financial waste.

They therefore instigated a drive to increase compliance with evidence-based best practice. To achieve this goal a multidisciplinary approach was taken and changes were made to the blood product ordering procedure with a move away from stand-alone blood product orders. Instead evidence-based order sets complying with guidelines were used and clinical decision support tools were integrated in the electronic medical record. Compliance reports were created thereby motivating transfusion orders with documented, appropriate indications and a system for one-click ordering for urgent or massive transfusions was also created.  

Improved ordering in line with evidence-based guidelines saw a 32 percent decrease in transfused RBC and a 25 percent decrease in transfused platelet units.

HIMSS noted that Sparrow improved care delivery for both patients and staff, and achieved economic savings.

Dennis Swan, president and chief executive officer of Sparrow Health System noted “We are honored to have earned the Davies Award. All of our information systems initiatives are focused on ensuring the finest possible experiences  for patients, consumers, physicians, nurses and caregivers in every role,” and “We continuously seek to learn, grow and improve. The Davies Award is a direct reflection of our progress. However, we know that we will always have much more to accomplish for the benefit of the people who rely upon us for safety, quality, service and value. Thank you.”  

For more information: https://www.himss.org/valuesuite/himss-davies-awards-2018-sparrow-health-reduces-non-emergent-blood-transfusions

Read more…