Princess Alexandra Hospital

Sue McLellan, Dr Mary Galvin and David McMaugh, ‘Benefits Measurement from the Use of an Automated Anaesthetic Record Keeping System (AARK)’, Electronic Journal of Health Informatics, 2011, Volume 6(1), e6

Hospital overview

Princess Alexandra Hospital is a tertiary health care centre, providing care in all major adult specialties, with the exception of obstetrics.

The hospital is one of Australia’s leading academic and research health centres. Princess Alexandra Hospital is recognised nationally for their expertise in trauma management and as a major transplantation center for livers, kidneys, bone, cartilage and corneas.

Services provided include acute medical, surgical, mental health, cancer, rehabilitation and allied health services. The facility has 780 beds and performs 18,000 surgeries per year.

The hospital also features an aeromedical retrieval service which transports patients to hospital via helicopter or fixed wing aircraft, a road accident response service and a major trauma retrieval service managed by the Emergency Department and Intensive Care Unit.

Client: Queensland Health (Public Sector)
Implementation: April 2008
Modules: Induction, IntraOp, PACU, PreOp, Analytics, Chronology, Remote Assist and Admin
Location: Brisbane, Queensland, Australia
Induction Bays: 8
Operating Theatres: 36
Post Anaesthetic Care Units: 24

The hospital’s challenge

Queensland Health’s interest in an automated, electronic anaesthesia information management system began with an initial deployment of early versions of Getz Clinical modules in Cairns Hospital.

With the success of the implementation in the 450 bed Far North Queensland facility, the department identified that the system could provide benefits across their state-wide operations.

Queensland Health requested new trials of the Getz Clinical modules at Princess Alexandra Hospital, where clinicians immediately noticed dramatic improvements in safety and efficiency in operating theatres and recovery rooms.

Within the first year of the trial, 38,000 cases were successfully documented.

Getz Clinical solution

The full installation included hardware (touch screen monitors and server infrastructure), professional implementation services, training services, technical support services and configuration.

To ensure the implementation was successful, processes and practices at Queensland Health were required to integrate with the Getz Clinical systems. Interfaces were created to existing services such as pathology, operating room management, hospital information systems such as radiology, endoscopy, cardiac catheter laboratories and client directory, and the vast array of medical devices in use.

After the successful implementation, in late 2009 Queensland Health awarded Getz Clinical the contract to implement the automated anaesthesia record keeping (AARK) project across all its major hospitals.

Over the next three years, day surgery admission rates at Princess Alexandra Hospital increased from 82% to 87%. Quantitative studies identified an average reduction in the time it took clinicians to document cases of up to 93% in operating theatres and 93% in post anaesthesia care units (PACU).

In November 2015, the Princess Alexandra Hospital became Australia’s first large-scale digital hospital.

Doctors, nurses and the healthcare team document and access all patient information on computers instead of using paper files. This includes personal details, reason for admission, medical history and any allergies.

Getz Clinical’s anaesthesia modules assisted Princess Alexandrai Hospital achieve this prestigous outcome.

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