Enhancing Patient Safety and Efficiency in the IntelliSpace ECG Management System (iECG)
Care Process & Redesign
Technology
Training ＆ Education
National Healthcare Innovation and Productivity Medals
SingHealth
9 October 2025
The aim of the project is to enhance patient safety and efficiency in the ECG management system by reducing invalid results. The project demonstrates that targeted technological enhancements, combined with staff education and process improvements, can.
Year Submitted: 2025
Published Date: 09 October 2025
Tags: Care Process ＆ Redesign, Staff Development, Training ＆ Education, Safe Care, Value Based Care, Quality Improvement, Time Saving, Technology, Digitalisation, Digital Platforms
About this Content
Aims
The aim of the project is to enhance patient safety and efficiency in the ECG management system by reducing invalid results and improving operational efficiency.
Background
The IntelliSpace ECG Management System (iECG) was implemented across SingHealth institutions in late 2020 to streamline ECG result management. However, issues with incorrect patient information selection led to an average of 35 invalid results per month, affecting patient care and operational efficiency.
Methods
The project involved a series of interventions, including staff education, ECG cart enhancements, and system reconfigurations. A comprehensive root cause analysis was conducted using a cause-and-effect diagram to identify key factors contributing to the issue. The interventions were implemented through Plan-Do-Study-Act (PDSA) cycles.
Results
The interventions resulted in a reduction of invalid results from an average of 35 to 0 cases per month, maintained for over six months. This improvement eliminated time wasted on error reconciliation, enhanced patient care quality, and increased overall operational efficiency.
Conclusion
The project demonstrates that targeted technological enhancements, combined with staff education and process improvements, can significantly reduce errors and improve efficiency in healthcare settings.
Lessons Learnt
Key lessons include the importance of root cause analysis, multi-disciplinary collaboration, and user-centric design. The balance of technical and human solutions proved critical for success.
Keywords
ECG, Patient Safety, Efficiency, Automation, Robotics
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Sengkang General Hospital, Synapxe |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Others |
Applicable Specialty or Discipline | General Medicine |
Project Lead(s) | Khoo Kian Boon |
Project Member(s) | Diana Goh Pei Szeei |
Connect with this contributor!
Mr Khoo Kian Boon - Khoo.kian.boon@singhealth.com.sg