The Role of Electronic Systems in Patient Care

Question 1

Describe future use of electronic systems within NHS Grampian.

Answer 1

• Robotic virtual consultations

- Virtual ward rounds

Question 2

Describe Single Sign-on.

Answer 2

One tap access of ID card will allow the user to log directly onto the computer.
It is able to remember the login details for multiple accounts (e.g. email) and will log the user out after a certain amount of time.

Question 3

State the advantages of the use of portable devises within NHSG.

Answer 3

• Easy to carry
• Connect to secure NHSG Wi-Fi
• Direct access from non-NHSG locations
• Makes portable consulting easier

Question 4

Describe the infrastructure of electronic systems within NHSG.

Answer 4

There are 100 virtual servers across various data centres.

They serve as back-up for the entire NHSG network.

Question 5

Describe the use of email within NHSG.

Answer 5

• NHSMail: nationwide secure email system.
• Only way to send patient identifiable information.
• Frequently used in ad hoc communication, web-based and can be accessed from anywhere.
• 18,000 email accounts currently.

Question 6

Describe the use of text messaging within NHSG.

Answer 6

• Used clinically to remind patients of appointment Bia automated systems (e.g. Mjog).
• Used in acute setting to text staff about unfilled shifts (e.g. Nurse Bank).

Question 7

Describe the use of video conferencing within NHSG.

Answer 7

• Used widely for ad hoc communication between remote sites.

Question 8

Describe the use of patient portals within NHSG.

Answer 8

• Effective way to manage patient care.
• Primary care portals (e.g. EMIS, Vision online services).
• Specialty-specific portals (e.g. Renal Patient View, My Diabetes).

Question 9

Describe the disadvantages of keeping paper patient records.

Answer 9

• Not enough room, high cost of storage
• Health and safety issues
• Time consuming to find specific records
• Retention policies

Question 10

Describe the advantages and disadvantages of keeping paper patient records.

Answer 10

Advantages;

• Saves money
• Up-to-date records available 24/7
• Accurate and auditable

Disadvantages

• Clinicians may feel it takes longer to look through an electronic record
• Culture change
• Process change

Question 11

Describe the use of ECG carts in NHSG.

Answer 11

• ECGs are now printed, scanned then uploaded to patient electronic records.
• New and live in 6 locations.
• Sign in to cart via login.

Question 12

Define HEPMA.

Answer 12

Hospital Electronic Prescribing and Medicines Administration.

Question 13

Describe the benefits of HEPMA.

Answer 13

• Cost benefits
• Reduction in prescribing errors
• Removes problem of deciphering handwriting
• Quicker and easier to order medication

Question 14

Describe the quadruple aim.

Answer 14

Outcomes;

• Safer healthcare
• Better outcomes

Costs;
- Lower costs per capita

Staff experience;

• Satisfaction
• Joy at work
• Recruitment and retention

Patient experience;

• Satisfaction
• Quality
• Trust