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eLearning and knowledge management
- 1. IMPROVING EMERGENCY TRAINING AND QUALITY ASSURANCE CAPACITY USING http://www.alphastudy.com Category 5 – Making Smart Choices Michael Dinh, Jon Hayman, Kendall Bein, David Dinh, Timothy Tan RPAH Emergency Department NSW Institute of Medical Education and Training
- 2. Aims Demonstrate an online Web 2.0 collaborative learning and quality management tool Design and develop Implement Evaluate Improve training and quality assurance capacity in an emergency department
- 3. The problem – quality & knowledge management capacity Large mobile workforce Secondments Shift work Staff turnover Training networks State-wide Emergency training networks Training capacity in Regional NSW Quality assurance capacity Surveys, audit tools Research E-learning
- 5. Planning & implementing solutions – http://www.alphastudy.com • Easy to use online Web 2.0 tool – Independent workspaces within secure domain – Content management – Surveys, audits, research – Online learning modules – Discussion forums – Networking
- 6. `
- 7. OUTCOMES – a better way to integrate knowledge and quality management
- 8. Uses at Royal Prince Alfred Hospital Emergency Department • E-learning modules • Protocol audits • Virtual Journal Club • Research studies • Clinical handover assessments • Triage credentialing • CME assessments • Fellowship exam resources • ED activity dashboard • Stream online presentations
- 9. Audit: Clinical Handover Assess clinical handover 1:7 patients significant issues not handed over Implementation of integrated handover 73% decrease in incidence of handover/ward transfer IMMS 2008-2009
- 10. National Research Surveys Ultrasound use and credentialing in Australian Emergency Departments
- 12. Knowledge sharing – current VJC users Royal Prince Alfred Gosford Hospital Hospital John Hunter Canterbury Hospital Lismore Base Bankstown Hospital Liverpool Hospital The Canberra St George Hospital Shoalhaven St Vincents Hospital Royal Melbourne Westmead Hospital Nambour Tweed Heads
- 13. Closing the evidence-practice gap using quality management approach Code crimson adopted and implemented 2008 Critical incident April 2009 Audit: Knowledge of key protocols = 67% E-learning module – improved to 90% (p=0.002) When would you contact the consultants on call? 120 100 80 Before (% ) 60 After 40 20 0 m ultiple full Traum a Reg Us e of blood S B P < 90 in Disagreem ent GS W unable to traum as products attend resus
- 14. Real time quality management – the ED activity dashboard AO shift handover report Automated messaging Breakdown of issues identified n=18 ADMISSION DECISION PROLONGED STAY 6% ICU PT 5% INTERESTING CASE 6% MENTAL HEALTH EQUIPMENT/SUP 22% PLY 11% PATIENT ABSCONDING RADIOLOGY 22% 11% ACCESS BLOCK IMPAIRING ED FUNCTION 17%
- 15. Evaluation – the lessons learnt Formal evaluation conducted October 2009-2010 Usage, usability analysis 54 site users
- 16. Evaluation – the lessons learnt 88% agreed or strongly agreed that alphastudy had improved education and training at RPAH emergency department
- 17. Evaluation – the lessons learnt
- 18. Benefits Improved QA/research capability Improved outcomes Knowledge sharing and networks Low cost/low maintenance Scalable In house development
- 19. Transferability and Future Scope System enhancements Semantic search engine and ranking algorithm Better surveys and quiz templates Easier use Live video streaming, web conferencing NSW IMET Digital Regions Initiative/National Broadband Network Emergency online training and simulation Streaming presentations and sharing case discussions Improve medical training in regional NSW
- 20. Emergency Training Networks – local hubs, knowledge sharing and live feeds
- 21. http://www.alphastudy.com Instant sign-up Web enabled online service Low cost affordable solution Instant learning & knowledge portals Fast and simple to use