P18 - Positive Implications of Implementing a Clinical Mobile Device in an Oncology Infusion Hospital Outpatient Department

Purpose: To evaluate the impact of a clinical mobile device configured with a unique suite of clinical applications on registered nurse (RN) workflows in an oncology infusion hospital outpatient department (HOD).

Description: In early 2021, a current-state assessment revealed low barcode scanning compliance, as low as 50% compliance for blood product scanning. Challenges with communication were also identified within the 52-bay oncology infusion hospital outpatient department. After in-depth research into potential solutions, it was determined that a clinical mobile device designed to enhance communication and barcode scanning workflows would be piloted as a potential solution. The pilot went live in early November and included the deployment of 28 clinical mobile devices and 50 battery-life extension cases to accommodate a peak staffing of 25 RNs.

Evaluation/outcome: Outcomes for this project include improved barcoded blood administration scanning (BBAS) compliance, interprofessional communication, and end user satisfaction. Blood product scanning compliance metrics went from 50% to 100% since the first day of implementation. End user feedback to date has revealed improved satisfaction with ease of barcode scanning and communication with colleagues. The pilot is ongoing and findings from an in-progress pre- and post-implementation survey will be reported during the presentation.

Learning objectives
•    Leverage compliance metrics to evaluate impact of clinical mobile device deployment in a hospital outpatient department oncology infusion unit.
•    Design and develop a qualitative survey targeted at uncovering the user story behind quantitative metrics, such as electronic health record system reports.
•    Synthesize qualitative and quantitative feedback from clinical end users into system requirements and system optimizations.

References
1)    de Jong, A., Donelle, L., & Kerr, M. (2020). Nurses' use of personal smartphone technology in the workplace: Scoping review. JMIR mHealth and uHealth, 8(11), e18774. https://doi.org/10.2196/18774
2)    Farrell M. (2016). Use of iPhones by nurses in an acute care setting to improve communication and decision-making processes: Qualitative analysis of nurses' perspectives on iPhone use. JMIR mHealth and uHealth, 4(2), e43. https://doi.org/10.2196/mhealth.5071
3)    Flynn, G., Polivka, B., & Behr, J. H. (2018). Smartphone use by nurses in acute care settings. Computers, Informatics, Nursing: CIN, 36(3), 120-126. https://doi.org/10.1097/CIN.0000000000000400