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Innovative Use of Technology for Patient Safety and Quality Improvement Mar 23 rd , 2019 Sharda Udassi, MD, FAAP, CMQ, FISQua Physician Director of Quality for Sidra Childrens Services Associate Professor of Clinical Pediatrics As part of

  1. Innovative Use of Technology for Patient Safety and Quality Improvement – Mar 23 rd , 2019 Sharda Udassi, MD, FAAP, CMQ, FISQua Physician Director of Quality for Sidra Children’s Services Associate Professor of Clinical Pediatrics

  2. As part of our extensive program and with CPD hours awarded based on actual time spent learning, credit hours are offered based on attendance per session, requiring delegates to attend a minimum of 80% of a session to qualify for the allocated CPD hours. • Less than 80% attendance per session = 0 CPD hours • 80% or higher attendance per session = full allotted CPD ME Forum 2019 Orientation hours Total CPD hours for the forum are awarded based on the sum of CPD hours earned from all individual sessions.

  3. Conflict of Interest The speaker(s) or presenter(s) in this session has/have no conflict of interest or disclosure in relation to this presentation.

  4. Objectives 1. Introduction 2. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Sidra Medicine a. Project Imagine: Crowd-sourced grassroots innovation 3. Examples of Quality Improvement (QI) Projects that incorporated innovative use of technology a. 10 Moons mobile application b. 3D obstetric patient-flow simulation c. Saffara, machine learning, artificial intelligence 4. Future of Innovative use of technology in Patient Safety and Quality Improvement (future possibilities) 5. Question and Answer using mentimeter website and directly

  5. How to Submit a Question Follow the instructions to submit your questions. Q&A will be conducted at the end of the session. 1. Open menti.com on your smartphone 2. Enter the following passcode: ######## 3. When prompted, type your question in the box and click submit

  6. Introduction • Many industries have made significant safety advancements using technology* • Aviation has acknowledged human error potential and made conscious effort in error reduction through use of technology and automation # *Hetherington C, Flin R, Mearns K. Safety in shipping: the human element. J Safety Res 2006;37:401–11. # Pronovost PJ, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood) 2009; 28:w479–89

  7. Introduction • Healthcare is more ‘hands on’ activity than other high-risk industries, requiring skilled interventions, adaptation, flexibility and, most importantly, caring and empathy. • Technology can improve patient safety (minimize errors), efficiency, patient experience and cost reduction. E.g. delivery of medication using automated robotic systems.* • Technology can support, but cannot replace human beings. # #Rajesh Aggarwal, Oliver T Mytton, Felix Greaves, Charles Vincent; BMJ Quality and Safety Journal; Volume 19, Issue Suppl 2 *Cytocare. CytoCare Robot [Internet communication], 2009. http://www.cytocare.info/

  8. Introduction • Technology can also present new hazards.* • Both good and ill, enormously depends on setting, tools and infrastructure in place *de Wildt SN, Verzijden R, van den Anker JN, de HM. Information technology cannot guarantee patient safety. BMJ 2007;334:851–2. *Murphy DG, Bjartell A, Ficarra V, et al. Downsides of robot-assisted laparoscopic radical prostatectomy: limitations and complications. Eur Urol. Published Online First: 25 December 2009.

  9. WHO Patient Safety Technology Programme • Published reports on role that technology might play in enhancing healthcare safety. • Paper sets out a systematic approach to identifying potential role of technology and it’s impact on clinical process and patient safety.

  10. Building a Culture of Innovation at Sidra Medicine Sidra Medicine is an ultramodern, In most hospitals, innovation occurs all-digital academic medical center. at the periphery through partnerships Innovation is one of Sidra’s core values and an important part of our At Sidra, we strive to create vision to be a beacon of learning, a “culture of innovation” that’s rooted discovery and exceptional care. in the core of how we function.

  11. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Project Imagine By Koorosh Zarezadeh

  12. Project Imagine – Crowdsourced Innovation A crowdsourced innovation platform that is web- based and accessible to all Sidra staff. Designed so that staff can be Provides an opportunity for staff “challenged” to come up with to provide feedback and become innovation solutions and to an integral part of the ideation contribute to other submissions process

  13. Children’s CMG Innovation Challenge

  14. Innovation Challenge Engagement Stats

  15. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 10 Moons By Paula Ibanez and Sofia Ferreira

  16. 10 Moons – First Pregnancy Mobile App in Qatar 10 Moons is an example of crowd-sourced innovation come-to-life at Sidra. The name refers to the length of the pregnancy using the lunar calendar. Available on Apple Store Available on Play Store 1580 Active Users

  17. 10 Moons – App Empowers women and families to become active partners. Pregnancy Info Facilitate Referrals Achieve best medical outcomes Increase patient experience Plan of Care US Scans Images

  18. 10 Moons – App

  19. 10 Moons – App

  20. 10 Moons – Outcomes for Patients and Institutions Patient Institution • Improves patient • Improves referral process experience • Reduces waiting time for • Antenatal education referrals classes • Enhanced communication • Pregnancy information • Supports paper-less • Waiting time for referrals company and appointments • Structured pregnancy plan of care

  21. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – 3D Discrete Event Simulation By Abdou Kadri

  22. 3D Discrete Event Simulation ... is an easy-to-use modelling ... lets you prototype your and analysis tool to visualize concepts; in a realistic, cost current practices and analyze effective, risk free virtual process and policy environment

  23. 3D Obstetric Patient Flow Simulation Problem: Wait times at Sidra OB Outpatient Clinic in 2018

  24. VIDEO TO BE ADDED

  25. Proposed Model Results § Discrete Event Simulation was used to identify a new model of physician room allocation § Doctor to move between 2 rooms § Simulation showed we can reduce patient wait time by 32% § 3 week PDSA pilot actual results correlated with 91% accuracy with predicted improvement via this model

  26. PDSA Results – OB Waiting Times for Patients Dec 03 – Dec 17 Jan 09 – Jan 24 Feb 11 - Feb 25 Baseline Doctor Room Rotating PDSA Doctor Room Rotating/ Resource based assignment Average : 42 mins Average : 27 mins Average : 21 mins 35% Improvement 50% improvement

  27. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, Machine learning, Artificial Intelligence By Eugene Chan

  28. Saffara – Intelligent Queue Management

  29. Saffara – Intelligent Queue Management

  30. Saffara – Intelligent Queue Management

  31. Saffara – Intelligent Queue Management

  35. Future of Innovative use of technology in Patient Safety and Quality Improvement (future possibilities) By Sharda Udassi

  36. Digital Health

  37. Future of Technology in Healthcare

  38. Question and Answer using Mentimeter website and directly By Shiraz Bajwa 1. Open menti.com on your smartphone 2. Enter the following passcode: ######## 3. When prompted, type your question in the box and click submit

  39. Thank you for your participation Welcome any feedback comments

  40. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - Project Imagine By Koorosh Zarezadeh

  41. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 10 Moons By Paula Ibanez

  42. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology - 3D Discrete Event Simulation Abdoul Kadri

  43. How to Build a Culture of Healthcare Safety and Quality Improvement by Innovation using technology – Saffara, machine learning, artificial intelligence By Eugene Chan

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