Design an Algorithm to Discontinue Unnecessary Intake/Output Charting
Care Process & Redesign
AIC Community Care Excellence Awards
National Healthcare Group
31 December 2023
Design and implement an algorithm to discontinue Intake/Output (I/O) charting in YCH inpatient care. Algorithm reduced charting time, increased efficiency, and empowered nurses.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement
About this Content
Aims
Design and implement an algorithm to discontinue Intake/Output (I/O) charting in YCH inpatient care.
Background
Only 13% of I/O charts were discontinued before discharge; significant time spent on unnecessary monitoring.
Methods
Conducted root cause analysis, developed PDSA-based algorithm, piloted, and monitored staff adherence.
Results
I/O monitoring discontinuation within 8 days increased from 13% to 43%; saved 5.6 hours/day in charting.
Conclusion
Algorithm reduced charting time, increased efficiency, and empowered nurses.
Lessons Learnt
Importance of multidisciplinary teamwork and training for successful implementation.
Additional Information
Awarded Clinical Quality Improvement Award – Team Gold at AIC’s Community Care Excellence Award (CCEA) 2023
Keywords
I/O Charting, Workflow Optimization, Patient Monitoring, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Yishun Community Hospital |
Platform(s) | AIC Community Care Excellence Awards |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Nutrition ＆ Dietetics |
Project Lead(s) | Foong P.M.P. |
Project Member(s) | Chan S.M. |
Connect with this contributor!
Agency for Integrated Care - quality@aic.sg
Project Attachment
C_27_YCH_CCEA_2023_Design_an_Algorithm_to_Discontinue_Unnecessary_IntakeOutput_Charting.pdf