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Clinical alert reporting:
Electronic solutions to the
rescue!
Samantha Hilmi, Claire Tobin, Ralph
Baker
Royal Perth Hospital (RPH)
WAMSG Symposium – September 2016
Background
Function within PAS
Records critical medical information
Advises clinicians on potentially life-
threatening situations
anaesthetic
medical
drug related
The RPH Experience
Management of clinical alerts not optimal
poor reporting rates
reported alerts not reviewed
no mechanism for feedback
inferior paper-based method
Impetus for change
WA Clinical Alert (Med Alert) Policy – February
2014
RPH Objective
Implement and promote an efficient and
safe system of reporting and managing
clinical alerts in accordance with Policy
Method
Multidisciplinary Clinical Alerts Committee
(CAC)
develop improved system of reporting
policy and procedures on managing clinical
alerts
implement changes
educate staff and promote reporting
Meet monthly to review reports
Data Collection
Staff survey (June 2015)
27 medical and nursing respondents
52% aware of clinical alert information in
iSOFT Clinical Manager
15% aware of Clinical Alert Policy
4% aware of reporting form
Form readily available on 43% of wards
Electronic Form
Development of electronic form
consultation with information technology
and medical illustrations
repeated testing
application allowed for electronic reporting
submission to a nominated email account
patient confidentiality maintained
Coders enter alerts on PAS
CAC review reports monthly
Electronic Form
Staff Awareness
Hospital-wide education and promotion
PR consulted
departmental orientation and education
sessions
induction
slide show presentation with key messages
Medication Safety Newsletter article
staff forum
Outcomes
Effective committee established
reports standardised and reviewed for
appropriateness
Efficient means of reporting implemented
readily accessible electronic form
alerts promptly available on PAS
Improved awareness on reporting
ongoing promotion and education
Outcomes – Supporting Data
Alerts promptly on PAS/iSOFT
days or weeks reduced to max 2 hours
Audit of serious drug reaction alerts
January-June 2015 vs 2016
Outcomes – Supporting Data
5/5
1/14
0 20 40 60 80 100 120
Jan-Jun 2016
Jan-Jun 2015
Serious drug reactions - rate of reporting
Reporting rate (%)
Conclusions
Achieved our objectives of promoting and
implementing an efficient and safe system
of reporting
Improved patient safety
Relevance to Other Sites
The WA Clinical Alert Business User Group
aware of the RPH processes
Potential implementation at other WA
Health organisations
Acknowledgments
RPH Clinical Alerts Committee members
Ms Ann Berwick, Medicines Information
Pharmacist
Clinical alert reporting:
Electronic solutions to the
rescue!
Samantha Hilmi, Claire Tobin, Ralph
Baker
Royal Perth Hospital (RPH)
WAMSG Symposium – September 2016
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