Authors (including presenting author) :
Lam KL(1), Lam YY(1), Wong KW(2), Cheng KY(1), Ko YT(1), Chan YY(1)
Affiliation :
(1)Department of Medicine & Rehabilitation, Tung Wah Eastern Hospital
(2) Nursing Services Division, Tung Wah Eastern Hospital
Introduction :
Traditional patient record-keeping often relies on paper-based documentation, which can be inefficient and prone to transcription errors. In contrast, electronic documentation has demonstrated greater effectiveness than paper methods in many healthcare settings, offering enhanced efficiency, accessibility, and accuracy. The Stroke Unit of the Department of Medicine and Rehabilitation and Nursing Services Division of Tung Wah Eastern Hospital (TWEH) piloted the transition from handwritten narrative documentation to electronic documentation using the e-Doc system in CMS since October 2024. Serial implementation strategies were initiated to facilitate a smooth transition.
Objectives :
1. Prepare multidisciplinary healthcare workers for the implementation of the e-Doc pilot.
2. Collect the interim feedback from frontline staff for further enhancements.
3. Perform outcome evaluation.
Methodology :
First, a multidisciplinary workgroup was established, involving doctors, nurses, and allied healthcare workers.
Next, standardized departmental note templates were developed based on patient journey, daily routines, and common procedures.
Labels, reminders, signage, and quick guides were created to facilitate implementation.
Training sessions with return demonstrations and production drill were organized to equip staff from various disciplines in using e-Doc.
Finally, an evaluation of e-Doc usability was conducted 2 months after the pilot, utilizing the Post-Study System Usability Questionnaire (PSSUQ).
Result & Outcome :
Result & Outcome:
The e-Doc was implemented at TWEH at the end of October 2024.Interim feedback was collected from frontline clinical staff and modifications were done. A comprehensive flowchart outlining the patient transfer process was created.Users' perceived satisfaction, including system usefulness, information quality, and interface quality, was assessed using the PSSUQ, which contained 16 questions following a 7-point Likert Scale (1=very good; 7=very poor). Daily users reported a mean score of 2.86, while those who only reviewed the system reported a higher mean score of 3.87. The mean scores for daily users were similar with reference means (2.82) across all scales, suggesting that e-Doc could be suitable for sub-acute settings. Future evaluations will focus on objective measures such as effectiveness and documentation accuracy.
Conclusion
Comprehensive preparation can facilitate the implementation and enhance staff acceptance and satisfaction with new technology. Ongoing evaluation and refinement of e-Doc will be crucial to maximize its benefits and address emerging needs and challenges in contemporary healthcare.
