RESUMO
The objective of this work was to explore the needs and expectations of the users of the Alexander Fleming Institute (IAF) regarding patient-oriented information systems, with the purpose of planning and prioritizing the implementation of improvements in the patient portal. The textual comments of patients who were treated at the institution between November 2021 and April 2022 and answered the satisfaction survey sent by IAF were analyzed using the content analysis technique. The results showed 6 main emerging issues: (1) the need for patients to have their clinical and administrative information in a single platform; (2) to have their clinical documentation available at the appropriate time; (3) to have clearer and more friendly information on preparation before diagnostic studies and (4) chemotherapy first time talks; (5) more accessible information on complementary treatments in the oncological context; (6) in-app appointment queue functionalities. The findings reported in this work served as an input to design an improvement plan for the patient portal and the institution's digital ecosystem.
Assuntos
Neoplasias , Portais do Paciente , Humanos , Oncologia , Motivação , Neoplasias/terapiaRESUMO
Errors in medication administration involve risks to patient safety. "Bar-Coding Medication Administration" is implemented to prevent these errors. Adoption by nurses is one of the main determinants of their effectiveness. The Hospital Italiano de Buenos Aires implemented BCMA 6 years ago, but its adoption rate still finds resistance in certain sectors. We conducted semi-structured interviews with nursing staff to explore the barriers to the use in low-usage wards and explore the current perceptions of nurses. While nurses recognised the safety and usefulness of the BCMA system, they reported many difficulties. The feedback obtained through this process was useful for the implementation team to plan future interventions, priorities and improvements on the system. The semi-structured interview methodology proved useful as a continuous monitoring strategy.
Assuntos
Erros de Medicação , Processamento Eletrônico de Dados , Humanos , Erros de Medicação/prevenção & controle , Sistemas de Medicação no Hospital , Segurança do Paciente , Preparações FarmacêuticasRESUMO
In Argentina, since 2012 the Gender Identity Law guarantees that people who identify as transgender must be called by their chosen name, among other things. Transgender patients are usually not represented in information systems, whether electronic or not. This can place them in situations of vulnerability and discrimination. With that in mind, an interdisciplinary team was formed to take address the problems of this population regarding to the information systems of Hospital Italiano de Buenos Aires. The aim of this study is to spread the experience of the transdisciplinary team on the Electronic Health Record's modification and other associated applications to achieve include the self-perceived gender identity and the chosen name of those people who modified their gender.
Assuntos
Identidade de Gênero , Argentina , Registros Eletrônicos de Saúde , Feminino , Humanos , Masculino , Pessoas TransgêneroRESUMO
With the purpose of reducing discrimination on gender, the Department of Health Informatics of the Hospital Italiano de Buenos Aires (HIBA) developed changes in its Patient Master Index to register chosen name and self-perceived gender identity. To improve the visualization of information related to the identity of each person to provide comprehensive quality care, it was decided to modify the impact of this information on the EHR. For this, prototypes were developed with changes in the patient identification module and then user-tests were carried out.
Assuntos
Registros Eletrônicos de Saúde , Pessoas Transgênero , Feminino , Identidade de Gênero , Humanos , MasculinoRESUMO
Since 2017, the Hospital Italiano de Buenos Aires, has a "Workstation on Wheels" project were nurses can access to a mobile application in order to register the drug's administration, vital signs and complete an early warning assessment scale of the hemodynamic state of the patient. Although the overall objective was to achieve at least 95% drug registration through this system, their use did not remain stable over time. Therefore, it was necessary to create an interdisciplinary team to make a diagnosis of the project situation and reasons for the low use rate. In this process, a re-implementation of the barcoding administration system was carried out, focusing on the nursing staff maintaining the use of the system over time. The aim of this paper is to describe the experience and lessons learned in the process of re-implementing the drug barcoding system at the patient's bedside.
Assuntos
Aplicativos Móveis , Processamento Eletrônico de Dados , Humanos , Recursos Humanos de Enfermagem , Sinais VitaisRESUMO
Transgender people experience their gender identity as different from the sex assigned to them at birth and/or those listed on their legal identification. A Master Patient Index (MPI) is a centralized index of all patients in a health care system. The objective of this work was to describe the designed strategies and adapting of a MPI that contemplates transgender patient registration needs as regards as health and legal context.