Queensland paramedics are nevertheless obtaining to print out digital ambulance reports when transferring individuals to clinic, despite the arrival of the state’s one digital overall health record.
An audit into emergency division (ED) hold out instances [pdf], produced this 7 days, reveals that program integration with the supposedly integrated digital professional medical record (ieMR) is missing in hospitals.
“Despite the Queensland Ambulance Support (QAS) turning into component of Queensland Overall health from Oct 2013, there is a absence of program integration with ieMR modules in hospitals,” the report claimed.
“This boundaries Queensland Overall health from getting a lot more productive in strengthening effectiveness and determining root trigger concerns in the limited term.”
Paramedics at present use iPads to “record comprehensive remedy and transportation information and facts for each individual they attend” in an digital ambulance report form (eARF).
The eARF was introduced to swap the paper-based mostly ambulance report form when the ieMR was rolled out.
But the digital form is “not connected into the digital clinic program via the iEMR”, which means paramedics have to “print out digital ambulance reports types and deliver tricky copies to EDs.
“This is not an economical use but is a critical course of action for sharing information and facts,” the Queensland Audit Office environment claimed.
Worse nevertheless, in occasions exactly where ambulances are urgently dispatched to new careers, paramedics may well only hand over their paper types at the “next accessible opportunity”, which could be the up coming change.
Queensland Overall health claimed verbal conversation involving paramedics and ED employees for the duration of handover “partially mitigated” the threat that vital individual ailment and remedy information and facts is not handed on.
Integration suspended beneath 6-month IT job freeze
The audit reveals get the job done experienced been underway to “improve individual handover at EDs” via a program interface job that 1st commenced in February 2019.
But the job was place on maintain in March 2020 “to target on the Covud-19 organizing and response effort” and the freeze was ongoing beneath the government’s “six-month hold” on all non-important new IT works.
The 6-month freeze was a person of a selection of discounts actions introduced in response to the pandemic in July 2020 aimed at redirecting $three billion into the state’s coffers over 3 yrs.
Earlier this 12 months it was unveiled that tasks worth a blended $92 million were suspended throughout a selection of departments, however at the time it was not apparent if Queensland Overall health experienced paused any.
“When the job was place on maintain, Queensland Overall health experienced been trialling a pilot digital alternative named the Digital Ambulance Report Software at the Princess Alexandra Medical center,” the audit claimed.
“This alternative aims to enable the sharing of QAS individual knowledge with EDs, precisely the digital ambulance report form.
“The job was place on maintain as component of the Queensland government’s personal debt and discounts strategies. Since of this pause, Queensland Overall health has not compiled any findings from the demo.”
The audit has suggested that the program integration job be resumed to “boost genuine-time (instantaneous) sharing of QAS knowledge with EDs”, which Queensland Overall health has agreed to.
Queensland Overall health claimed this would enable “electronic transfer of the ‘electronic Ambulance Report Kind (eARF)’ knowledge to Queensland Overall health emergency departments” in the limited term.
But “further scoping work” is predicted to be essential to “integrate devices and deliver genuine-time knowledge sharing”.
The audit also observed QAS was not constantly getting rid of devices obtain from previous employees, with corporate network accounts for 28 of the 71 personnel who left in April 2019 not deactivated 6 months later on.
7 of these accounts were “accessed after the employees separation date”, however a subsequent overview by QAS observed none experienced accessed individual information.
QAS has given that initiated quarterly person obtain opinions and, following approval from the ICT administration committee in Oct 2020, has deactivated 300 inactive person accounts.