Experience Story: How Do We Re-Implement What Has Been Implemented?

Area of Science:

• Healthcare Technology
• Nursing Informatics
• Patient Safety

Background:

• The Hospital Italiano de Buenos Aires implemented a "Workstation on Wheels" project in 2017.
• Nurses use a mobile application for drug administration, vital signs, and early warning assessments.
• Initial goals of 95% drug registration were not sustained over time.

Purpose of the Study:

• To diagnose reasons for the low utilization rate of the mobile application.
• To re-implement the drug barcoding system focusing on nursing staff.
• To achieve sustained use of the bedside medication administration system.

Main Methods:

• Formation of an interdisciplinary team for project diagnosis.
• Re-implementation of the barcoding drug administration system.
• Focus on nursing staff engagement and training.

Main Results:

• The re-implementation process aimed to improve and maintain system usage.
• Lessons learned were documented throughout the re-implementation.
• Focus on nursing staff was key to maintaining system use over time.

Conclusions:

• Sustained use of healthcare technology requires ongoing attention and adaptation.
• Interdisciplinary collaboration is crucial for diagnosing and resolving system adoption issues.
• Targeted strategies focusing on end-users, like nursing staff, are vital for successful technology re-implementation in clinical settings.