Case Number 4567
Request Date 13/01/2016
Completion Date 19/01/2016

 

Details of the Request

I am looking into how the use of mobile applications for inputting and documenting patient’s vital signs can assist in early intervention and prevention of clinical deterioration.

I understand that you use hand held devices within your trust and would appreciate answers to my following questions:

  1. Has the trust found the applications beneficial?
  2. Are the mobile observation applications used throughout the hospital? If not, which areas are the devices used in?
  3. Does your hospital use the National Early Warning Score (NEWS) system or your own trust wide Early Warning Score (EWS)?
  4. Do nurses find that the application supports their decision-making skills?
  5. What is the response from patients when clinicians use the device in front of them?
  6. How did the clinicians initially respond to the use of hand held devices for documenting?
  7. Did the hospital encounter any resistance from any stakeholders? If so, please expand.
  8. Have you got any hospital statistics since the devices were used? Such as changes in readmission rates, length of stay, avoidable death rates.
  9. How much have the mobile devices cost the hospital?
  10. How much have the applications cost the hospital?
  11. Which company delivers the mobile systems?
  12. Which companies participated in tender?
  13. Is the hospital paperless? If not, do you have any near future plans for this?

 

Details of the Response

1. Has the trust found the applications beneficial?

No recorded information available.

 

2. Are the mobile observation applications used throughout the hospital? If not, which areas are the devices used in?

The mobile observation applications are not used throughout the hospital: they are in use in General Medicine and Surgery, but not in A&E, Paeds, Maternity or Critical Care.

 

3. Does your hospital use the National Early Warning Score (NEWS) system or your own trust wide Early Warning Score (EWS)?

The Trust uses NEWS.

 

4. Do nurses find that the application supports their decision-making skills?

See answer to question 1.

 

5. What is the response from patients when clinicians use the device in front of them?

See answer to question 1.

 

6. How did the clinicians initially respond to the use of hand held devices for documenting?

See answer to question 1.

 

7. Did the hospital encounter any resistance from any stakeholders? If so, please expand.

See answer to question 1.

 

8. Have you got any hospital statistics since the devices were used? Such as changes in readmission rates, length of stay, avoidable death rates.

The Trust does not hold this data.

 

9. How much have the mobile devices cost the hospital?

£72,662 (includes VAT and excludes covers and chargers).

 

10. How much have the applications cost the hospital?

As this was centrally funded, technically speaking the cost to the Trust was zero for the core applications. However, if the cost to the taxpayer is required then it was £479,231.00 (includes VAT, excludes infrastructure software, professional services and support & maintenance). The Fluids Management Module was extra and cost the Trust £76,914.00 (including VAT).

 

11. Which company delivers the mobile systems?

The technology is based on Apple iOS mobile devices and the software applications are supplied by The Learning Clinic.

 

12. Which companies participated in tender?

There was no tender. The solution was procured through a Crown Commercial Service framework contract (NFC12S – Software).

 

13. Is the hospital paperless? If not, do you have any near future plans for this?

The Trust is in the process of rolling out an electronic document management solution (Kainos Evolve). Over time, the solution will be used to develop forms and workflows, thus replacing the multitude of paper-based forms and processes in use across the Trust.

 

Would I be able to use the name of your hospital within my assignment?

If not, then I can keep the hospital name anonymous. Currently, we would prefer to remain anonymous. However, should you wish to contact us informally we will endeavour to assist you.