A Clinical Case Study
QPID helps GI specialists avoid errors and keep schedules on track. 7-10 days prior to a scheduled procedure QPID alerts clinicians to any issues that will require prior management of a patient, such as use of anticoagulants. Other potential contraindications to conscious sedation such as airway issues, use of a CPAP device, significant cardiac conditions, and allergies are also highlighted.
- Adopted by over 60% of Endoscopy staff spontaneously
- Impacts the management of 20% of all incoming cases
- Reduces number of near miss events by approximately 5%
Richter JM, et al. Gastrointestinal Endoscopy 2012
Q-PLAN PRE-PROCEDURE SCREENING MINIMIZES CANCELLATIONS AND PROTECTS PATIENT SAFETY
Q-Plan pre-procedure screening applications identify safety issues or determine where care management or patient communication is required. For example, Q-Plan Radiology can help identify the presence of devices such as a pacemaker or other metal in the body that would preclude the use of an MRI. Typically, this information is dispersed throughout the patient record and takes considerable clinical judgment to retrieve.
Q-Plan can be integrated with tools such as email, patient rosters, and scheduling systems to initiate review and expedite the post-review workflow. Benefits include scheduling efficiency, procedure room and equipment up-time, and improved patient satisfaction and safety. Staff also benefit from decreased stress and fewer urgent/emergent procedural issues related to pre-procedure in-take and management.
Endoscopists are performing greater numbers of procedures in ambulatory settings, often on patients with complex conditions. Q-Plan Endoscopy supports management of patients for whom there are safety concerns related to conscious sedation or other aspects of a procedure.
For example, when considering administering conscious sedation to a patient, you want to immediately know about any documented airway issues, significant cardiac conditions, narcotic tolerance, and other potential contraindications.
Use Case: Prior to use of QPID, 15% of patient presented with risk factors that were discovered on the day of the procedure, causing patients to be turned away. Now, pre-procedure alerts (with a link to the patient’s summary dashboard) are sent via email 10 days in advance, highlighting any conditions or clinical history for which a patient will require special instructions, or for whom plans to standard protocol must be made. Issues such as anti-coagulants, or use of a CPAP device, can be quickly ascertained.
Patient summaries and action items are delivered via QPID for rapid review by radiologists to ensure safe and cost-effective interventional and diagnostic radiology procedures. For example, the MRI application searches for any instance of metal in the body. The IR application delivers patient summaries, action items, and includes image interpretation guidelines. Queries are designed to compile information on past imaging studies related to either the condition or body part, laboratory results, medication lists, and operative and discharge notes, among other relevant data points.
Use Case: For one hospital, use of QPID resulted in an immediate impact of a financially significant 5% reduction in duplicate exams shortly after implementation.