EP188/#651 Combined nursing and medical quality improvement initiative to incorporate gynaecological oncology tumor board summaries into electronic health records at a tertiary cancer centre in Singapore

• Published in: International journal of gynecological cancer Vol. 32; no. Suppl 3; p. A124
• Main Authors: Wei, Na, Cheng, Shirley, Lin, Xiaohui, Aggarwal, Ieera
• Format: Journal Article
• Language: English
• Published: Oxford BMJ Publishing Group Ltd 04.12.2022; BMJ Publishing Group LTD
• Subjects: E-Posters; Electronic health records; Gynecology; Patients; Quality improvement; Singapore
• ISSN: 1048-891X; 1525-1438
• DOI: 10.1136/ijgc-2022-igcs.279

ObjectivesWeekly Tumor Board multidisciplinary meeting proceedings include gynaeoncologists, medical and radiation oncologists, palliative care physician, radiologists and pathologists and outline case summary, investigations, operative findings, staging and treatment recommendation. These summaries were previously filed in patients’ casenotes as a printout limiting a smooth workflow for patients that need cross institutional care for radiotherapy and chemotherapy at our sister institutions. Emailing and faxing the summary printouts was time consuming with a potential risk of compromising secure patient data. Hence, we initiated a quality improvement (QI) project to incorporate these summaries into electronic health records.MethodsThis was a single institution QI project conducted at a tertiary hospital in Singapore, aimed at incorporating TB summaries into electronic records. The current workflow, opportunities, stakeholders and their roles were identified. A root cause analysis was performed to identify barriers and a survey was conducted am0ong the tumour board members for further improvement suggestions.ResultsPlan-Do-Study-Act (PDSA) cycles were carried out after creating new workflow. Various options were explored to overcome limiting factors like different alignments in the gynaecological cancer database and electronic health records. To ensure continuity of care and facilitate communication, all patients with electronic copy of TB summary had an ink-stamp on their casenotes to indicate the date the case was discussed in tumour board.ConclusionsAvailability of these summaries electronically has brought more convenience and enhanced security to patient care. We achieved time saving of 1 hour per week, paper saving of 100 sheets per week, and high staff satisfaction.