Enough is enough

The June 2016 edition of Clinical Communique (a periodic report released by the Victorian Institute of Forensic Medicine) once again highlights the issues facing procedural healthcare.  The report highlights three recent coronial inquests into patients who succumbed to complications from central access devices, including a fatal myonecrosis, a pericardial tamponade and a carotid placement resulting in a stroke.  Multiple issues are highlighted in the insertion and subsequent management of these devices.

 

My problem with this is that we’ve heard it all before.  There is nothing new in these recommendations, yet the incidents keep happening.  And it’s far too simplistic to think of the clinical staff involved as “bad apples”.  Simple fact is, they are not.  They are hard working, intelligent, dedicated, diligent and well intentioned.  In fact, they’ll no doubt be completely traumatised by the experience.  So why does this keep happening?

 

Off the top of my head, let’s start with the following :
a) a lack of agreement on best approach (but there ARE existing guidelines)
b) failure to communicate guidelines effectively to those at the coalface
c) resistance by clinicians to embrace best available evidence
d) total lack of structured accreditation process for insertion of lines (and most other invasive procedures)
e) systemic failure to share learnings just like this on a wide enough scale

 

Surely its time our industry got its act together and did something meaningful to overcome these barriers.

 

If you’re interested, here’s the report

 

About the author

Dr Todd Fraser is an intensivist and retrieval physician, and the co-founder of the Osler Clinical Performance Platform, dedicated to improving certification and training in acute healthcare.

Development update

workforce 2 copyThe recent expansion of our Melbourne-based development team has allowed for significant progress in the past 6 months, culminating in the release of version 2.0 of our platform this month.

Version 2.0 includes important enhancements to key functionality such as procedure logging and the My Training section.

It also sees the release of our mobile enabled Assessments platform, enabling workplace based evaluation of clinical skills, procedural competence and equipment certification.  Structured assessments ensure that all staff are provided with objective and consistent feedback on their performance, improving skills and knowledge acquisition.

iStock_000039456550_Double

The Assessment framework supports many our purpose built training plans, such as :

  • Basic and Advance Life Support skills
  • Basic procedures
  • Certification in key equipment
  • Falls risk assessment and prevention

Assessments can also be custom built to suit local needs.

Combined with our mobile procedure supervision & evaluation, Osler Clinical Performance can enable vastly improved clinical governance and provide a real time solution to your credentialing & compliance requirements.

Osler Clinical Performance Version 2 is available for providers and institutions now.  If you’d like to trial Osler for 30 days, you can set up your own demo version AppExchange, or contact us at info@oslertechnology.com

Mobile Evaluations are Here

Mobile Evaluations – Osler Version 2

One of the features of Version 2 of Osler Clinical Performance that we are most excited about is mobile enabled assessments – an important component of a complete clinical governance system.

Evaluate your team and provide immediate feedback with evaluation for compliance and clinical areas such as:

  • Basic Life Support
  • Advanced Life Support (ALS)
  • Falls Prevention
  • Direct Observation of Procedural Skills (DOPS)

all from your handheld Android or iOS device!  Evaluate on the go so you can claim more of your precious time, and aren’t spending it filling out evaluations.

You can design Assessment Forms to support pass/fail, multiple choice and rating scales (level of mastery or competence) questions, and file uploads to incorporate evaluations into any Osler Learning training plans.

 

Combined with our mobile procedure supervision & evaluation,  Osler Clinical Performance can enable vastly improved clinical governance and provide a real time solution to your credentialing & compliance requirements.

Osler Clinical Performance Version 2 is available for providers and institutions now.  30 day trials can be accessed on the AppExchange.

 

Clinical governance assessment