Heartbeat August 2019
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Optimising Unity: Making the most<br />
of our electronic patient record<br />
We all know that there are many<br />
benefits to Unity – safer prescribing,<br />
reducing duplication of entries in<br />
multiple systems and freeing up clinical<br />
time. But the test for us will be to what<br />
extent we can all use the new system<br />
as effectively as possible. This will<br />
mean that our patients get the best<br />
quality care because we are following<br />
standard best practice guidelines in<br />
clinical care.<br />
We will be measuring how well we use<br />
Unity from day one and continually. Every<br />
individual’s use of the Unity system can be<br />
tracked so we will quickly be able to see<br />
where people are using Unity in the best<br />
way and where people need more support<br />
to use the system effectively. A number of<br />
key measures will enable us to do this from<br />
the first day of implementation.<br />
Each directorate, team and individual will be able to see how your use of Unity compares to peers and to our standard.<br />
By March 2020 every one will be expected to hot the baseline standards which are set out below.<br />
Staff group Measure Aim<br />
All staff Time it takes to log on or access Unity Less than three seconds<br />
Doctors<br />
Nurses<br />
• Complete and sign clerking documentation within six hours<br />
• Prescribing<br />
• VTE assessments completed within six hours of admission<br />
• Overriding prescribing alerts<br />
• Administer medicines within the hour<br />
• Medicines administered without a barcode scanner<br />
• 100%<br />
• 5% maximum free text prescribing<br />
(not from catalogue)<br />
• 100%<br />
• Less than 10%<br />
• More than 85%<br />
• Less than 10%<br />
Therapists Time taken to respond to referrals Less than four hours<br />
Porters<br />
Pharmacists<br />
• Number of jobs accepted within 15 minutes<br />
• Number of declined jobs<br />
• Orders verified within 24 hours<br />
• Drug histories completed within 48 hours<br />
CORPORATE AND GENERAL<br />
NEWS<br />
• 80%<br />
• 0<br />
• 80%<br />
• 75%<br />
Rachel Barlow, Chief Operating Officer,<br />
is excited about the focus we have on<br />
optimisation. “Our colleagues at Cerner,<br />
who have built Unity for us, tell us that we<br />
are the only Trust they know about that is<br />
focussed on optimisation in this way. That<br />
means we are certainly leading the way in<br />
this important area. Making the best use of<br />
Unity is vital as it ensures our patients and<br />
clinical colleagues benefit most from this<br />
investment in a new IT system.<br />
“The measures we have put in place, that<br />
we will be striving for, give us a clear view<br />
of where we are doing well and where we<br />
need to improve. We want every clinician<br />
to understand how well they are using<br />
the system and where they can learn<br />
from others. Of course, some of the key<br />
measures are about protecting the safety<br />
of our patients such as signing off care<br />
arrangements and ensuring that the right<br />
clinician responsible for each patient has<br />
been identified. These areas we need<br />
to get right quickly. Some of the other<br />
measures are more developmental and we<br />
expect to improve during the first three to<br />
four months.<br />
“Once we are comfortable that we are<br />
using the system well we will be able to<br />
innovate and look at the new areas of<br />
development within Unity but for the<br />
first six months after go live the sole<br />
focus will be in making the optimum<br />
use of the system as we have it. Teams<br />
wanting to develop Unity will need first to<br />
demonstrate that the system is being well<br />
used where they work.”<br />
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