WORKFLOWER USE CASE
Hospitals must absolutely monitor hospital bacteria such as MRSA. When laboratory results indicate that a patient is infected, or when an infected patient is admitted, the hospital must begin the necessary processes as quickly as possible. This includes not only starting treatment for the patient, but also isolating the patient and taking appropriate measures for everyone who came into contact with him, to prevent the bacteria from spreading to the other patients. Transparent coordination and communication between laboratory, nursing and hospital hygienists is indispensable.
The Jan Yperman hospital, in Ieper, Belgium, which screens all patients for MRSA when they are admitted, wanted a solution to automate the complex screening and treatment follow-up. Together with Amaron, the facility drafted a detailed process, and simultaneously implemented Workflower. Linking the solution with the laboratory information system (LIS) and the electronic patient record (EPR) was key, ensuring that all lab results and actions are transparent for all stakeholders.
What do the users think?
“Workflower, together with our healthcare team, monitors critical results and hospital hygiene. The application detects risks on the basis of relevant information. In this way, the necessary measures are taken in time, subsequent screenings are scheduled and the appropriate consultations are requested.”
Yves Platteeuw, EPR program manager for Jan Yperman
How it works
- Upon admission, the patient is registered in the hospital information system and the MRSA screening process starts.
- The hospital screens every admitted patient (around 500 screenings per week).
- The patient’s MRSA status is registered in the EPR; depending on this result, a well-defined screening process is initiated, including specific tasks for the nursing departments.
- Using the LIS link, the application confirms that the necessary screenings have been carried out. Built-in control mechanisms initiate an escalation procedure if the standard flow is not followed, for example if no screening has been performed within 24 hours after admission. When a patient has a positive MRSA status in the EPR, the application also checks whether the patient is meant to undergo surgery.
- If an MRSA screening is positive, or if a patient with an MRSA-positive status must undergo surgery, the decolonisation procedure begins.
- After treatment, the patient is screened three times. If each of these screenings has negative results, the process is closed. The nursing staff is informed, and given the task of disinfecting the room. If one of the results is positive, the decolonisation procedure is repeated.
- At each stage in the process, the MRSA status of the patient is adjusted: automatically in the EPD and manually in the hospital information system.
- The process closes when the patient is discharged, or when decolonisation is completed.
- ADT HL7 flows: for the exchange of the most recent patient information, such as admission, transfers and discharge;
- HL7 interface: for processing results from the LIS;
- Web service link with the operating room software package: for determining which infected patients are scheduled for surgery;
- HL7 interface: for exchanging data with the EPR;
- Connectivity solution: for receiving (and potentially modifying) data that control the processes;
- As a control centre, Workflower supports the execution and follow-up of activities (tasks, messages, timers).