Eliminating paper handovers, using dashboards to make nursing care visible
Tracks
Track 2
Friday, July 25, 2025 |
12:00 PM - 12:20 PM |
Bradman Theatrette |
Overview
Presenter: Anthony Pham
Speaker
Mr Anthony Pham
Director Of Clinical Operations, Nursing & Midwifery Informatics, Monash Health
Monash Health
Eliminating paper handovers, using dashboards to make nursing care visible
12:00 PM - 12:20 PMAbstract
Introduction: Globally, nurses have been manually transcribing information onto paper handover sheets which takes up valuable clinical time and increases risk of missing critical information in the continuity of patient care. We have given our nurses their time back through elimination of paper handover and confidence in using a digital dashboard that automatically pulls handover information in a best practice organisational standard from areas already documented in during patient care. The standard was in ISBAR – Identify, Situation, Background, Assessment, Request.
Methods: The Nursing Informatics team worked hard in designing a Clinical Information System which compliments the nursing process, promoting the ability for our nurses to document in areas that are relevant and standardised for the care being provided. These documentation areas were mapped so they could be automatically extracted to the ISBAR dashboard. Policies and procedures were updated and Governance Groups were engaged to operationalise its use. Communication forums and physical rounding to wards were attended to socialise and embed into practice.
Implications: Leaders are able to drive its use as: the dashboard leverages the expected organisational ISBAR standard format for handover; structured comprehensive clinical handover reduces clinical risk. This ISBAR dashboard is available to all professions and allows technology to: replace the reliance on transcription of information onto paper; improve visibility of nursing care and real time specialty information across the multidisciplinary team. We are getting our nurses to work and think digitally, document in the designed areas to eliminate paper handover transcription and confidential handover sheets getting lost in lifts and car parks.
Methods: The Nursing Informatics team worked hard in designing a Clinical Information System which compliments the nursing process, promoting the ability for our nurses to document in areas that are relevant and standardised for the care being provided. These documentation areas were mapped so they could be automatically extracted to the ISBAR dashboard. Policies and procedures were updated and Governance Groups were engaged to operationalise its use. Communication forums and physical rounding to wards were attended to socialise and embed into practice.
Implications: Leaders are able to drive its use as: the dashboard leverages the expected organisational ISBAR standard format for handover; structured comprehensive clinical handover reduces clinical risk. This ISBAR dashboard is available to all professions and allows technology to: replace the reliance on transcription of information onto paper; improve visibility of nursing care and real time specialty information across the multidisciplinary team. We are getting our nurses to work and think digitally, document in the designed areas to eliminate paper handover transcription and confidential handover sheets getting lost in lifts and car parks.
Biography
Anthony Pham is the Director of Clinical Technical Operations in the Nursing and Midwifery Informatics team at Monash Health. He has a Masters of Nursing and is a Fellow of the Australasian Institute of Digital Health. His main role is ensuring Clinical Information Systems meet the requirements of the workforce.
