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Emergency departments make major step towards being ‘paperlite’ to help improve the safety and quality of care

As part of the University Hospitals of Morecambe Bay NHS Foundation Trust’s (UHMBT) Electronic Patient Record (EPR) Optimisation Programme, the Emergency Departments (ED) have just taken a major step towards becoming ‘Paperlite’ by removing the paper CAS Card that is currently used in ED and replacing it with an Electronic CAS Chart available within the Electronic Patient Record.

ED

In addition to the removal of the paper CAS Card, phase 1 also sees the digitisation of the core ED triage and assessment processes, including diagnosis, treatment and patient discharge.  The digitisation once completed will remove over 60 existing pieces of paper that either start and remain in ED or start in ED and follow the patient into the hospital.  This content will now be collected within the EPR.

These changes will significantly reduce the amount of paper form-filling that doctors, nurses and other healthcare professionals need to complete.  It is accepted that initially this will take longer than the current process to record while staff adapt to the new way of working.  However, benefits such as legible writing, the fact that patient information is always available for ED staff and the amount of time saved for audit purposes outweigh this.

These changes also provide staff in ED with instant access to key information about their patients that multiple staff can all access at the same time – which is impossible with a paper record.  Appropriate staff will be able to access key information about their patients in an instant, without the need to wait for paper forms to be delivered from one area to another.

For the few paper forms that will still remain within the department at the end of phase 1, a scanning solution has been developed as part of the EPR Optimisation that means that staff can scan the paper form for a particular patient directly into the EPR so that it appears as part of the patients electronic record.

In addition, the current status board within ED will be expanded to take into account statuses and clinical indicators recorded in the system so that ED staff have a better overview of the ED Department and so can see at a glance what has happened to the patient and where they are on their journey as they progress through the department.

Phase 2 of the Optimisation Programme is scheduled to take place in September.  This second phase comprises ‘Lorenzo on the Wall’ which is an interactive touch screen that presents an overview of the physical location of each patient within the department which enables real-time patient location tracking and treatment status.

The third and final phase of Optimisation within ED when Drug Prescribing and Medicines Administration (including medicines given to patient on discharge from ED) that are currently recorded on paper will now also start to be recorded electronically within the EPR.

Luca Pensabene.

Luca Pensabene.

Luca Pensabene, Associate Specialist Doctor at RLI ED, UHMBT, who has been a key participant in the EPR Optimisation Programme in ED, said: “This is a very exciting development with the potential to transform the way we work, providing clinicians with instant access to much better information that will help us provide the very best care for our patients.

When complete, the project will permit instant access to patients’ records, improving the quality of decision-making and patient safety and enabling more time for caring for patients.”

Dr Colin Read, Lead Consultant in Emergency Medicine at RLI ED, UHMBT, said: “It may not be possible to get rid of paper altogether as part of phase 1 but this is a major step towards our ambition of becoming truly ‘Paper-Lite’ with electronic systems that are fully integrated with each other and provide authorised members of staff with relevant information such as a patient’s medical history, allergies, test results, and so on.”

Paul Grout

Paul Grout

Paul Grout, Deputy Medical Director, Emergency Medicine, FGH, UHMBT, said: “During the run up to go-live, we were able to adapt the ED Medical Assessment Form during the testing session, resulting in a format that will significantly improve the governance of note keeping. The visible time and date stamp for actions/plans will act as a tool to aid flow within the department”.

Judith Walmsley, Sister in the Emergency Department at Furness General Hospital, UHMBT, said: “I have worked here for years – it will be a massive help not having to print out the CAS Card and Labels.  This functionality will improve patient flow & I loved the new triage process.  The new electronic CDC forms are absolutely brilliant especially when they calculate scores automatically. I realise it will take longer initially but it is worth it for the benefits this brings.”

Aaron Cummins, Director of Finance and Deputy Chief Executive, UHMBT.

Aaron Cummins, Director of Finance and Deputy Chief Executive, UHMBT.

Aaron Cummins, Director of Finance and Deputy Chief Executive, UHMBT, said: “This is a fantastic new way of working which will benefit our staff and patients in ED for well into the future. Well done to the team for all of their hard work.”

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UHMBT aim to end PJ Paralysis

pj paralysis

UHMBT staff are coming to work wearing their PJs on Friday 28th July as part of a national NHS campaign. The ‘End PJ Paralysis’ initiative aims to show staff what it’s like for when they have to wear pajamas whilst in hospital, often

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2 responses to “UHMBT aim to end PJ Paralysis”

  1. Christine Doyle says:

    Isn’t good nursing procedures more effective than gimmicks. There are ex patients who are afraid to be returned to certain wards owing to poor care & the development of bed sores. These seldom occurred in the past!

    • Ailsa Martin says:

      Hi Christine, encouraging staff to wear PJ’s to work will start a conversation between staff members and with patients to raise awareness of the benefits of getting dressed, out of bed and being as active as possible whilst in hospital. This will ultimately help to prevent the likelihood of things like bed sores, muscle loss and fatigue happening. There is more information about the #EndPJParalysis concept, why it was started and how it is helping patients on this page: https://improvement.nhs.uk/resources/helping-patients-get-up-and-get-moving/
      Hope this helps!

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Mobile devices help nurses deliver healthcare at the point of care

Angela McNally

During the past 12 months, the Electronic Patient Record (EPR) Clinical Content team at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) have developed and rolled out the Digital Nursing Record across the three main hospital sites. As a

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Upgrades to integrate electronic electrocardiograph results within the EPR due to roll out across the Trust

Luca Pensabene.

Over the past six months, the Electronic Patient Record (EPR) Optimisation team at University Hospitals of Morecambe Bay (UHMB) have been working on a pilot that delivers electronic versions of electrocardiograph images (ECG’s or Heart Trace Images) and makes them

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2 responses to “Upgrades to integrate electronic electrocardiograph results within the EPR due to roll out across the Trust”

  1. Hello,

    I am very pleased to hear this news. Due to a clerical error whilst in LRI, I was wrongly diagnosed with Ischaemic Heart Disease(IHD) and Congestive Cardiac Failure.(CCF) My medical records have now been corrected. I did have two attacks of atrial flutter when my heart was beating at 170 to 190 ppm. I was treated at LRI . I have nothing but praise for the A&E nurses and doctors who looked after me in A & E and the Acute Medical Unit & Frail Elderly Unit I would particularly like to thank Consultant Cardiologist Mr Coupe who saw me on AMU and with who I now see on a six monthly basis with a diagnosis of paroxysmal atrial flutter.(PAF)

    I had severe asthma attack early this year and because my Summary Medical Records showed IHD and CCF, I was taken to Blackpool Infirmary. I am pleased to say that after 10 lead ECG, and 2 echocardiograms, I was discharged the following day with nothing but paroxysmal atrial flutter.

    I would like to thank Mrs Aubrey and her staff in rectifying my incorrect diagnoses, and again to all nurses and doctors in Blackpool Infirmary who also treated me so well in the short time I was there.

    I am pleased to read that Dr Brodison will be part of the team. I saw his colleague Dr Clarkson,
    many years ago at WGH, but I believe he no longer works for the UHMB.

    Thank you all for caring and I hope the this project is successful, as I’m sure it will be.

    Kind regards,

    Jim Allison

    • Ailsa Martin says:

      Hi Jim,

      Thank you for taking the time to share your experience with us. I’m glad to hear that you received excellent care from a number of departments and staff members in Lancaster and Blackpool. I have passed your kind words onto the teams involved who I know will greatly appreciate them. Thanks again Jim, and all the best for your treatment

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Cardiac centre reopens ahead of schedule after revamp

The team with first patient David Goulding.

The Morecambe Bay Cardiac Centre at Westmorland General Hospital (WGH), which welcomes in excess of 1,000 patients every year, reopened on Tuesday 11 July 2017 after a £1m cash injection from University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT).

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Sally Young – Quality Assurance Blog

Sally Young

Hello, Since my last blog, 38 wards and departments are now on the QAAS scheme, this is brilliant news. A special well done goes to Ward 6 at FGH and Special Care baby Unit at FGH for scoring GREEN on

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UHMBT staff receive award winning bereavement training

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The Learning and Development team at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) recently received the ‘Supporting Learners Project Award’ at the Learning Matters Health and Care Awards, as part of Health Education England North West, for supporting

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5 responses to “UHMBT staff receive award winning bereavement training”

  1. Lynda Merrill says:

    Your staff in the elective orthopaedic unit at FGH were faced with a very difficult suituation when my partner died suddenly & unexpectedly at our home while I was in surgery. The news had to be broken to me over the phone by my son as none of my children live in the area. The staff were wonderful, especially my dedicated nurse, who stayed on after her shift to support me after this devastating news. All through my stay in the hospital the staff were caring & supportive & their care & sensitivity helped me to cope.

    • Ailsa Martin says:

      Hi Lynda, thanks so much for sharing your experience with us. We’re pleased to hear that our staff not only helped in your recovery following surgery but also provided support during such a difficult time. I have passed your kind words onto the teams involved, who I know will really appreciate them. Thank you again Lynda, and all the best in your recovery.

  2. Jean king says:

    I was glad to read Lynda’s remarks. In 2011 my husband died in RLI ,Whilst I was recovering from a major operation within the same hospital. My experience was very traumatic and the support very poor. It will stay with me forever. However it is good to see training is being given , I hope to all staff, as my experience was so sad ,poor and shocking. But there will always be persons who have a deeply caring disposition who care automatically and respond accordingly, whatever their staffing position is. The loss of a beloved person is a terrible occurrence, and just needs a hand to hold. I still believe the care of the sick is a vocation, and should be the first desire of the candidate who desires to work in our hospitals in whatever roll. May it always be so.

    • Jean king says:

      I am having difficulty sending reply through e mail to your site

    • Ailsa Martin says:

      Hi Jean, we’re so sorry to hear that you did not have a good experience at Royal Lancaster Infirmary. This training will give staff members the knowledge and confidence to ensure that all bereaved families feel supported and cared for. If you would like to discuss your experience further and give us some more details about how we could improve, please do not hesitate to contact the Patient Relations team on 01539 716621. Thanks again Jean, all the best.

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Electronic patient record is making care delivery better for staff and patients

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Over the past six months University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) has undergone a large-scale change programme, led by clinicians, to improve and enhance the main Electronic Patient Record (EPR) used within the Trust. The comprehensive EPR

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One response to “Electronic patient record is making care delivery better for staff and patients”

  1. Michael Oppenheim says:

    Pleased that you are enjoying positive benefits from the technology

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New ways to treat those with musculo-skeletal conditions in South Cumbria

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A new service for patients referred to the orthopaedic service in south Cumbria – where they see a physiotherapist in newly-designed clinics rather than a consultant surgeon – is being hailed a success. In the integrated musculo-skeletal (iMSK) service, which

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Celebrating 25 years of westmorland general hospital

Her Royal Highness the Princess Royal

It was a blisteringly warm summer’s day 25 years ago – staff recall- when Her Royal Highness the Princess Royal officially opened Westmorland General Hospital on 6 July 1992. The £24million hospital opened its doors to patients in 1991 with

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