The following posters will be displayed at the exhibition area of the World Hospital Congress and on the mobile app
IMPROVEMENTS IN DELIVERY OF CARE
CEO & Co-founder, Clynx, Portugal
In this program we deployed an innovative digital and gamified solution in upper-limb telerehabilitation, as a complement to the traditional hospital delivery model, designed on a patient-centered basis to enhance the perceived healthcare quality.
Data collected from 62 patients, followed over a longitudinal study, in terms of pain, adherence and treatment satisfaction, evidenced the effectiveness of the proposed approach. It enabled patient empowerment, motivating patients to be more active in their recovery. Convenience and customization benefited treatment experience, and telerehabilitation translated into savings in time, transport costs, and ecological footprint.
These results are encouraging for replication in further healthcare institutions.
Prof Magdalena Bizoń
Ph.D. M.D., Neohospital Cracow, Poland
Preliminary study results indicate that robotic approaches to TMMR and PMMR significantly improved the quality of surgical outcomes in patients with select gynecological neoplasms. Therefore, routine use of robotic surgical systems such as the da Vinci should be recommended in the treatment of endometrial and select cervical cancers.
Dr Khawla Alhajaj
Family Medicine Consultant and Head of Zabeel Health Center, Dubai Health Authority, United Arab Emirates
The purpose of this paper was to highlight how the wellbeing of seniors is addressed in the UAE – Dubai, specifically the necessity of applying the United Nations Sustainable Development Goals, which led the nation to launch various initiatives to adopt smart home monitoring, IoT, and innovation for ensuring the long-term wellbeing of seniors.
Anna de Dios
Pharmacist, Hospital de la Santa Creu i Sant Pau, Spain
We developed and started the implementation of an mHealth tool for people líving with HIV(PLWH) to redefine their patient’ journey.
Firstly, we collected patients’ and healthcare professionals’ opinions through a qualitative approach. Secondly, we adapted the mHealth application to the requirements that emerged from the focus groups. Finally, we started a clinical trial to evaluate the utility of this device in clinical practice among PLWH patients.
This implementation is expected to improve patient’s empowerment in terms of disease control, drug adherence and quality of life. It is an innovative strategy in patient’s journey that facilitates bidirectional communication and patient’s self management.
Dr Sara Al Shaya
Director, Data and Statistics Department, Emirates Health Services, United Arab Emirates
The program is the first of its kind advanced analytics driven clinical program for diabetes management that is implemented in a large-scale governmental healthcare system of UAE. The program provides security-controlled insights at operational, tactical, and strategic levels to the decision makers – healthcare providers, care coordinators and leadership. The analytical insights in the program includes overall Diabetes Disease distribution across northern emirates population of UAE, current resources/services needs for managing diabetes and associated comorbidities, prediction of demand for different services, patient traceability feature for patient follow-up, risk stratification to identify patients at higher clinical risks due to uncontrolled diabetes
Dr Mouza Saif Al Badwawi
Consultant and Director of Specialized Departments, United Arab Emirates
• Implementing patient centered and employee friendly
approach through innovative use of digital technology and
seamlessly integrating home isolation and monitoring
• Approaches implemented in managing crisis such as
o controlling spread of infection within hospital
o community initiatives for employees and residents
o innovative approaches in designing and implementing
o COVID-19 screening programs
• Strategies Implemented in home isolations and monitoring
• Establishing and implementing staff support, safety, benefits and motivation programs.
Ka Cheung Yeung
Registered Nurse, Hospital Authortiy, Hong Kong
Applying advanced technology is becoming entrenched in day-to-day operations.
An advanced robot operating in daily nursing practice is innovative to reduce clinical and non-clinical risks, with person-centred approach.
With features of compelling functionalities and being user-friendly, it improves health outcomes:
1)Autonomous patrol rounds with audio announcement to enhance safety awareness including fall prevention, hand hygiene and mask compliance.
2)Provide reality orientation to dementia patients by announcing the date and the day of week during patrol rounds.
3)Enhance dementia care with diversional therapy for cognitive trainings in terms of videos and computerized games.
4)Connect patients to families through real-time video-conference calls
Resident doctor of department of Anesthesiology, Taichung Veterans General Hospital, Taiwan
Our hospital implements the clinical decision support system for pain management, which including the 3324 system, opioid conversion assistance tool and shift handover note. At our hospital, 40% of all hospitalized patients with COVID-19 experienced moderate-to-severe pain. These results indicate that the pain of patients with this disease must be taken seriously. Although the pandemic caused changes in medical care, the hospital has been able to maintain its quality of care through the implementation of clinical decision support system and specialized case management.
Dr Dalia Zuhdy
SSR Family Medicine, Dubai Health Authority, United Arab Emirates
Our study aims to compare between the prevalence of depression, anxiety and stress (DAS) in COVID-19 positive patients with mild or no symptoms in home-based quarantine and facility-based quarantine. and also look at the demographics in play. Such a study can be a guidance on the choice of measures to be taken as well as the kind of help and support the mental health of the population.
Our study findings showed that patients in facility quarantine were 42 times more likely to get anxiety and 23 times more like to become stressed than the ones who quarantined at home.
Psoriasis gained global recognition due to its high prevalence. In the Philippines, about 1.8 million Filipinos are suffering silently with psoriasis. This results to physical, economical, psychological and social impact to patient’s well-being.
Prior to the pandemic, Filipino patients have limited access to health-care systems. COVID-19 further limited their access as hospitals give priorities to COVID-19 patients.
In this year’s theme, “Global Learnings, Local Actions: Sustainable Healthcare”, this study provided better understanding of the disease and improve patient’s quality of care. It emphasized the importance of holistic management of the disease to ensure a more sustainable care to patients.
Sheng Hsuan Chen
Algorithm engineer, China Medical University Hospital , Taiwan
In this U.S. national representative population study, we enrolled 8,195 adults aged 20 or older in the National Health and Nutrition Examination Survey (NHANES) cycles 2009–2012. We systematically evaluated the association of risk of nephrolithiasis with multiple hydration indices including daily fluid intake, urine flow rate and free water clearance. We found better hydration status consistently associated with lower prevalence of kidney stone. The common advice of a daily water intake > 2500 mL/day is effective in primary and secondary nephrolithiasis prevention. The development of novel digital interventions to improve long-term lifestyle adherence should be a patient care priority.
Ahmed Al Khadeim
Hospital Director, Fujairah Hospital, United Arab Emirates
The attendees benefit from the results of this study in gaining knowledge on:
1. The process of designing a positive behavioral intervention and starting new experiments and systems in order to consolidate the preventive aspect and reduce the rate of lifestyle-related diseases to achieve a healthy life and a long life for citizens and residents in the United Arab Emirates.
2. Utilizing a scientific framework to develop effective policies interventions.
3. Widen the perspective of the top management to the various aspects impacting patients behavior and how to tackle them.
Director of the Information and Communication Systems Management Service, Instituto Português Oncologia do Porto Francisco Gentil, EPE (IPO Porto), Portugal
Hospitals accumulate a lot of data, through electronic health record, where records with the patient’s characterization and their history, in most cases, are made in “free text”, the inexistence of a structured registry that does not facilitate the decision-making process. We believe that, by reaching the necessary predictor variables that may be important in a physician’s decision making, we can create a decision-making support system that effectively fulfils its true purpose of simplifying and supporting with their clinical decision-making. In order to allow the use of this wealth of data, which provides high clinical value, Gentil – Text mining emerged.
Dr Deanne Kashiwagi
Deputy CMO, Sheikh Shakhbout Medical City, United Arab Emirates
We describe implementation of an Accountable Care Unit, an inpatient model of care, by hospitalists on medical units at Sheikh Shakhbout Medical City in Abu Dhabi. Accountable Care Units leverage geographic co-location of clinical care teams, structured daily interdisciplinary rounds, nursing-physician leadership dyads, and accountability of the unit for its own metrics to improve delivery of care.
Implementation of this model using quality improvement methodology on medical wards at our hospital introduced a novel, team-based care delivery system that is positively influencing care outcomes on the units.
Hospice home-care Nurse, Taipei Medical University Hospital, Taiwan
In response to the high contagiousness of COVID-19, the government announced a series of restriction policies to avoid COVID-19 spread in medical facilities. However it limited the terminal ill patients having their family’s ompany at terminal stage of their lives.Home-based hospice care team keep taking care of terminal ill patients and their caregivers through the home visit combined with telemedicine support when they are in critical moments to provide consultation and counseling, which are helpful for shared decision-making. This model makes terminal ill patients have good death at home.
Dr Ines Ferreira
Innovation Project Manager, Centro Hospitalar e Universitário de Coimbra, Portugal
COVID-19 pandemic was the biggest challenge faced by modern society and the healthcare system was at the battle frontline. The pandemic accentuated hospitals’ weaknesses but it also opened windows of opportunity. With this case study, we as hospital, show how we took advantage of adversity and succeeded.
Dr Ana Maia Gomes Canhola
Head of Emergency Department, Entre Douro e Vouga Hospitalary Center EPE (CHEDV), Portugal
The Entre Douro e Vouga Hospitalary Center EPE, it’s a level II hospital serving 310.000 inhabitants,
Since its beginnings, most transformations related to the populational growth and improvements regarded the most prevalent pathologies in our mean: cardiovascular, oncologic and related to aging. Infectious diseases being less prevalent.
As History taught us that great crises trigger big changes, the SARS-CoV-2 pandemic, with its huge burden, meant no small challenge.
In our Hospital, the ongoing brainstorm lead to a reorganization such to assess eficiently the new threat whilst still addressing the “regular” pathologies, solving present problems using means usable in the future.
Olga Álvarez Llorca
Nursing Director, Fundació Gestió Sanitària Hospital de la Santa Creu i Sant Pau, Spain
The pandemic acted as catalyst for the transformation of a Mental Health Unit in a tertiary care hospital. Covid-19 has worsened the patients’ admission conditions as well as the employment situation of healthcare professionals. The open leadership was one of the key factors to overcoming these challenges.
Dr Mario Bautista
Medical Director, Lorma Medical Center, Philippines
The change in consumer behaviour brought about by the COVID-19 pandemic has refocused the value of decentralization of Lorma Medical Center hospital services, as a long term strategy to provide diagnosis to patients without them going to the main hospital.
The decentralized Spoke and Hub system included the main Hospital as the Hub, the two Offsite Clinic Services, Medical On- Site Services, Stand Alone Molecular Laboratory, that raised overall census when the main hospital revenue declined.
The Program amassed many novel and vital lessons as Lorma Medical Center underwent digital transformation, emerging stronger into the post pandemic scenario.
Dr Wen-Ta Chiu
Co-CEO, AHMC Healthcare, United States
COVID-19 has hugely impacted emergency departments (ED) in the US. ED visits decreased while the ED admission rates increased following the first and second waves. However, ED visits and the ED admission rates remained relatively constant in the third wave until late December 2021 and continued increasing in the fourth wave in January 2022 when the Omicron variant predominated. The increases in ED visits and the ED admission rates may be attributed to the severity differences between the variant types, increased vaccination rates, the adoption of new precautionary behaviors, and evolving perceptions of safety and fear regarding COVID-19.
Learning & Development Senior Specialist, Saudi German Hospital Cairo, Egypt
Digital Transformation is the single most important opportunity that enable organization to leverage technologies across all aspect of the business done properly. one of the challenges that we faced it “Doctor Orientation”. After researching among digital tools ,we preferred as Learning & Development – ED APP.
ED APP is an LMS That is primarily mobile. that mean it’s online based and can be accessed from various devices. its work across most device and it easy to use from different locations.
Yolanda del Castillo
Technical Project Manager, Institut de Diagnòstic per la Imatge, Spain
The Diagnostic Imaging Institute (IDI) will expand and renewal 17 new high-tech diagnostic imaging equipments in 7 hospitals between 2022 and 2023. The use of digital tools is being a key issue to move the project forward and manage the scope and complexity of its features.
Through our experience, we would like to share the benefits of working with digital tools in a large-scale project, the difficulties we have encountered as well as the proposal of solutions to overcome them.
Registered Nurse – Charge Nurse, Tawam Hospital, United Arab Emirates
Update the attendees about the Do Not Resuscitate (DNR) law on the UAE , 2016 AND its application in a Tertiary Hospital in Tawam Hospital Alain, United Arab Emirates
Quality Executive, Fujairah Hospital, United Arab Emirates
The attendees would gain knowledge on Blockchain utilization in management of population health. The lessons learned on the integration of the blockchain with other existing technologies in the 3 countries are identified and availed in the proposal of a framework for enhancing the current EMR. In addition, building a strong basis on the weakness and strength of the blockchain to understanding the process of setting policies and guidelines related to blockchain as per the existing practices in the world.
Dr Ibthisam Abdu
Doctor, Dubai Health Authority, United Arab Emirates
A shift in hospital care approach. Not just curing diseases but valuing the mental well-being of patients during treatment especially in long term admissions.
Aim is to develop a hospital atmosphere that solace patients. A technologically advanced sustainable hospital with compassionate care that is naturally supplemented which will contribute to improved care and patient- nature co-existence.
A step to take now so that it gets incorporated as part of hospital strategy in future.
Dr Anna Riera
Deputy General Manager, Ace Alzheimer Center Barcelona, Spain
Teleneuropsychology has increased substantially to support people with cognitive impairment. Pandemics has boosted the necessity to assess its usefulness to be sure that its use doesn’t impact on quality and it gives us the opportunity to follow-up and assess patients exactly like in face-to-face services. Invariance analysis findings were addressed to determining a teleneuropsychological battery’s equivalence in comparison with its face-to-face version. This study amplifies the neuropsychological assessment’s applicability using a home-to-home format, maintaining the original measure’s structure, interpretability, and discriminant capacity. This is an important finding that shows that new technologies guaranteeing accessibility and quality of care.
Dr Aya Haikal
Technical Office Manager for the Hospital Director, Saudi German Hospital, Egypt
It was noticed that SGHC suffering from a challenging situation in the discharge process and it was affecting the patient experience and occupancy rate (Discharge Duration:2:45, Patient Satisfaction:74%, Beds Turn Over Rate:5).
After deep analysis, the improvement project team agreed that harnessing technology will effectively save time and guarantee accuracy.
New discharge module was injected by developing IT system including the overall discharge cycle; this provided an ease communication between all related stakeholders and facilitated the discharge process by sending alert to start the process (when assigned nurse receive the doctor order until the discharge officer printing the exit permission).
Dr Natalia Allué
Head of Clinical Documentation, Fundació Sanitària Mollet, Spain
During the development of the pandemic, research has focused on the care of patients with COVID, but it is relevant to analyze what has happened to the rest of the patients. Analyzing non-COVID mortality and whether the deaths had been potentially avoidable is relevant and interesting to analyze.
A growing trend was determined in the crude mortality rate of NON-COVID patients from 2019 to 2021. An unadjusted increase in mortality was detected in sepsis as well as in patients with terminal neoplasms. An increase in admissions of neoplastic patients in the process of end of life is identified.
Pharmacist, Hospital de la Santa Creu i Sant Pau, Spain
Due to COVID-19 lockdown, many patients could not attend to hospital pharmacy for medication supply. Consequently, since 2020/03 we have approached hospital medication to patient’s home through CPs or a logistic partner. Considering that our hospital pharmacy attends more than 8,000 patients, we prioritize this service to those with a complex socio-functional situation or who live far from the hospital.
Pharmacy technicians are the key managers in this process. Through a phone interview, they detect possible medication-related problems If any incident is detected, the technician refers the case to the pharmacist for further assessment and resolution.
Dr Mohammed Naveed
Consultant Geneticist, Fujairah Hospital, Emirates Health Services, United Arab Emirates
Electronic Medical records provide an effective mechanism for quality improvement. We developed a program that was designed utilizing digital health technology to improve the multidisciplinary care for children with Down Syndrome. It incorporates advanced technology utilization for an innovative solution to this complex care delivery model. The change was intended to enrich the clinical practice with the help of a linear patient record streamlined across multiple specialties while ensuring that these patients are tracked across multiple appointments and clinical modalities. This patented module is the first of its kind in this region, with an overall positive impact on the health
Radiologist, Keelung Hospital of the Ministry of Health and Welfare, Taiwan
In recent, the whole world is facing the threat of covid-19, In the past, the mostly teaching methods were oral presentation which were inefficient. Our hospital and Mackay Memorial Hospital signed an OSCE joint training program, this training plan was specially designed to match the actual situation of the epidemic and the assessment form, through the improvement and innovation of the radiographer examination training method to optimize performance. Ensuring that the examination can be completed with safely, quickly and correctly during the COVID-19 epidemic.
Ya Fang Wu
Leader, Dalin Tzu Chi Hospital, Taiwan
From the project, attendees can learn how to apply Lean Six Sigma thinking process and practices to improve the safety and satisfactions of both the infected patients and hospital staffs in the Covid units. Efficiency of the operations were significantly improved due to the improvements including streamlined and error proofed processes.
Dr Anna Gawronska
Expert in healthcare logistics, Lukasiewicz Research Network – Poznan Institute of Technology, Poland
Attendees will learn how to improve patient safety and eliminate paperwork in the field of pharmacotherapy. The University Clinical Centre of the Medical University of Warsaw wanted to transition from its manual, paper-based processes of ordering and administering medicines into automated ones, supported by barcode scanning. The goal of the project was to improve patient safety. The hospital implemented new processes supported by GS1 identification standards encoded in GS1 DataMatrix barcodes. Now medical orders can be automatically generated. As medications are administered to patients, barcodes are scanned to ensure the right patient takes the right medicine, at the right time.
Dr Joan Osoro
Chief Operations Officer, MP Shah Hospital, Kenya
1. Policy – Highly engaged patient-centric teams are leadership-driven. Thus, the need to ensure ongoing leadership training and coaching at various levels of management.
2. Practice – Internalized moral perspective enables the application of Donabedian model for co-creation and resilience. This increases psychological safety while maintaining accountability in the organization’s culture.
3. Research – Patient-related outcome measures are still incongruent to patient-related experience measures. Therefore, we need to have more research on interventions to bridge the divide.
Project Manager, La Unió, Spain
The project is the result of a participatory process with 45 entities in Catalonia, that have worked collaboratively to identify key elements to integrated care that are highly operative proposals to undergo action. Is a consensus on policy considerations required to overcome barriers to change and bring innovative integrated solutions to patients.
Khorfakkan Hospital, United Arab Emirates
Patients went on scheduled bedside visit by different discipline according to their guideline Dermatology, Psychiatric screen, Nutrition & Cardiology
in dermatology: Psoriasis 2
Fungal infection 1
Skin Wart 1
Skin tag 2
3 patients taken for phototherapy, 4 for early diagnosis for always late presented disease, one case re-diagnosed for wrong management by private GP
Mixed Anxiety 17%
Nutrition: all meals were revised and became on patient request
40% of patient medication were adjusted as patient were not following because of long waiting in outpatient area for the appointment
Dr David Marshall
Senior Vice President & Chief Nursing Executive, Cedars-Sinai, United States
Attendees will gain insights from an in-depth analysis of Vizient data and highlights from interviews with 272 U.S. nursing leaders:
• Consequences of pandemic-related disruptions on Nurse Sensitive Indicator performance
• Nurse executives’ perspective is given on hospital-acquired conditions during the pandemic
• Advice for future disruptions includes guarding against drift from proven prevention strategies
Dr Fahad Umer
Aga Khan University Hospital, Pakistan
The transparency of the process described in this paper can provide a guide for practitioners and administrators on how to improve, maintain and monitor the water quality in a dental setting furthermore our cost analysis revealed that utilizing distilled water as opposed to potable water was more cost-effective from a monitoring perspective.
Dr Vinod Arora
Head of Infection Control, Ibri Hospital, Ministry of Health, Oman
Multidrug resistant organisms (MDRO) outbreaks in NICU frequently result in serious challenges to treat, and significant morbidity and mortality including extended stay and increased cost.
Frequently precursor to these outbreaks, there are impending clues which are often missed due to lack of a pre-alert system. When these precursor events are fixed in time, then many of MDRO outbreaks can be prevented from happening.
Our paper illustrates the measures for the hospitals to develop a pre-alert criterion, alert system with clear processes and multi-modal infection control action plan to anticipate, curtail and control MDRO outbreaks.
Health Informatician, Hospital Authority, Hong Kong
With the advent of new digital technologies and prevalence of mobile phones, health care is no longer bounded by the walls within hospital and clinic. Sustainable health care means to keep our citizens healthy in community. In alignment with the strategic direction of the Hospital Authority, an app is build under the umbrella of HA Go app platform with aims to empower patient for manage own health in community; to provide educational material in user friendly format to foster better understand own health; and to dispatch clinical documents in a timely manner to enable patient better informed of clinical information.
Dr Latifa Alrustamani
Head of Monitoring and Evaluation section, Dubai Health Authority, United Arab Emirates
Advancements in surgical techniques have enabled physicians to provide more procedures in ambulatory surgical care settings. The significance of day surgery centers in providing support to the health system was highlighted during COVID-19. However, the risk of overutilization, cost, risks of complications and patient safety increase the need for strong regulation. The poster aims to provide an overview of the current regulation of day surgery centers in Dubai and quality monitoring for knowledge sharing with other regulators in the country and region, and further enhance the quality, regulation, and collaboration between regulators, healthcare providers, and experts in the field.
Project Manager, AHMC Healthcare, United States
Change management is a framework that allows organizations to recognize challenges, implement changes, and achieve goals successfully. AHMC utilized a seven-step change management strategy, depicted by the acronym “DYNAMIC”. These seven steps included: 1) Develop a new vision. 2) Yield action teams. 3) Necessitate crisis awareness. 4) Apply change management and COVID-19 strategies. 5) Manage with systems thinking. 6) Identify short term achievements. 7) Cultivate a quality-oriented culture. After implementing the strategy, it was found that it facilitated safe and quality patient care throughout each of AHMC’s hospitals.
Dr Mohammed Osman
Clinical pharmacist, Ministry of health – Royal hospital- National Heart Center, Oman
It has been realized by National Heart Center pharmacists that physicians prescribe Omeprazole nearly for 80% of patients and for long term more than three months for patients visit National Heart Center outpatient clinics. There was no clear indication by physicians for prescribing or long duration of omeprazole required.
Over prescribing of Omeprazole led to the following:
1. Increase interaction with specific cardiac medications e.g., Clopidogrel, Digoxin, warfarin.
2. Long duration of Omeprazole prescribing increase side effects to the patients.
3. Increase patient stock of Omeprazole.
4. Increase budget of omeprazole due to over request and ordering from medical supply.
Patricia Dominguez Tordera
Pharmacist, Fundació Sanitària Mollet, Spain
Implementation of semi-automated drug dispensing systems (SADS) replacing the unit dose cart technology has proven a major improvement in efficiency of the overall medication process, with positive impacts in quality and patient safety, time savings and economic efficiencies.
Engineer, Hospital Sant Joan de Déu Patricia Dominguez Tordera, Spain
In this work, we present the results, advances, challenges and future perspectives of the SJD 3D4H Unit, a multidisciplinary unit focused on complex surgical planning, the generation of tailored simulators for training and research in new biomaterials for improving pediatric care. This unit is MDR ready (the new regulation for Medical Device manufacturing in Europe) following a quality management system for the in-house productions.
Dr Manuela Machado
Medical Oncologist, Centro Hospitalar Entre Douro e Vouga, Portugal
The authors intend to present an ambitious project in which, in a pandemic era that changed lifestyles, health work methods, patient’s circuits and dynamics, facts which were used as an advantage in remodeling our Department as a whole. Although this pandemic brought us a lot of adversities and limitations it also gave us the opportunity and motivation to implement this project
Section Chief, National Hospital Organization Shinshu Ueda Medical Center, Japan
We have developed an original information system for bed management by harnessing digital technology. We have successfully optimized the performance of bed management with the new system to improve our medical care.
Challenging various things with having confidence in our skill without using money leads to realization of sustainability of medical care and business improvement. Furthermore, such challenge is helpful for development of human resource and enhancement of employee’s motivation.
These are essential for a hospital to undertake a role of leadership in healthcare. This study suggests that our challenge encourages other hospitals and increases their creativity.
Dr Halima AL-Hashmi
Senior Consultant Pediatric Cardiology, National Heart Centre-Royal hospital-Muscat, Oman
Improving delivery of care in OPD setting by reducing waiting time through reorganizing patients flow and filtering the cases which need procedures or tests e.g. ECG, sedation or other investigations prior to OPD attendance .Use of VSM as a lean tool to identify & eliminates unnecessary steps during clinic time. Identifying the bottle neck problem and then try to find solutions including filtering the cases , organizing the triage system, strict adherence to registration time slot policy.
Dr Mar Gomis-Pastor
Director of the Digital Health Unit and Transplant Clinical Pharmacist, Hospital de la Santa Creu i Sant Pau, Spain
During 2021-2022, the Institution has been working on the implementation, scalability and generalizability of integral eHealth programs in ambulatory care clinical practice. These projects were designed on an interdisciplinary basis with the aim of implementing comprehensive clinical management in complex populations.
To this end, the protocolization of the eHealth ecosystem and alignment with the Strategic Plan of the Hospital was conducted. We also evaluated the growth expectations and objectives of the Hospital Managers.
Dr Ahmed Abo Elghar
Senior Organizational Development Specialist, Saudi German Hospital Cairo, Egypt
“Saudi German Hospital – Departmental Manual” aims to serve the workforce in case of any expansion, managing the processes remotely, and lack of direct communications.
Departmental Manual is a knowledge and experience sharing tool to maintain the same level of professional service in a standardized practices.
SGH wanted to ensure the quality of our service and that no single detail is left out. Also, there was a kind of lack of communication due to panic, sick leaves, and even after the lockdown period, many people (including health care practitioners) suffered from Post-Traumatic Stress Disorder (PTSD).
Founder and CEO, Mersal Foundation, Egypt
The poster is showing how Mersal Foundation as an example of NGO supported the healthcare workforce (HCWs) during its latest campaign.
Dr Vasco Miranda
Telehealth Promotor, Centro Hospitalar Universitario do Porto, Portugal
The COVID-19 pandemic response in Portugal significantly accelerated the timeline for digital health transformation and adoption in our country. This describes the roadmap used to develop and integrate e-health and wide-ranging telehealth initiatives, as well as the results obtained in our Tertiary Hospital Center.
Dr Khulood Alsayegh
Head of Clinical Standards and Guidelines, Dubai Health Authority, United Arab Emirates
Telehealth is one method currently used to improve access to healthcare services in the Emirate of Dubai. During the Covid-19 pandemic, Telehealth has been valuable in reducing transmission of Covid-19 and enabling access to specialist services and also served a key role in assuring business continuity among healthcare organizations. DHA has taken forward a number of initiatives to support telehealth services in the emirate of Dubai, namely; development of telehealth standards and guidelines, development of key performance metrics. This poster reflects stakeholder perceptions on DHA standards for telehealth and provides a perspective on telehealth performance across the Dubai health sector.
Dr Bonnie Wei Man Siu
Chief of Service and Consultant, Department of Forensic Psychiatry, Hospital Authority, Castle Peak Hospital, Hong Kong
In Hong Kong, the Forensic Psychiatric Department of Castle Peak Hospital of the Hospital Authority provides territory-wide outreach psychiatric services to persons in custody (PICs) of the Correctional Services Department.
Accelerated by COVID-19 pandemic, psychiatric teleconsultations with portable video-conferencing devices have been provided by psychiatrists of Castle Peak Hospital to PICs incarcerated in Correctional Institutions. Ratings of the General Health Questionnaire and the satisfaction survey reveal psychiatric teleconsultation as a sustainable, safe, and less costly alternative to face-to-face consultation for PICs in Hong Kong.
Information technology director, Image Diagnostic Institute, Spain
The advantages and disadvantages of different teleworking models developed and tested during the COVID19 pandemics. The Image Diagnostic Institute is a complex, geographically spread institution, which needed a quick implementation of a teleworking model assuring a high transfer rate to process medical image records, high image resolution to make precise diagnosis, the access to different applications involved in the medical digital imaging workflow, and the security access.
Victoria Molinillo Ponce
Sant Joan de Deu Hospital Barcelona, Spain
The hematopoietic stem cell transplantation unit (HSCT) receives children aged between 0-18 years who are usually admitted to isolation chambers for at least 2 to 3 months, on average. The care team has spontaneously created a huge number of interventions based on handmade work for patients and families in order to humanize the usual care giving, reduce anxiety and make them active participants in their process.
The concept of the “The Day After Surprise”, refers to small gifts that the care team creates during the night, in relation to any significant event that has happened to the patient.
Dr Catarina Aguiar Branco
Medical Doctor Head of Physical and Rehabilitation Medicine Service, Centro Hospitalar Entre Douro e Vouga, Portugal
COVID-19 Pandemic obliged to Continuum of Care Rehabilitation Reorganization (RCO), answering exponential clinical demands and improving patients’ functional results.
We present a randomized, controlled, clinical trial with 96 COVID-19 patients: intervention and control groups 1:1 ratio, at a Portuguese Hospital.
It shows RCO effects in Intensive Unit Care, Internal Medicine, Ambulatory pathways: human resources and clinical organization demands better relation, healthcare equity-effectiveness-efficiency, patients’ gains (value plus), after early, coordinated, multi-professional and multidisciplinary Rehabilitation (PRM doctors, nurses, physiotherapists, speech, occupational therapists), with presential and telerehabilitation person centered programs; and clinical trials relevance for rehabilitation research, practice and policy.
Chief Executive Officer, Yorkshire & Humber Academic Health Science Network, United Kingdom
The key findings will focus on the insights, drivers, and policy recommendations needed to ensure digital health technology can be a driver for equitable health and care across the UK and internationally.
The findings are of significant value to health systems around the world, alluding to a set of best practice which should be applied to all digital transformation projects in order to ensure equitable care, whilst also providing valuable guidance for projects specifically focussing upon tackling inequalities.
Dr Abdalla Mousa AlBlooshi
Medical Director, Emirates Health Services, United Arab Emirates
Availability of specialized diabetic clinics across UAE contribute to dramatic decrease in patient number in small community hospitals however these centers faced reduction of patient follow-up during pandemic only 6 % of patients got HBA1c in last year
Khorfakkan hospital is community hospital started one-stop-shop services that include Multidisciplinary approach that compliance increased and patient compliance to the appointment improved by 10 folds with early detection of cardiac disease, improved HBA1c by 68% detection of retinal and renal complication
Patient journey was designed to start with blood test then with in 4 hours including endocrinology, cardiology, Psychiatry, dietitian and ophthalmology
Pharmacist, Department of Pharmacy, Keelung Hospital of the Ministry of Health and Welfare, Taiwan
The COVID-19 epidemic continues to this day, affecting people’s daily lives and
impacting the healthcare sector. In order to understand whether the use of narcotic
controlled drugs in patients during the global pandemic of the century has changed
significantly with the change of medical care patterns during the epidemic, and to
provide reference for the management of controlled drugs.
Acting ward nurse, Royal hospital (National Heart Center ), Oman
The systematic problem -solving approach (A3) which was taken to reduce the transmission of covid -19 among health care provider has aid to sustain the result to ZERO outbreak even after crisis peak .
the covid 19 symptoms triage tool is an innovative assessment tool for inpatient setting and become an step prior completing patient admission process.
the A3 problem solving technique has aid to defined the problem root cause and set sustainable solution.
– number of corrective performance steps was taken to improve the implantation of covid 19 symptoms triage tool and patient compliance with covid 19 protective measures
Director of Care, Emergency Clinical Hospital for Children “Louis Turcanu” Timisoara, Romania
In order to increase the safety and quality of pediatric patient care, clinical risks are constantly identified. The results of the study show that the applied model brings a real benefit for the pediatric patient, while proving to be an effective working tool for nurses. Using TCD Scoring increases the quality of the care service. A dependency assessment model is a tool without which the correct appraisal of the necessary staff in the activity of our hospital has become impossible today.
Dr Amir Al Aamri
Cardiologist, National Heart Centre, Oman
Patients present to the National Heart Center (NHC) outpatient department (OPD) without an appointment for their monthly re-prescriptions as their medications are not available at the local health centers. This created overcrowding in the waiting area, hence affecting patient flow. The WhatsApp mobile application has increased the efficiency of requesting and receiving medication re-prescriptions as well as eliminated OPD attendance which resulted in reduction of the waiting time by more than 50%. This finding encourages the advocacy of the utilization of the WhatsApp application for requesting the regular monthly re-prescription and it can be disseminated to other departments and institutes.
Nurse, Buddhist Dalin Tzu Chi Hospital, Taiwan
The project team used diversified and informative health care education tools to have improved patient safety, effectively reduced the use of personnel and material resources, improved patients’ self-care capability at home, reduced the occurrence of complications, and improved the quality of the treatment.
Dr Ayesha Almheiri
Specialist Registrar Family Medicine, Dubai Health Authority, United Arab Emirates
The COVID-19 pandemic crisis has driven the need to change the healthcare system. The steps taken in having an alternative hospital delivery method were tremendous and concluded that assessment and management at primary care clinics were reasonable for patients with mild to moderate illness. Subsequently, it helped lower the unnecessary visits to the emergency care unit and reduce hospital resource utilization. Moreover, it qualified the primary care clinics to be the first contact accessibility for patients with SARS-CoV-2 infection. Furthermore, it will sharpen the healthcare system readiness plan to stand up against new global crises.
Senior Administrator, Dubai Health Authority, United Arab Emirates
In the UAE, telehealth services have become increasingly popular, but little information is available about the characteristics and community use of telemedicine. The pandemic has accelerated the application of telehealth and became a new norm for health service provision in the emirate of Dubai. Policy makers, healthcare professionals, researchers, patients and other stakeholders in the healthcare industry will learn from Dubai Health Authority the government entity that overseas healthcare services in the emirate of Dubai how it continued to provide healthcare services during the pandemic.
THE PEOPLE AGENDA
Ana Tito Lívio Santos
Project manager, Portuguese Association of Hospital Development
LinkedIn l Twitter
This project underlines the importance of patient safety culture and presents the national results of safety culture assessments between 2014 and 2020, using the Portuguese adapted version of the Hospital Survey on Patient Safety Culture, developed by the AHRQ.
The results of this study show that a systematic national safety culture assessment is a key factor to improve patient safety culture in hospitals. However, much work is yet to be done in Portugal and some actions are already initiated to implement strategies that may contribute to promote higher response rates.
Dr Amer Albawab
Senior specialist registrar, Dubai Health Authority, United Arab Emirates
The presentation will demonstrate Unique Hatta hospital approach to minimize Covid-19 mortality rate by early detection of high risk patients, effectively monitor them at home for early deterioration, and applying therapeutic intervention as soon as possible when needed
This approach helped reduce the mortality rate of Covid-19 to less than 0.13% which is 5 times less than the national rate.
Pharmacist Taichung Veterans General Hospital, Taiwan
Adverse drug reaction alerts are used when prescribing drugs, however, contrast agents associated adverse reactions cannot be alerted due to no drug prescription when ordering a computed tomography (CT) examination. We implement a warning system, which can provide real time screening while ordering CT examination in outpatient department. A warning message will be presented when physicians ordering CT examination for patient who had record of moderate or severe adverse reaction to a contrast agent. We provide warning system through information integration combined with examination orders and drug adverse reaction histories. Person-centered innovative alert system save lives and medical resources.
Dr Zaher Al Salmi
Consultant Pharmacists, Royal Hospital Oman
Main structure elements and functionality of Electronic Antimicrobial Stewardship Tracking Tool (EASTT) developed at the Royal Hospital (MOH, Oman) will be demonstrated. Purpose for developing EASTT includes appropriate documentation of ASP team recommendations and monitoring for compliance. Innovative electronic forms will provide data to measure antibiotic consumption by calculating aggregated ratios on their use with the aim of enabling comparative evaluations (DDD/DOT).
Benefits of EASTT include: Time optimization, provide consumption data that is easily retrievable for improvement of patient care and research, feedback to the prescribers at regular intervals to enhance quality of care provided.
Dr Brigita Seguis
Senior Researcher Manager, Cambridge University , United Kingdom
This paper focuses on how clinical communication skills are assessed alongside English proficiency in a test for internationally-qualified healthcare professionals.
Deputy Head Nurse, Clinical Education Department,
Henry Dunant Hospital Center, Greece
Achieving JCI accreditation is a highly demanding process, as it represents a symbol of safety and high quality in healthcare delivery. The need for targeted training and strengthening of the knowledge and morale of the Nursing staff led to the creation of the “ATHENA” advisory team. The team consisted of 25 highly trained Registered Nurses with comprehensive vocational training and qualifications, which through a two-way interactive process of knowledge exchange functioned as a tool for improving the knowledge level and compliance with the JCI standards
Performance Improvement Specialist, Saudi German Hospital Madinah, Saudi Arabia
Caring is of equal or greater importance to many patients. Rapport and trust must be developed rapidly.
Initially, the patients judge the staff and their experiences not by the level of care but by the level of caring.
The responsibilities of ED providers are to take care of the patients’ needs, both physical and emotional. Caring goes beyond providing a high standard of care.
Most patients prefer a warm, friendly, and concerned healthcare provider who delivers “acceptable” care to an unfriendly and distant provider practicing on the cutting edge.
Our project focused on caring rather than the medical care itself.
Advisor to the HOPE/IHF Office Portugal, Portuguese Association of Hospital Development
This COVID-19 pandemic has forced healthcare providers and the workforce to adapt rapidly and has created the opportunity to improve several areas in the care delivery model, which occurred mainly in the area of information technology systems, allowing professionals to reinvent themselves and adopt new forms of management, organisation and patient-centred care practices, and reorganisation of circuits.
The study’s findings identified Patient Safety as a critical factor for healthcare quality.
Health policymakers who have an active role through oversight and regulation, of the medical tourism market. Healthcare professionals and researchers who are interested to know more about medical travel and specifically oncology patients to look at the gaps that can be covered through future research. Other stakeholders such as healthcare providers who provide services to medical travelers and oncology patients, buyers and insurance companies who make decisions or influence the decision being made by patients. Facilitators who assist patients and their families identifying destinations of treatment and select healthcare providers in the treatment destinations and help in making arrangements.
Jerick de Joya
Occupational Safety & Health Officer, Makati Medical Center, Philippines
The Chemical Work Environment Measurement (WEM) is an activity wherein an indoor air quality testing is done in the workplace. It is performed to check the levels of common indoor air contaminants’ conformance to applicable Occupational Exposure Limits (OEL). Makati Medical Center (MMC) ensures the well-being of its workers by assessing the health, safety, and comfort levels within the workplace.
Dr Ahmad Khairi Zazali
Medical Officer / Hospital Administrator,
Hospital Putrajaya, Malaysia
This paper focussed in evaluating the level of resilience, as well as factors affecting level of resilience among clinical hospital personnel in two healthcare institutions in Putrajaya, Malaysia. In the 25-items of resilience level evaluation, the belief of God or fate was ranked highest in resilience importance level while (1) taking charge in problem-solving, (2) making hard or undesirable decisions, and (3) overcoming challenges arising from COVID-19 management ranked lowest in resilience importance level among the clinical health personnel. Factors that influenced the level of resilience were age, workplace, working experience, department, and knowledge and preparedness towards the COVID-19 pandemic.
250 international studies have shown violence against healthcare workers as an international emergency. It is estimated that 80% of all workplace violence takes place in the Healthcare industry. Among emergency doctors, 47% reported having been physically assaulted on the job, compared to 70% of emergency nurses. Underreporting is a big issue as violence has been normalized. All of that is changing now with violence against healthcare workers becoming a felony in many states and more awareness is . Learn how a Smart Badge Reel is being used to de-escalate physical violence and provide peace of mind to frontline workers.
Mudhar Al Adawi
Nurse researcher, MOH Royal Hospital, Oman
This program was initiated to enhance the nurse competence and skills in research activities. The program started in 2021 with ten nurses through a call for research mentors at Royal hospital. Then the candidates went through the program process such as writing a research proposal, participation in research data collection as a researcher or research assistant, hands on practice on data analysis, manuscript writing and research presentation. Moreover,candidates were required to implement evidence based practice through journal clubs. In 2022 , seventeen more nurses joined the program.
Dr Piotr Szynkiewicz
President, Collegium Prometricum The Business School for Healthcare, Poland
Hospital management involves not only coordinating the work of highly specialized teams, but also caring for the development of their respective competences. Digital competences of hospital staff significantly affect the ability to use the opportunities offered by digitization [Topol, 2019]. The implementation of integrated care [Goodwin, 2016] and many other organizational innovations depends on the level of digital competences. The efficiency of using digital means of communication turned out to be particularly important during the pandemic (Clement et al., 2021). Both the EU and the governments of the USA and Japan show concern for the development of digital competences.
Assistant Director of Nursing, Al Amal Psychiatric Hospital, United Arab Emirates
as we are in mental health facility, patients fall is more frequents yet fall risk assessment tools specific to psychiatry are rare, & under research. The WSFRAT is one of such instruments used for fall risk assessment in psychiatry and its including nurses’ clinical judgement in the evaluation. This study evaluated the psychometric properties according to a large number of observations at a specialized mental health hospital.
Rasha Al Balushi
Nurse supervisor, Royal Hospital, Oman
Improving nurses skills and knowledge is essential. Indeed managers and leaders within the health organization have to identify different various method to enhance nurses skills. One of the main methods that can be utilized with the health organization is the Job Rotation methods. An effective policy require to be written and practiced within the health organization.
Dr Noha Elklatawy
Healthcare Excellence Supervisor, King khalid Alkharj hospital , Saudi Arabia
With collaboration of Governmental ,Public ,Private Sectors & many voluntary efforts , Al-Yamama Vaccination Center in Alkharj was created showing wonderful model of commitment for social responsibility & national affiliation. The center started to present COVID vaccination service by end of February 2021. Our initiative is relevant to sub theme 2 ,People agenda as it is a success story showing how to overcome shortage of resources through community engagement ,patient flow challenges through digital solution & work overload through raising team morals
Dr Ana Fonseca
Graduad Assistint Pulmonolagy, Portuguese Oncology Institut
We believe that is possible to reduce delays in all stages of lung cancer diagnosis with straight and stronger cooperation with primary care and a better teamwork of lung cancer multidisciplinary team and commitment of hospital administration. Our lung cancer multidisciplinary team have clinical guidelines concerning to maximum response time for all diagnose and staging procedures, according national and local policy. Currently, national guidelines are insufficient. Looking for better solutions, we joined The Greenway for Lung Cancer Project.
Paula Cañal Vega
Project Manager, Hospital Sant Joan de Déu Barcelona, Spain
The Health Education team’s main objective is to reinforce the health literacy strategy, filling information gaps with contents that reinforces the explanations of healthcare professionals, through new interactive formats and digital channels. Together with the Patient Experience Area, this strategy aims to identify and respond to the real needs of women with reliable and comprehensive materials. As a result, women receive accurate information in the adequate stage of their pregnancies. The team carried out an analysis of the pregnant woman’s journey applying design-thinking techniques, with an active participation of the actors involved in the journey, also families and healthcare professionals.
Training and Development Specialist, Emirates Health Services, United Arab Emirates
Simulation is an integral tool in the development of psychomotor and team skills in healthcare. Today, many healthcare systems conduct simulation training to ensure compliance with regulatory and accreditation needs. Such training mainly consists of Basic, Advanced, and Pediatric life support courses.
The evolution of Simulation Based Education (SBE) in Emirates Health Services (EHS; previously a part of MOHAP, Ministry of Health & Prevention). From humble starts with life support courses to a fully-fledged SBE program. It also discusses lessons learnt, successes, pitfalls, and future plans at the EHS
Dr Vidya Bhargavan
NT Specialist and Head of Quality and Patient Safety,
Aster DM Healthcare, Oman
The healthcare workforce has been fraught with multiple long standing challenges to cope with which have been further accelerated by the pandemic.The challenges include shortage of talented workforce with increased migration, difficult recruitment and employee retention policies,burnout and poor mental health among caregivers. In this era of heightened patient demands and quality care, a unified, centralized licensing exam with consolidated and universal data verification for the healthcare workers across the GCC is certainly the need of the hour.This will ensure the availability of a diversified and talented workforce .
Unit Nurse of Maternity, Royal Hospital, Oman
we have noticed couple of years that Omani General Nurses are not applying for midwifery program and totally hesitant and we need to investigate to know more the reasons behind that . so we want to study how we can motivate them and what are their reasons of not applying as we required more Omani midwives working in labour room and what the the demotivation.
what are the consequences of shortage of midwives in Maternal and child health. how can we get more application and what are their recommendation
Carme Coma Alventosa
Pediatric Nurse, Hospital Materno infantil Sant Joan de Deu, Spain
The pandemic has globally affected the entire society , but what has happened to pediatric cancer patients?
This poster reviews the guidelines and protocols and their impact on patients and families, and collects the results of various studies carried out on this population and its impact related to COVID19.
The objective of this paper is to reveal how covid-19 has affected this children from the Spanish state level, through the reorganization that has been carried out in Catalonia as well as the management of clinical protocols at the SJD Hospital.
Chief Pharmacist, Department of Pharmacy, Keelung Hospital, Ministry of Health and Welfare, Taiwan
Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is an emerging contagious pathogen that has caused community and nosocomial infections in many countries.
In the COVID-19 pandemic in Taiwan, notified as TB cases were substantially lower than in 2018.TCDC of the Ministry of Health and Welfare should continue to address public concern about exposure to COVID-19 through adherence to CDC infection control recommendations
Content related to TB has also been included in WHO guidance on maintaining essential health services and the role of community-based care during the COVID-19 pandemic.
Dr Heba Mohamed Ahmed Hassan
Patient Experience Specialist, Saudi German Hospital Cairo, Egypt
Through this poster, healthcare providers will have an overview on how to improve patient experience and achieve high quality of care that affords our customers with the best possible quality of life through adopting person centered care framework and also how to enhance the relationship between customer and healthcare team. Person-centered care framework helping in ensuring that health care professionals always treating customers with dignity, compassion and respect. Also ensure working collaboratively with customers through supports people to develop the knowledge, skills and confidence they need to more effectively manage and make informed decisions about their own health care.
Clinical Nurse Educator, Tawam Hospital, United Arab Emirates
Bed rest is common practice in ICUs worldwide, especially for mechanically ventilated patients. The combination of critical illness and bed rest results in substantial muscle wasting during an ICU stay. When initiated shortly after the start of mechanical ventilation, mobilization and rehabilitation can play an important role in decreasing the duration of mechanical ventilation and hospital stay and improving patients’ return to functional independence. Based on a 3 months’ audit, the multidisciplinary program was implemented to reduce average Length of stay in ICU by reducing ventilator days and early physio reference to all admissions in ICU by intensivist.
Dr Jaume Duran i Navarro
CEO, Fundació Sanitària Mollet, Spain
Taking care of people has always been in the DNA of the Fundació Sanitària Mollet (FSM), from the beginning of the FSM and for the last 10 years, there has always been a main purpose that has been reflected in all strategic plans and that is “Improving the lives of our people.”
The need to care for those who care for others was determined, understanding it in its broadest meaning, including not only professionals, but also the community through education and information.
For this reason, the FSM has carried out for years the implementation of a health promotion management system.
Nurse, Hemodialysis center, Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan
CKD patients with renal function decline,exercise tolerance decreases,the MOS 36-Item Short-Form Health Survey(SF-36)assessment of the status,the mean score of vitality and health is the lowest. Hold health education and physical rehabilitation to develop regular exercise.It was found that both scores were improved.Most of the patients lacked physical fitness due to lack of exercise. Physical activity was integrated into disease prevention and disease improvement.It is hoped that more medical staff will provide exercise consultation and exercise plans in the future to help patients develop exercise. Habits require long-term support and encouragement,and more importantly,the attention and cooperation of the entire medical team.
Abdelhameed Mahros Abdelhameed Elshenawey
Nursing Education Section Head, Saudi German Hospital Cairo, Egypt
PCC is a model of care that respects the patient’s experience, values, needs and preferences in the planning, co-ordination and delivery of care. Aim: to enhance the Nurse –Patient communication as an important key to improve patient experience & satisfaction. After reviewing the patient satisfaction survey related to the information and the communication about the daily care plan, after brainstorming SGHC nursing team conducted a TO-DO –LIST, using most updated evidence based researches to fulfill patients’ needs regarding care plan information as physician orders, planned procedures or investigations in a timely manner, which applied later to all of the inpatients
Nurse, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan
This project had improved the safety of the medical environment and optimized the quality of healthcare.
Medical Orderly, The National Heart Center, Oman
The Adult Cardiology Clinic, the appointment slots were not utilized properly by the doctors and medical records. It was found that the appointments of defaulter patients, patients discharged from the clinic and patients attending before their scheduled appointment slots were not removed from the system. This project aimed to cancel the entire unnecessary appointments. Using practical solving approach, rout cause was identified and action plan was set. The project has reflected a positive outcome by sparing 24 slots per month. A total of 288 unnecessary patients’ appointments were canceled.
Dr Kulaithem Mazrouei
Medical Director and Consultant, Dubai Health Authority, United Arab Emirates
Although covid-19 vaccines have been approved for emergency, people were hesitant to take them. Healthcare providers were among the group who were reluctant to take the vaccine. This study is designed to investigate healthcare workers’ knowledge, attitude, and practice towards the Covid-19 vaccine in DHA. It showed that there was widespread agreement on the significance of the vaccine in preventing the transmission of illness (91.6%) and on the vaccine’s value for the public and community (95.6%) among healthcare providers in DHA. Healthcare providers attitude and knowledge toward the vaccine have great influence on the community uptake and vaccination coverage.
At the beginning of the pandemic, Covid-19 knowledge including clinical management and mitigation strategy were very limited. At the same time hospital must deal with such crisis that burdened their resources. Due to the lack of experience and knowledge, the mitigation response seems to be ineffective and cause exhaustion to all staffs in the hospital. To improve the situation, Covid-19 Knowledge Management was developed. The aim of this project was to develop a model for Covid-19 knowledge management that can be used by hospital as a learning resource to mitigate Covid-19 pandemic and the similar event in the future.
Dr David Bandon
Head of Enterprise PMO, Geneva University Hospitals, Switzerland
We report our experience led at the University Hospitals of Geneva. Our objectives were to support caregivers’ wellbeing in times of crisis:
– Offering support and recognition measures to staff;
– Identifying high impact and quick solutions to be deployed.
We adopted 32 measures dealing with working conditions, psychological and well-being support or recognition.
We developed and coordinated the implementation of these measures through a “Solution Committee” within a broader crisis management organization. This committee adopted new ways of working such as collective brainstorming, accelerated decision-making process and responsiveness and continuous adaptability.
Senior Executive, Tan Tock Seng Hospital , Singapore
Hip fracture is a major public health concern in Singapore. In 2018, there were 4,477 persons aged above 50-years with hip fracture – this is expected to more than double by 2050. In an effort to provide person-centered care which is anchored within local communities, we have piloted the programme: Hip Fracture Bundle Plus Scheme, to improve patient accessibility to community rehabilitation. This programme strives to ensure community-based care which is customised to resident needs and preferences. Attendees can look forward to learning more about the operational challenges, patient behaviour insights and future plans for scaling to a national level.
Dr Nicole Grubling
Vice President Member Networks , Vizient, United States
This poster session will highlight case studies that leveraged national datasets to generate critical insights to inform practice change. In each case study, data was the foundational component to begin discussions around practice change with national healthcare leadership
Dr Charanjit Kaur
Consultant Cardiac Anaesthesia, National Heart Centre ,Royal Hospital ,Muscat, Oman
the Poster shows the importance of maintaining the optimal body temperature of the pediatric patients in the cold environment of the Hospital, the effect of general anaesthesia on temperature .The minor maneuvers which will help us achieve our Goals.
Ellen Van den Steen
Research Fellow, University Hospital Brussels/ UZ Brussel, Belgium
This poster describes the development of a novel Patient-reported experience measure (PREM) that allows to monitor the quality of care processes for patients with chronic inflammatory skin diseases. This PREM was development during the COVID pandemic using online tools. The interview and delphi process and the final 11+2 item questionnaire can serve as model for other chronic medical condiditions, e.g. in rheumatology or gastroenterology. A striking finding is the great importance of patient centricity and provision of information on the disease, diagnosis and treatment for affected individuals.
Dr James Pallivathukkal
Specialist Internal Medicine, Aster Hospital, Al Ghubra, Oman
COVID 9 was a real time experience for almost all in the whole world it didnt spare any country or any age group . Covid 19 taught us a lot of things about the different perspective of management of diseases, mind set , treatment strategies , crisis and people management .
Almost all of us have been better prepared or we are not ready to face such a crisis and the exact time is now to prepare and get ready for the next pandemic or crisis , so let us unlearn the events from covid and get prepared .
Deputy Head Nurse , Henry Dunant Hospital Center, Greece
The purpose of our poster is to demonstrate the importance of nursing training and education in JCI accreditation. It will present how the training of nurses in the standards of the JCI accreditation brings multiple benefits at the quality of patient care and safety.
Hamida Al Khatri
Specialised Nurse, NHC-OT, Oman
Serves as a guide to any staff who joins cardio-thoracic operating theatre and helped in developing awareness and visibility about Cardiac OT. Moreover, it Develops Awareness among New Staff (Nurses, Surgeons, Anesthetists and Perfusions) about Cardiac OT.
Midwife, Centro Hospitalar Entre Douro e Vouga, Portugal
The partnership between obstetrics and primary care services is essential for a quality maternal and neonatal care to reduce their co-morbidities and mortality. It was based on this premise that this project was designed and implemented. The project was designed based on pregnant women/couples needs and planned to ensure equitable access to everyone who requiring this specialized care. It also stems from the need to increased the birth rate, trust in the professionals, visibility and loyalty to the institution. It was based on 4 major levels: Optimization of human resources, Humanization of care, Health Literacy and Visibility of the Institution.
In our hospital, there is an ongoing project to offer a digital platform to the patients were follow they health care situation and communicate with health care providers. Patients demand receiving more comprehensive and understandable information and more involvement in several steps of their perioperative journey. We need well-informed patients at the center of the care process. In our opinion, on-line surveys are a good tool to connect with patients and give them a space to explain their opinions, feelings and experiences. In our population, patient experiences did not vary in 2019 compared to COVID-19 pandemic years.
Dr Emmanuel Barros
Executive Member of The Board, Portuguese Oncology Institute of Oporto, IPO Porto
Cancer diagnosis, the disease itself, and its treatments have associated physical, psychological, and social implications that lead to a significant reduction in patients’ quality of life (QoL).
Nowadays, cancer is seen as a chronic illness, a context in which PROs play an important role in patient-centered care. The possibility of knowing concerns felt by the patient through QoL survey allows for intervention in real time and, if necessary, refer the patient to the most suitable specialty.
Dr Konstantinos Petsios
Head of Clinical Research Office, Onassis Cardiac Surgery Center, Greece
The 3D4KARDIA project offers an innovative approach for an optimal pre-interventional personalized assessment in patients for the whole range and categories of congenital and acquired heart diseases. It enables cutting-edge clinical research, 3 Dimensional (3D) Digital Modeling, 3D printing and Virtual Reality Technologies. Resulting to improvements in clinical outcome, patients experience, clinicians performance and cost reduction.
Dr Sandra Silva
Doctor, Centro Hospitalar Entre Douro E Vouga, Portugal
Our project exists due to the strategic vision of a public hospital institution, not exclusively dedicated to the provision of perinatal care, but clearly assuming the promotion of breastfeeding as a responsibility. Clear objectives focused on social responsability, humanization and sustainability are adopted, including a logic of interdisciplanary and complementarity involving other healthcare institutions and local authorities within our geographical coverage area. Cohesive and result orientated intervention is required to achieve these objectives. At Centro Hospitalar de Entre Douro e Vouga (CHEDV), in Portugal, we established strategies to meet this challenge.
Director of External Affairs, Gillette Children’s Specialty Healthcare, United States
At Gillette Children’s Specialty Healthcare, many of our patients have a rare disease. We are experts in managing their care, but recognize the critical role that advocacy plays in patients’ lives. Advocacy from providers like Gillette can improve healthcare systems so that they are better equipped to manage these conditions, assure a resilient workforce is trained to care for these patients, and empower patients to advocate on their own behalf. These actions have been critical for improving inclusion and equitable healthcare and can serve as a model for other healthcare providers.
M Angels Buisan Garcia
Responsible for Data Management of the Surgical Area, Hospital Clinic de Barcelona, Spain
In the Surgical Area different health care personnel as surgeons, anesthesiologists, nurses, technicians, cleaning staff, janitors, and administratives among others, need to work together in a continuous interactive scenario. Effective communication between the different stakeholders and with management is often difficult. Our aim is to use a digital survey, including different topics related to availability, information, etc., in order to improve stakeholder’s participation in planning decisions and overall wellbeing.
Effective communication of success and incidents is no easy to achieve. Scheduled digital surveys can be useful for improving this setting, but a clear feedback is essential in order to progress.
Prof Jorge Ferreira
Director Pneumology Department, Centro Hospitalar de Entre Douro e Vouga, Portugal
The Intensive Smoking Cessation Programme (ISCP) consists of intensive support for smokers with a fixed length of 6 weeks, including a multi-professional approach of a behavioural and medical nature, based on a holistic vision. It is a structured programme which starts with a first appointment with a doctor and a nurse, followed by a weekly telephone consultation by the nurse for 6 weeks and appointments with a doctor at the 3th and the 6th week. The ISCP consists of pharmacological and non-pharmacological approach. The aim is to reduce the number of smokers in our community.
Dr Ibrahim Ellakany
Saudi German Hospital Cairo, Egypt
Since the ambulatory care services are very complex and involve many processes and sub processes which make providing an excellent patient experience with a good quality of care is a challenge in front of many organizations. So, this poster could support those facilities with insights of improving the patient experience in outpatient clinics with achieving effective outcomes including increasing the patient satisfaction and decreasing the waiting time and patient’s complaints through the utilization of quality improvement tools for improving the whole journey of the patients. Such project could fit any organization ranging from small polyclinics and up to mutlispecialized hospitals.
Pharmacist, Department of Pharmacy, Keelung Hospital of the Ministry of Health and Welfare, Taiwan
As the virus gradually becomes flu-like, people’s medical habits have also changed, and the rate of decrease in the number of hospital patients has gradually eased. At this stage, the hospital can move the inpatient medical staff to the emergency department and gradually restore the outpatient staff. In the future, if there is a major outbreak of the epidemic, the reduction of inpatient manpower can also be prioritized to achieve the purpose of reducing expenditure and reserve manpower.
Hospital Superintendent, Keelung Hospital of the Ministry of Health and Welfare, Taiwan
At the time of the outbreak, the number of outpatients was 81.48% of the usual number, and the number of hospitalized patients was 92.59%. The number of emergency department patients remained relatively unchanged, and the total number of patients in the next month after the outbreak could quickly recover to 97.33%. IF the hospital usually relies on outpatient clinics as its main income, it can immediately reduce manpower allocation to reduce expenditure, and prepare more emergency reserves in peacetime. As long as the peak period of the outbreak is overcome, the number of patients and finances can quickly recover.
Dr Mayssam Nehme
Physician, Geneva University Hospitals, Switzerland
Healthcare workers have been among the most exposed to SARS-CoV-2 infection as well as the deleterious toll of the pandemic.
This presentation evaluates the pandemic toll and direct post-acute sequelae of SARS-CoV-2 in healthcare workers compared to the general population following a study conducted at the Geneva University Hospitals in Switzerland with 3,083 healthcare workers and 3,556 participants from the general population.
Healthcare workers suffered from fatigue (25.5%), headache (10.0%), difficulty concentrating (7.9%), exhaustion/burnout (7.1%), insomnia (6.2%), myalgia (6.7%) and arthralgia (6.3%). Regardless of SARS-CoV-2 infection, healthcare workers had more symptoms with significant functional impairment compared to the general population.
Prof Margarida Eiras
Professor, APDH, Portugal
The study aim was to verify the prevalence of AE’s in a medical department and identify and characterize by degree of severity the most common harm through the use of the Portuguese version of the Global Trigger Tool. This tool allowed us to identify more than 11 times the number of adverse events that the voluntary incident and adverse event reporting system did. It is concluded that the GTT-PT is an efficient systemic instrument for detection of AE’s, which can provide data in real time to assess implemented measures for patient safety improvement.
Deputy Director of Public Procurement, Madrid Regional Health Service, Spain
Faced with the need to respond to the Covid-19 pandemic, the Deputy Directorate General for Public Procurement (SGC) had to develop new working methods to respond quickly and effectively to health needs.
Through leadership that interprets the environment, proposes a vision and communicates it so that it is accepted, shared and pursued by the staff, routine administrative activity based on the processing of procurement files is transformed into a dynamic and proactive management activity.
This pandemic-driven management has resulted in a successful outcome with new tasks and ways of working that are still in place today.
Senior Administrative Officer, Dubai Health Authority, United Arab Emirates
Understand the importance of finding Gap in the medical education and the importance of rectifying the Gap. How this will support in efficient patient care in order to build up healthier and happier community.
Executive Director of Learning and Innovation,
Saudi Commission for Health Specialties, Saudi Arabia
Several strategic goals outlined by the Saudi 2030 vision focus on empowering women, increasing their participation in the workforce, and transforming healthcare. The research aim was to conduct a national cross-sectional online survey to explore Saudi women’s health practitioners’ experiences across different healthcare work environments in leadership positions. The study examined their experiences and perceptions on career development within the country’s healthcare context. A total of 121 Saudi women consultants from different governmental and private health or academic sectors participated in the survey.
Prof Teresa Magalhaes
Professor, APAH & Nova National School of Public Health, Portugal
According to the developments taking place, the Portuguese Association of Hospital Administrators developed and published a book collecting contributions from several experts. We conducted a text analysis of the key concepts most mentioned by them. This work tries to explore the words used to discuss DTH and it may tell us about the trend concepts being used.
We have grouped written contributions into 6 categories. The final analysis considered the number of times a given concept was referenced in each of the categories, its frequency of use in the given category and in the overall contributions.
Patient Partner Program Manager, Geneva University Hospitals, Switzerland
We invite you to discover how over the last few years the Patients as Partners Program has furthered the growth of HUG’s institutional culture of partnership between patients, caregivers, professionals, and the public. Starting as a project, this has now become a program that continues to promote partnership not only in healthcare but also in quality-of-care improvement, teaching and clinical research. You will learn how this was done and see the results collected over the years.
Head of Sustainability, Geneva University Hospitals, Switzerland
The HUG initiated multiple sustainable actions over the last decades. Significant milestones have been crossed especially concerning renewable electricity usage, sustainable catering and eco-mobility.
Aiming to strengthen its efforts and aggregate its actions, the HUG built up a Sustainability Strategy, elaborated in a collaborative and participative way.
The hospital set up multiple workshops and a public digital platform to co-create and define the objectives and actions of the strategy as well as engage all its stakeholders. Three strategic priorities materialize the hospital’s ambition for 2030 and a plan for 2025, with 83 actions, is the first step in this commitment
Miguel Ángel Martínez Sánchez
Director of Environment, Fundació Sanitària Mollet, Spain
Hospitals can carry out a multitude of actions to mitigate the environmental impact of their activities, but normally these actions are mostly focused on actions in the structure of the building or its facilities.
In our strategic plan we are committed to climate action, the 2030 agenda. To protect the environment, Fundació Sanitària Mollet has adhered to the commitments of the 1st Catalan Climate Action Summit, whose main objective is to reach zero emissions.
To achieve this challenge, it is necessary to carry out a detailed analysis by processes and listen to the voice of professionals.
Director of King Khalid Alkharj Hospital, Saudi Arabia
We had to adapt with the squeals of COVID-19 pandemic and recover with NEW Normal strategy so, we started our recovery throughout Hospital Incident Command Center to grantee governance of all recovery innovative approaches.
Dr Lia Partakusuma
Hospital Building Consultant, Former Director of Planning, Organization & General Affair, National Cardiovascular Center Harapan Kita, Indonesia
A green hospital, in addition to providing comfort, also addresses patient safety concerns and speeds up patient healing. Our project uses Edge green certification as a guideline to help focus on and achieve goals like energy efficiency, water conservation, and less embodied energy in materials, lowering hospital operating costs while also having a positive environmental impact. We received a preliminary Edge certification with the following accomplishments: 44% energy savings, 30% water savings, and 74% embodied energy in materials. We hope to maintain or even improve on our achievements during the final assessment period.
Nurse, Buddhist Tzu Chi Medical Foundation Dalin Tzu Chi Hospital, Taiwan
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Elderly patients are often sees moving in and out of the various clinics at Dalin Tzu Chi Hospital. When elderly patients have to go to many different departments, this is not only disturbing but also physically exhausting for them.
The establishment of the senior integrated outpatient clinic is to reduce the need for elderly patients to travel to multiple clinical locations when seeking medical care. Overall, the design of the new space is not only convenient for the elderly patients to seek treatment, but also aid the cross-functional team cooperation in medical care.
Staff Nurse, Royal Hospital, Oman
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The attendees will learn the importance of waste management education to healthcare workers which reduces the hospital running costs and safety.
Assistant Chief Nursing Officer, Saudi German Hospital Cairo, Egypt
The use of a multidisciplinary team continues to be paramount in the care of the transplant recipient. Preparation of the setting and nursing staff was initiated during this project, nursing staff training & monitoring done to be effective team player at the multidisciplinary team which is affecting patients’ outcomes. Aim: provide optimum pediatric liver transplantation service with best patients’ outcomes which includes rejection and Mortality rate. Results: out of 59 cases, 8 patients had rejection with the percentage of 14% & 9 were adult (2 died and 7 are alive), 50 were pediatric patients (9 died and 41 are alive)
Dr Tamara Biedermann
Healthcare Service Manager, Fundació Aspace Catalunya, Spain
The COVID-19 forced institutions to accelerate their digital transformation due lockdowns restrictions.
Fundació Aspace Catalunya is an entity that provides public services related in 3 Dimensions (Healthcare, Social and Education) for patients with Cerebral Palsy (CP).
CP has comorbid factors, making staying at home a challenge, but we adapted our health services using new technologies and telemedicine to convert this into an opportunity.
Telemedicine allowed offering health services remotely and created a more accessible multidisciplinary intervention.
This hybrid model will remain an important part of our health model. We will continue to adapt our processes for synchronous and asynchronous communications.
Dr Ming-Nan Lin
Vice Superintendent, Buddhist Dalin Tzu Chi Hospital, Taiwan
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Climate change is one of the most important challenges the health sector has to face. Health care sector aims to help people with diseases or prevent people to contract diseases. However, the health care sector produces a lot of toxic waste and consumes a lot of energy which in turn will hurt the people we want to protect. Green hospital program to reduce the environmental impact is important. Plant-based diet not only beneficial to human health but also reduce the carbon footprint. We implement plant-based diet for our patients and staffs since the start of the hospital.
Chia Jung Chen
Director, Dalin Tzu Chi Hospital, Taiwan
Dalin Tzu Chi Hospital started to deploy Lean Six Sigma thinking process and practices to execute a number of projects with fruitful results. The Lean Sigma Healthcare Centre of the hospital later hosted several annual seminars and seasonal workshops in order to share their improvement efforts and outcomes as well as promote applications of the Lean Six Sigma methodologies with the global healthcare community.
The project team will continue to hold events in the spirit of energy saving, carbon reduction, less waste, and green energy through Lean Six Sigma thinking process and practices to realize operational efficiency and effectiveness.
Dr Fatima Ali Mazahir
Specialist Pediatrician, Al Jalila Children’s Specialty Hospital, United Arab Emirates
The significance of climate change and its impacts on children’s well-being is of paramount importance as the climate crisis has a direct and profound reflection on children’s rights. The vision of a Green Children’s Hospital is pillared on three interconnected pathways of Act, Collaborate and Amplify, to ensure sustainability in procurement, delivery, utilization and disposal of health care products and services via multi-level stakeholder engagement and aim to amplify the impacts by sharing the successful outcomes. Taking the first step towards ACT, we propose a change in clinical practices by adopting a 5R framework- Reduce, Reuse, Recycle, Redesign and Restructure.
Muna Al Shaqsi
Unit nurse of paediatric Critical Care Units, Royal Hospital, Oman
Noise can impact patients’ ability to rest, heal and recover. Noise linked to ICU psychosis, stress and pain. It affects health care workers in increasing stress and developing alarm fatigue. WHO recommendation noise levels in hospital environments should not exceed 35 dB at night and 40 dB during the day. However in local setting the noise was triple number of WHO recommendation. A quality improvement initiative to reduce noise in PICU is implementation of quiet time period. Noise was reduced to 45 db and sustained resulted in family satisfaction. Project standardized in hospital level to all inpatient wards and ICUs
Prof Luis Morais
Microbiologist Laboratory Pharmacist, CHMT, Portugal
Show the strong and weak points, opportunities, and threats of a centralization process in clinical pathology service (SPC) from three hospitals into a “Hospital Center of Médio Tejo”, in Portugal, based in continuous improvement quality sistems.
A policy of green sustainability, recycling uncontaminated material, was implemented in the SPCs. Additionally, the reduction of differentiated equipment and the acquisition of new and more efficient devices, led to a reduction in costs of maintenance, quality control, energy and water consumption, and water waste.
This organizational model of work leads to a better governance, focus in people, transparency, ethical values and social responsibility
Jamila Humaid Al Saidi
Cardiac Cath Lab HOD, The National Heart Center, Oman
Lean methodology implementation established at National heart center in 2017 and faced many challenges. A Lean Steering Committee was initiated in 2018. The committee established strategic plan with SMART objectives and clear roles and responsibilities. To sustain the implementation process: regular meeting were conducted to monitor the progression of objectives achievement, scheduled internal Gemba walk (Visiting the place where the work is done) in monthly basis, Lean projects presentation shared with all NHC staff in leadership round, Lean activities became part of the NHC semi- annually newsletter as well part of board and departmental meetings.
Prof Edda Weimann
Professor, Technical University Munich, Germany
Sustainability as an overarching topic is still not engrained – neither in the organisational culture nor in decision making processes and still plays a niche role. We propose a framework that puts sustainability at the center of decision-making. Based on various management tools we have developed the DHOW Model. It contains building blocks such as leadership, patient centeredness, team skills and the Balanced Score Card (BSC). The BSC comprises sustainability in decision-making processes. The DHOW model can be implemented in hospital settings worldwide. It provides an opportunity to put sustainability at the center of decision making.
Dr Adam Ovidiu
Manager, Emergency Clinical Hospital for Children “Louis Turcanu” Timisoara, Romania
The Emergency Clinical Hospital for children “Louis Țurcanu ” is the concrete proof that the tradition can be preserved because it coexisted for 120 years with the ultramodern prezent.
It honours us to show the whole world how historic buildings coexist and are kept almost intact alongside with the new buildings that are built to stand up for the future.
Principal Administrative Officer, Dubai Health Authority, United Arab Emirates
All healthcare workers in Dubai were fully dedicated in the fight against the Covid-19 pandemic. As a result, it was important to provide additional trainings to healthcare professionals to help equip them with the necessary skills to fight the pandemic. It was also necessary to provide the screening centers and later the vaccination centers with skilled staff to help in meeting the demands for these services.
The Medical Training Section provided the necessary trainings and certifications to volunteers wishing to participate in these services.
Ching Sen Chen
Section Chief, Superintendent Office, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan
The poster illustrates how we apply Six Sigma design method-IDOV & Lean design to a new Traditional Chinese Medicine Clinic and how the project not only improves the utilization efficiency of TCM outpatient clinics, but also allows patients to see the doctor, receive acupuncture treatment, make payment, and obtain medicine incessantly, one-stop service. The poster also demonstrates how the design project also reduced the patient wait times for the consultation, improved the space and service flow of the TCM pharmacy, and greatly enhanced the quality of hospital services.