Medanets & Pirkanmaa Hospital District

Pirkanmaa Hospital District, Tampere Region, uses Medanets app extensively, in more than 50 wards.

The solution includes, inter alia, the Early Warning Score (EWS) system for identifying a patient’s deteriorating condition.

Mobile documentation since 2011

Pirkanmaa Hospital District has been using Medanets mobile point-of-care app since 2011. The pilot of the solution’s newest version began in the beginning of June 2016. As the solutions began to run smoothly, the hospital district extended their use to more than 50 wards.

I think identifying patients and documenting measurements with a smartphone is fast and fail-safe. Medanets Helpdesk responds quickly 24/7, and that’s a really big help in the event of any problems.

Tommi Heino, Registered Nurse, Tampere University Hospital

The software architect of Istekki Oy (Pirkanmaa Hospital District’s expert organization), Ari Ruuth, says the warm welcome from employees was noticed already in the early stage of commissioning. For instance, he was tugged by the sleeve in the corridor just to have someone say, “This is so cool!”

“After just a brief introduction to the solution, you already know how to use it, and it’s also easy to teach to colleagues. We’ve had positive comments irrespective of age or gender,” says Ruuth.

Whenever there’s new technology at stake, you get some prejudice regarding usability. All that melted away quickly, however, when the application was opened, and people were able to see how it works.

Ari Ruuth, Software Architect, Istekki Oy

Systematic evaluation of the patient’s state

Tampere University Hospital was one of the first hospitals to implement the Early Warning Score system in 2017. During the same year, they made the risk scoring mobile.

Doctor Joonas Tirkkonen of the Pirkanmaa Hospital District sees the NEWS criteria as part of modern, comprehensive monitoring of the patient’s state, and Medanet’s mobile app simplifies the implementation of continuous monitoring in the wards.

Entering EWS points via a mobile device has made the nurses’ work considerably easier.

The mobile solution calculates the points, offers a guideline, and gives instructions for when the next EWS points should be calculated. The points are entered at the patient’s bedside and the nurse can immediately see the trend of the vital functions, and what the points are made up of. Deviations in the trend helps to predict a deterioration of the patient’s state, and to carry out any necessary measures immediately upon entering the points.

Anniina Reinikainen, Nurse, Pirkanmaa Hospital District

Today, the EWS warning score system is in use throughout the Pirkanmaa Hospital District, and it is used on mobile in 45 wards. A version tailored to the needs of child patients (Pediatric EWS, or PEWS) was deployed in Tampere’s new children’s hospital in autumn 2019 as part of the hospital’s operational development activities.

Pirkanmaa Hospital District carries out more than 16,000 NEWS risk score evaluations on the Medanets app monthly. This can be benchmarked against the approximately 17,400 patients that are cared for within the hospital district monthly. The guideline is to calculate the NEWS score for a patient a minimum of once per work shift, and even more often for critical patients.

Connections to patient monitoring systems

At Pirkanmaa Hospital District, more than 50 patient monitoring locations are connected to the Medanets solution with the help of the monitored patinets feature. This way, patient measurement results can be transferred wirelessly from the monitoring system to the EHR.

According to calculations on saved time made by the Acuta unit of the Pirkanmaa Hospital District in 2013, nurses saved 17 seconds per measured parameter with the Medanets monitored patients feature. The gross savings at an inpatient ward, where 500 monitor entries per day are made, is about 100 hours per month.