Mobile App to support Improvements in Pressure Ulcers & Falls Prevention
- Winning idea
What is the challenge your project is going to address and how does it connect to the theme?
International evidence indicates there are a small number of high-impact patient safety risks which, if tackled effectively, can significantly improve safety & quality of healthcare. The HSE Patient Safety Strategy 2019-2024 identifies two of these priority areas as 1) reducing the rate of acquired pressure ulcers and 2) mitigating the risk of harm from falls.
To date, our National QPS Directorate has delivered initiatives such as improvement collaboratives to support HCPs; however, particularly due to COVID-19, HCPs do not have the time nor inclination to attend onsite events. We also need to extend our Directorate’s support to wider audiences while delivering value for money.
Mobile Apps are at the forefront of social digital innovation. 90% of Irish people have access to a smartphone and >80% of browsing time is through Apps. Apps are universally recognised as a convenient way to provide immediate access to information, which in turn can support better clinical decision-making & improved patient outcomes.
What does your project aim to achieve?
The project’s aim is to design, develop and deliver a low-complexity, accessible, engaging and easily navigable mobile app to support healthcare professionals undertaking Pressure Ulcers and/or Falls Prevention improvement projects in clinical settings (both hospital and community) across Ireland.
The proposed timeframe is 6 months from design to delivery of the app, followed by 12 months of piloting & enhancing the app in 8 agreed sites as a proof of concept. This project’s ultimate goal is to reduce the number of avoidable pressure ulcers and falls across participating pilot teams by 50% during the 12 month pilot.
This project has the potential to not only directly improve the safety of patients and service users in our care, but also to increase the capacity and capability of healthcare providers and contribute to the growing pool of knowledge on the use of digital technology & apps in healthcare in the UK and Ireland.
How will the project be delivered?
The project will deliver a mobile app to support HCPs to prevent Falls & PUs. Content will include e.g.:
- Interactive safety checklists & risk assessments
- Signposting to related initiatives e.g.“Get Up, Get Dressed, Get Moving” campaign and falls prevention exercise programmes
- Access to the QPS Improvement Toolkit
- Library of QPSTalktime Webinars and short videos e.g. “Making the most of your Safety Huddle”
- Communication aids e.g. posters & infographics for printing locally
- Links to online training e.g. Foundational QI training, Fundamentals of PU Care
- Networking opportunities e.g. link to Q Community SIGs
NB: majority of the content above exists or is in development.
An Oversight Group with a diverse mix of key stakeholders (including patients, staff and ICT) will ensure those with different expertise & perspectives work together to solve emergent problems and sustain engagement at different project stages. The Project Team has significant experience in Quality Improvement; project, risk and resource management; and evaluation.
How is your project going to share learning?
This project will be evaluated against 6 key elements of QI: efficiency, timeliness, effectiveness, safety, equity and patient-centredness. Quantitative & qualitative methodology will contribute to evaluation including app usage statistics, HCP questionnaires and focus groups.
The project will be presented as a QPSTalktime session and updates shared via Directorate twitter & website.
An academic paper will be authored for publication outlining the evolution of the project, from design of the app through pilot, to support shared learning across the UK & Ireland and to increase the knowledge base on using apps in healthcare improvement efforts. We will also design a poster for local and international conferences, including the International Forum on Quality & Safety in Healthcare.
If the app & pilot prove successful, we will sustain and spread improvements by sharing it across acute & community services on a phased basis. We will also put together a business case for HSE consideration for further app developments & enhancements.
How you can contribute
- Expert – Have you expertise in the development of mobile apps to support HCPs in improving the quality & safety of their services? Can you contribute to our understanding of the impact on workload and ‘work as done not work as imagined'?
- Critical Friend – What are the challenges we might face in developing and promoting this app to HCPs?
- Collaborator - do you have a digital platform that we can work with to deliver this app to HCPs in Ireland?
- Networker - any other Q projects or similar projects that you know of relating to this?
|20 Jun 2022||Complete PID, with particular reference to GDPR, security, information governance|
|27 Jun 2022||Establish Oversight Group, with TORs & regular meeting schedule|
|11 Jul 2022||Issue Request For Tender (RFT) for App content design partner|
|8 Aug 2022||Contract awarded to App content design partner|
|5 Sep 2022||1/2 day workshop with HCP reps & content designer|
|7 Sep 2022||Design of app wireframes, map app content & development|
|26 Sep 2022||App development & coding commences, working to agreed project schedule|
|10 Oct 2022||8 pilot sites recruited. Mix of hospital/community sites, geographic spread|
|9 Jan 2023||Test App with Oversight Group & HCPs|
|20 Feb 2023||Training on app for HCPs in pilot sites, where required|
|6 Mar 2023||Official App deployment (Alpha release) & commencement of 12 month pilot|
|6 Mar 2023||Ongoing maintenance and support of App|
|4 Sep 2023||Midpoint review, evaluation with questionnaires & focus groups|
|11 Sep 2023||Agree prioritised enhancements to app based on midpoint review / budget|
|25 Sep 2023||Communication to pilots advising on updates to app (Beta release)|
|1 Mar 2024||Completion of 12-month App Pilot in nominated sites|
|18 Mar 2024||Final evaluation of pilot undertaken, using qualitative & quantitative data|
|25 Mar 2024||Celebration Event & Workshop, share learning and experience|
|1 Apr 2024||Future proofing: final decisions on next steps for sustainability & spread|