Discovery

The first step was to understand the steps of a medication error never event and how each step in the investigation interacts with our products.

Working with the stakeholders on the Connected Enterprise team I was able to create a flow diagram to use as a base for future work.

Challenges

• Integrate separate products so features and information flow seamlessly between each other
• Create a consistent look between products
• Bring information for different sources automatically into the investigation workflow
• Allow the user to access more information about a certain subject, if needed
• Assign tasks to individuals in different products to complete the investigation

The second phase of the workflow was to incorporate current interface screenshots to see how each project might integrate with each other.

With the investigation phase, I wanted to incorporate the ability to automatically pull information from the incident report to make the investigation process more efficient, but to also prevent errors. I also separated each step in the investigation in Safety into logical steps with a indicator on the left navigation to easily give the user a sense of place.

For the provider affected section, I added the ability to pull the provider's history to see if, in this example, the person has a high rate of medication error events. I also added a "view full history report" button to access their full history report in the Quality system.

For the medication analysis section, we automatically pull the medication information directly from the EMR. To access the full EMR, you can click the "view EMR" button in the top right.

We've integrated Power BI into the investigation workflow so the investigator to easily see staff analytics of when the medication error happened. It includes a staff breakdown and if the patient received the appropriate amount of care.

The investigator in Safety now has the ability to create tasks for people in different products. In this example, we are creating a task for the Quality Director to conduct a Peer Review.

In the Quality product, a case is automatically generated with the incident report already attached.

Once the Peer Review is completed, the results the case is set to "closed."

The Results

An interactive mockup was created and presented for approval. The project was approved for funding with the plan to build the necessary integration between solutions in order to upsell the advantages of owning the complete ecosystem of products.