“Computer Says No”: A Digital Journey in Emergency

Miss Rikki Stanton1, Miss Cassandra Rooney1
1Princess Alexandra Hospital Emergency Departmetn, Woolloongabba, Australia

Two years ago the Princess Alexandra Hospital emergency department (ED) became the first large scale public hospital in Australia to transition to a fully integrated electronic medical record (ieMR) for all patients.  This enabled PAH to join leaders in the age of health technology.

Successful implementation of the ieMR was complex and required significant planning, resources and collaboration for many years prior. This presentation will outline our journey, beginning with our collaborations with software engineers in the design, development and pilot-testing of a complex system that could meet staff, administrative and organizational needs and conform to the constraints of our ED environment.  Next we developed clinical workflow processes, timelines, risk registers, and formed project management teams.  The subsequent implementation phase included widescale classroom and simulation-based education, development of staff resources, support frameworks, ‘Go Live’ plans and contingency planning. The implementation team also focused on maintaining a healthy change culture throughout this process to ensure staff engagement, retention and wellbeing.

Two years on, our ieMR implementation journey is far from over. We will outline some of the ongoing processes undertaken by our ED nurse specialists, in collaboration with corporate supports (Cerner), to augment and optimise software usability and digital interfaces. A brief illustration of some of the capabilities of the ieMR system to provide superior large scale data gathering and monitoring; for research, patient safety, quality analysis, incident review, key performance indicators and patient satisfaction may help enable other ED departments upskill faster and more effectively.  PAH ED staff continue to be involved as the rest of QLD undertakes digital transition, offering clinical ‘super-user’ staff secondments, educational resources and general advice to other hospitals starting their go-live transition. Our ED has successfully transitioned through this phase of significant organisational change while maintaining high patient satisfaction rates and a positive staff culture.

Rikki Stanton – graduated from Australian Catholic University with a Bachelor of Nursing in 2010. She has worked in the Princess Alexandra Hospital Emergency Department for 7 and a half years. During this time she has completed her Graduate Certificate in Emergency Nursing and Masters of Emergency Nursing. Rikki has a passion for education and has spent the majority of her career working in education including Clinical Facilitator, Clinical Nurse, Acting Nurse Educator and currently in the role of Associate Nurse Educator.
Cassandra Rooney – graduated from Griffith University with a Bachelor of Nursing in 2005. Cassandra began her career in the Princess Alexandra Hospital in a surgical ward, but has spent the last 11 years in the Emergency Department. Cassandra is currently in the position of Clinical Nurse Consultant and through this roll has been able to help implement the department’s transition to the first large scale public digital hospital in Australia. Cassandra has also completed a Graduate Certificate Emergency Nursing.