Advancing Patient Safety Through Digital Transformation: The University Clinic of Navarra’s Journey with MEG

Paulina & Mauricio from the MEG team at the SECA Conference

At the recent SECA Conference in Gran Canaria—an annual event dedicated to advancing healthcare quality, safety, and efficiency through knowledge sharing and innovation—the University Clinic of Navarra in Spain shared an inspiring story. Their focus was on patient safety and quality management innovation. Faced with the challenges of conducting thorough internal audits while maintaining high standards of patient care, the clinic turned to MEG—a digital platform specialising in healthcare quality and safety management—to overhaul its approach.

In a presentation led by Mauricio Petri, a healthcare quality expert at MEG, and Juana Labiano, Director of Quality Service at the clinic, the audience learned how digital transformation can fundamentally reshape safety practices in healthcare. The clinic's adoption of MEG allowed for streamlined audit processes, real-time insights, and the reinforcement of a culture centred on safety and continuous improvement.

Here's a closer look at their transformative journey and how MEG became a key ally in enhancing patient safety through smarter audits.

The Challenge: Traditional Audit Methods Limiting Efficiency

Before implementing MEG, the University Clinic of Navarra used Google Drive-based questionnaires to collect audit data. This method, though functional, required intensive manual effort and resulted in significant delays. Preparing reports took up to 37 hours per audit, with summaries sent out only twice a year—in June and December. This delay meant that insights from audits often weren’t available until months after data collection, limiting the clinic's ability to act on real-time issues. It was clear that a faster, more efficient system was needed.

The Solution: MEG’s Real-Time Digital Transformation

MEG, launched in 2016, is a cloud-based healthcare quality, risk and compliance platform with a strong presence in over 22 countries and multi-language support. Designed to assist quality and safety programs in hospitals, MEG was the perfect solution for the University Clinic of Navarra’s audit transformation. Mauricio explains:

“The pandemic highlighted the need for digital transformation, especially in patient safety areas. MEG’s ecosystem supports healthcare providers in transitioning to faster, more accurate audit processes.”

When the clinic partnered with MEG, they began the transition by restructuring their audit questionnaires and automating report generation, which helped cut report preparation time from 37 hours to just 7—an impressive 80% reduction. This shift allowed the team to conduct audits more frequently, contributing directly to a stronger focus on patient safety and quality of care.

Digital Audit Form (example only)

Key Benefits of MEG in Action

MEG brought three significant benefits to the clinic's auditing process:

• Time Efficiency: The drastic reduction in report preparation time allowed the quality team to shift focus to other high-value activities and perform more audits annually.

• Visual and Concise Reporting: MEG’s reports use intuitive “RAG” colour coding (red, amber, green) to show compliance levels, enabling healthcare professionals to identify performance areas at a glance.

• Real-Time Feedback: With MEG, reports can now be sent out almost immediately after audits, keeping insights fresh and relevant for healthcare teams.

Juana, the Director of Quality Service at the University Clinic of Navarra, shares the impact:

“What used to take us 37 hours now takes just 7, which represents an 80% reduction in preparation time. This means we can deliver feedback almost immediately, keeping our safety culture active and engaged.”

Real-World Impact: Hand Hygiene and Beyond

One of the clinic’s key focus areas is hand hygiene, critical in preventing infection. With MEG, audit reports now visually display hand hygiene compliance across departments and by professional category, pinpointing areas for improvement. The colour-coded reports allow healthcare workers to quickly understand where standards are met and where immediate action is needed.

“Instead of waiting six months, we can now send reports at the right time, ensuring the feedback is relevant and actionable,” Juana adds.

Sample ‘Hand Hygiene’ audit report using MEG’s colour-coded format for clear visual representation.

Building a Culture of Safety

Beyond technical improvements, MEG has enhanced the clinic’s safety culture by ensuring that all staff, from frontline workers to administration, are aware of their role in patient safety. Real-time reports and immediate feedback keeps patient safety at the forefront of daily operations. According to Juana:

“MEG has not only made our audits more efficient but has strengthened our organisation’s commitment to a culture of safety.”

Conclusion: A Step Forward in Patient Safety and Quality Care

With MEG, the University Clinic of Navarra has taken a significant step toward digital transformation in patient safety, optimising time and resources while continuing to promote a safe and high-quality environment for all. By optimising time and resources, MEG allows healthcare professionals to focus on what truly matters—providing a safe and high-quality environment for patients.

80% Time-Saving on Audit Preparation

With MEG’s automated report generation, the clinic reduced report preparation time from 37 hours to just 7 hours—a remarkable 80% time savings. This efficiency allows the quality team to reallocate valuable time toward other essential quality improvement activities, fostering a more agile and responsive audit system.

Increased Audit Frequency with Automated Scheduling

Automated scheduling and faster report turnaround allow the clinic to conduct audits more frequently, moving from a biannual to a more regular schedule. This increased frequency enables the clinic to monitor compliance continuously, catching and addressing potential safety issues before they escalate.

Enhanced Safety Culture Across the Organisation

Real-time feedback from MEG keeps audit results fresh and actionable, empowering staff to immediately see areas of strength and improvement. This approach has deepened the clinic’s commitment to a safety-first culture, where all team members—from frontline workers to management—are more aware and engaged in upholding patient safety standards daily.

As healthcare continues to evolve, digital tools like MEG provide essential support in meeting the growing demands of patient safety and quality care, paving the way for a more efficient, responsive, and proactive healthcare system.

How St. John’s Hospital Revolutionised Clinical Pharmacy Operations with MEG’s Clinical Pharmacy Module

Key Insights From Our Customer Webinar

In our latest webinar, MEG collaborated with St. John’s Hospital and its Senior Antimicrobial Pharmacist, Carol Johansson, to explore how the implementation of MEG’s Clinical Pharmacy Module revolutionised their pharmacy workflows. With challenges ranging from manual data entry to disjointed communication and risk management, St. John’s Hospital adopted a digital solution that streamlined processes, increased patient safety, and provided pharmacists with real-time data at their fingertips.

From Manual Processes to Digital Efficiency: A Pharmacy Transformation

Before adopting MEG’s Clinical Pharmacy Module, St. John’s Hospital pharmacists relied on cumbersome manual processes like Excel spreadsheets to track patient data, conduct medicine reconciliation, and document interventions. This approach was time-consuming, increased risk, and lacked the necessary data persistence, making it difficult to retrieve patient information during readmissions.

MEG’s Clinical Pharmacy Module automated many of these processes, allowing real-time tracking of patient data, prioritising high-risk patients, and facilitating multidisciplinary communication. The cloud-based system enabled the pharmacy team to focus on critical patient needs while ensuring compliance with safety protocols and regulatory requirements.

Main Dashboard Interface AND Patient Admissions (demo account)

Patients by Risk Rating (demo account)

Task Status (demo account)

Tasks by Handler (demo account)

Key Takeaways From St. John’s Hospital’s Success with MEG

Key Insight 1: Streamlined Workflow with Customisable Dashboards

• MEG’s Clinical Pharmacy Module provided St. John’s Hospital with a dashboard that displayed essential patient information, such as bed numbers, risk scores, and medicines reconciliation status. Pharmacists could filter patients by risk, location, or ward, allowing them to prioritise tasks and manage workloads more efficiently. This helped reduce time spent on manual data management and improved decision-making processes.

Filtering by Risk Level (demo account)

Filtering by Location (demo account)

Key Insight 2: Streamlined Risk Scoring and Medicine Reconciliation

• One of the major challenges for St. John’s was the manual risk scoring of patients, which was prone to inconsistency. MEG’s solution streamlined medicine reconciliation and task tracking, allowing pharmacists to efficiently prioritise high-risk patients and ensure they received prompt attention. The system also provided the ability to upload documentation and create standardised workflows for medicines reconciliation, which improved accuracy and safety.

Risk Scoring System Showing Patient Risk Categories (e.g. high, medium, low)

The medicines reconciliation status for each patient showing which patients have been reconciled or are pending (demo account)

The ability to upload documents related to patient care and medicine reconciliation tasks, showcasing how standardised workflows are integrated into the system.

Sample of the attached document (above)

Key Insight 3: Real-Time Task Management and Reporting

• With MEG’s Clinical Pharmacy Module, St. John’s pharmacists could log, monitor, and complete tasks, from medicines reconciliation to risk assessments. The system’s tasks feature allowed pharmacists to assign tasks to specific team members, track the status of interventions, and ensure no patient was overlooked. This structured approach ensured clear communication across the pharmacy team and other healthcare professionals.

Tasks linked to a patient

Details of the task with handler, due date, status, and relevant intervention code.

Key Insight 4: Improved Multidisciplinary Communication

• One of the module’s highlights was its ability to facilitate communication between the pharmacy team and other healthcare providers. Pharmacists could leave notes within patient records, alert colleagues to important updates, and tag team members to notify them of pending tasks. This streamlined handovers and ensured continuity of care, even when team members were absent.

Sample handover notes 

Easily tag colleagues in notes and alert them to messages.

Boosting Patient Safety and Justifying Resources with Data-Driven Insights:

Since implementing MEG’s Clinical Pharmacy Module, St. John’s Hospital has seen a remarkable improvement in both efficiency and patient safety. In just two and a half years:

• 5,000 patients were screened through the system.

• 14,400 interventions were logged, including changes to medication, clinical reviews, and antimicrobial optimisations.

• These interventions included over 5,500 related to medicines reconciliation, ensuring that patients were on the correct medications upon admission.

These results not only demonstrated the value of clinical pharmacy in improving patient care but also helped justify increasing staff resources, as the data showed a high volume of critical tasks that required pharmacist intervention.

Example of a KPI dashboard

Overview of task status

Action Planning overview dashboard

'Quick launch' of relevant forms and tools in other MEG modules (e.g. Medications Incident Report, Risk Register, MEG Patient Database) without leaving the Clinical Pharmacy module

Best Practices and Actionable Advice:

Prioritise High-Risk Patients with Custom Filters

• The ability to filter patients by risk scores or location was crucial in ensuring that St. John’s pharmacists could focus their attention on those at the highest risk of medication errors. Carol Johansson emphasised the importance of configuring risk score settings within the module to reflect the hospital’s unique needs, ensuring the team remained focused on the most vulnerable patients.

Integrate Task Management into Daily Workflow

• By automating tasks and assigning them to specific pharmacists, the team ensured accountability and transparency. This practice prevented tasks from being missed and allowed better prioritisation, as pharmacists were able to focus on urgent cases based on patient data.

Use Accessible Data to Support Resource Allocation

• St. John’s Hospital was able to justify adding more pharmacists to their team by leveraging the easy access to comprehensive data provided by MEG’s Clinical Pharmacy Module. Before MEG it would have been very challenging to gather and organise the necessary data to highlight patient acuity and workload. With MEG, Carol Johansson and her team could easily access detailed information on interventions, task management, and patient needs, allowing her to compile accurate insights to support a strong business case for additional resources. The module provided clear visibility into the pharmacy team's activities and impact, enabling hospital management to make informed, data-driven decisions about resource allocation based on precise, accessible information.

Ensure Multidisciplinary Collaboration

• Integrating the pharmacy module into the broader hospital workflow facilitated smoother communication between pharmacists, doctors, and other healthcare providers. Ensuring everyone had access to up-to-date patient information helped improve collaboration and patient outcomes.

Explore the Full Webinar to Transform Your Pharmacy Operations:

To learn more about how MEG’s Clinical Pharmacy Module can transform your hospital’s pharmacy operations, watch the full webinar recording here. For a deeper dive into the features, schedule a personalised demo with our team and discover how this solution can improve patient safety and streamline workflows in your healthcare organisation.

Patient Experience in Latin America: Challenges and Opportunities to Ensure Safety

Healthcare is an essential part of our lives, aimed at preventing diseases, treating conditions, and improving our quality of life. However, in this noble effort to care for our health, healthcare systems can sometimes make errors that result in harm to patients. These errors not only cause physical and emotional suffering but also negatively impact people's trust in the healthcare system. In Latin America and around the world, patient safety has become a critical issue requiring urgent attention. In this blog, we will explore the current landscape of patient safety in Latin America, addressing common challenges and the solutions that organisations can implement to ensure optimal care.

Where Are We in Latin America?

Patient safety is a topic that cannot be overlooked. Harm to patients occurs even in advanced healthcare systems due to increasing complexity and the possibility of human errors. Process errors, lack of communication, and the absence of active patient involvement can be underlying factors in these issues. It is crucial to recognize that solely blaming the active provider does not address latent system errors. Instead of expecting individual perfection, it is necessary to create a safe environment with well-designed systems. This is where a shared and transparent safety culture comes into play, an essential component for preventing and improving healthcare errors.

Patient Safety: What Does It Mean?

Patient safety is not just an abstract concept but a concrete focus in healthcare. As healthcare systems become more complex, the likelihood of risks and errors associated with healthcare increases. The purpose of patient safety is simple yet fundamental: to prevent and reduce hazards, errors, and harm that patients may face during their healthcare. The foundation of this initiative is continuous learning from mistakes and adverse events to continuously improve and evolve.

Latin America: Confronting the Burden of Healthcare-Related Harm

Millions of patients in Latin America experience harm or even die due to unsafe healthcare. The situation is alarming, with examples including medication errors, healthcare-associated infections, and risky surgical procedures. Unsafe practices such as unsafe injections and misdiagnoses contribute to this burden. These problems not only jeopardize patient safety but also affect the overall quality of healthcare in the region.

The Data Speaks for itself 

• Medication errors result in an annual cost of approximately $42 billion worldwide. Healthcare-associated infections affect 7-10% of hospitalised patients. 

• Up to 25% of surgical patients experience complications, with one million surgical patients dying annually. 

• Unsafe injection practices lead to 9.2 million years of disability-adjusted life lost. 

• Diagnostic errors affect 5% of adults in outpatient care, with more than half of them potentially causing serious harm. 

• Errors in radiation and septicemia cause preventable harm and deaths.

• Venous thromboembolism is responsible for common and preventable harm.

Transformative Technology: Improving Patient Safety

In the digital age, technology plays a crucial role in healthcare improvement. Implementing patient safety and quality systems can make a difference. Through specialised software, effective audits can be conducted, and accreditations of high standards like those of the Joint Commission International (JCI) can be tracked. These systems not only monitor quality but also identify areas for improvement and prevent future incidents.

MEG: Offering Solutions

Through MEG, we present effective solutions to address common challenges in patient safety in the medical field:

1. Medication Management: We offer the Antibiotic Administration Survey to address common errors in medication administration.

2. Surgical Errors: To prevent surgical errors, responsible for 10% of preventable harm, we provide efficient access to the World Health Organization's Surgical Safety Checklist, available digitally in the context of Safe Surgery for Latin America and Spain.

3. Healthcare-Associated Infections: In response to healthcare-associated infections, accounting for 0.14% of cases, we implement measures to reduce antibiotic resistance and control infections in the medical field.

4. Sepsis: Sepsis is a critical concern, with approximately 23.6% of cases occurring in hospitals. We offer specialized audits in infection prevention and control to address this issue.

Looking to the Future

The data confirms that patient safety is a critical priority in Latin America and globally. Preventing and reducing adverse events in healthcare is possible through effective strategies and global collaboration. Our ultimate goal is to ensure that every patient receives safe and high-quality care. Through awareness, a focus on vulnerable groups, robust health policies, a safety culture, and ongoing research, we can move towards a future where patient safety is constant. The adoption of advanced technologies, such as audit and tracking software, will be crucial for continuously improving the quality and safety of care provided. Ultimately, we all play an important role in this process, from healthcare professionals to informed patients, collaborating to achieve optimal and safe care for patients.

Sources:

1. World Health Organization (WHO). Patient Safety. https://www.who.int/en/news-room/fact-sheets/detail/patient-safety. Accessed September 11, 2023.

2. IBEAS Study. IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. May 4, 2011. https://www.who.int/publications/i/item/WHO-IER-PSP-2010.3

5 Tips for Digital Transformation in Type IV and Type II Hospitals

The digital transformation of hospitals is essential to enhance efficiency, improve patient care, and stay ahead in a rapidly evolving healthcare environment. Whether it's a large Type IV hospital with more than 300 beds or a mid-sized Type II facility with 60 to 150 beds, understanding the specific needs and challenges of each hospital type is crucial for a successful transition. Here are some key tips to guide the digital transformation process for these types of hospitals.

1. Technology Selection and Risk Management

Choose technologies tailored to the hospital's size and complexity, considering both current infrastructure and future needs.

• Type IV Hospitals: A Type IV hospital, with over 300 beds and a wide range of services, should implement a comprehensive hospital management system that integrates all departments, enhancing coordination and streamlining operations across the board. This might include systems that manage patient records, inventory, scheduling, and more.

• Type II Hospitals: For a Type II hospital with 60 to 150 beds, a modular system is ideal. This allows the hospital to start with essential components, such as document management, and gradually expand as needed. This approach ensures that the hospital can scale its digital capabilities in line with its growth.

2. Risk Assessment

Conduct thorough risk assessments before implementing new technologies, tailored to the hospital's scale and type.

• Type IV Hospitals: Before rolling out a new digital system across the entire hospital, consider piloting it in a specific unit to ensure compatibility with existing systems and to avoid data loss. This step allows for any necessary adjustments before a full-scale implementation.

• Type II Hospitals: For a Type II hospital, assess the risks associated with integrating a patient management system. A pilot test in a high-traffic area, such as the emergency department, can provide valuable insights into the system’s effectiveness and highlight any potential issues.

3. Enhancing Operational Efficiency

Adopt digital solutions that streamline internal processes and boost operational efficiency, customized to the hospital's specific needs.

• Type IV Hospitals: Implement a real-time inventory management system to track and optimize the use of medical supplies and medications across various departments. For instance, integrating a pharmacy management system can significantly improve resource allocation and reduce waste.

• Type II Hospitals: Introducing a hand hygiene auditing system or an incident risk management tool can reduce administrative burdens and improve patient flow management. These systems are particularly beneficial in hospitals with moderate patient volumes, where efficiency is crucial.

4. Patient Safety and Risk Management

Leverage advanced technologies to enhance patient safety, ensuring staff are trained to follow digital safety protocols.

• Type IV Hospitals: Utilize detailed dashboards, heat maps, and issue-tracking features to identify and prioritize risks, plan interventions, and monitor progress. These tools are vital in large hospitals where managing a high volume of patients and data can be challenging.

• Type II Hospitals: A pharmacy monitoring system with automated alerts for medication administration can significantly reduce errors and enhance patient safety, especially in critical care units. These systems help maintain high safety standards even in smaller hospital settings.

5. Training and Education

Provide ongoing training for staff on new technologies and safety protocols to ensure a smooth transition.

• Type IV Hospitals: Offer comprehensive training workshops and online resources for all hospital staff on using the new hospital management system and understanding cybersecurity protocols. Continuous education is essential in large institutions to ensure that all employees are proficient with new systems.

• Type II Hospitals: Implement targeted training sessions for administrative and clinical staff on using electronic medical records (EMRs) and scheduling tools. These sessions should be practical and focused on day-to-day operations to help staff adapt quickly to the new systems.

"The tool allowed us to evaluate more processes, involve more teams, and focus more efficiently on critical points, making our efforts more effective."

-Dr. Hugo Siu, Director of Quality, Anglo Americana Clinic, Peru.

Conclusion

Digital transformation in hospitals, whether large Type IV facilities or smaller Type II institutions, requires careful planning, risk management, and ongoing education. By selecting appropriate technologies, conducting thorough risk assessments, enhancing operational efficiency, prioritising patient safety, and investing in staff training, hospitals can successfully navigate the challenges of digital transformation. This process not only improves patient outcomes but also positions hospitals to meet future healthcare demands with agility and resilience.

Enhancing Patient Safety: Insights and Solutions from an Expert in Health Quality

In an enlightening interview, a seasoned professional, Mauricio Petri, an expert in Patient Safety and Quality, shared his extensive journey through various industries, including automotive and healthcare, and his current focus on digital transformation in health. With over two decades of experience, he has made significant strides in integrating his expertise in quality management into improving patient safety and hospital management.

Insights into Patient Safety Challenges

The primary challenge facing patient care is accessibility. High accessibility without quality is akin to having low accessibility. Effective healthcare starts with accessible primary care, which lays the foundation for preventive measures and early diagnosis. However, improving accessibility alone isn't enough; quality must be maintained throughout the care process. This involves not only digital advancements but also enhancements in overall service processes.

Factors Influencing Patient Experience

Several factors affect patient care, including the time dedicated to patient interaction and the quality of communication. Studies emphasise the importance of empathy, communication, and the management of patient expectations. The gap between patient expectations and actual care can lead to dissatisfaction. Effective communication and managing expectations are crucial in providing a positive patient experience.

Explore our Patient Experience Software here!

Improving Communication and Patient Involvement

Efforts to enhance patient communication include proactive feedback systems and patient involvement in decision-making. Engaging patients in designing care processes helps align services with their needs. For instance, working with patient groups in Chile has shown the benefits of incorporating patient feedback into process design.

"High accessibility without quality is the same as having low accessibility. So, the second important point after accessibility is quality."

"The way to incorporate these tools is to create a digital space where the patient, during their care flow and journey, can quickly provide their experience in real-time."

-Mauricio Petri, Expert in Quality and Patient Safety, Business Development in Latin America & Spain at MEG

The Role of Digital Transformation

Digital transformation is evolving, with a focus on electronic health records and incident reporting. However, the next step involves using digital tools to capture patient experiences in real-time. By integrating digital surveys and feedback mechanisms during care, healthcare providers can quickly address issues and improve the patient experience. This approach allows for immediate adjustments and better coordination between care teams.

Conclusion

The integration of digital tools for real-time patient feedback represents a significant advancement in improving patient safety and care quality. By addressing accessibility, communication, and leveraging technology, healthcare providers can enhance the overall patient experience. The ongoing efforts to innovate and involve patients in their care journey are crucial steps toward achieving better outcomes and safer healthcare environments.

Streamline patient safety and compliance with MEG’s LFPSE-Compliant Risk Management System.

Breaking Down the Barriers: Tackling Healthcare Data Migration Challenges

According to Gartner, 83% of data migration projects fail, with over half exceeding their allocated budgets. And in a heavily regulated industry like healthcare, where providers manage vast amounts of complex data across various sources, formats, and systems, data migration presents its own set of unique challenges.

Ensuring data integrity, preserving patient records, maintaining uninterrupted care delivery, and complying with regulatory standards all depend on successful data migration. So, how can healthcare organisations achieve seamless data migration while upgrading their digital infrastructure? Whether transitioning from legacy systems to advanced solutions, merging operations, or enhancing compliance with updated regulations, this blog post explores common challenges and how we at MEG overcome them with our industry expertise and best practices.

Key Challenges in Healthcare Data Migration

1. Data Integrity

The Challenge

Ensuring the accuracy and consistency of data during migration is a significant challenge due to the wide range of structured and unstructured healthcare data across multiple sources, different data models, and data quality issues such as missing, outdated, or inaccurate information. Inconsistent or poor-quality data can lead to errors that impact patient care and overall operational efficiency.

The Solution

At MEG, we use a three-step approach to ensure data integrity. This includes:

1. Data Standardisation: Using standardised data formats, field names, and coding schemes to maintain consistency across systems is an effective method to eliminate incorrect and missing data, streamline the migration process and ensure compatibility across systems. Establishing data governance policies and procedures helps enforce standardisation practices and maintain data quality over time.

2. Data Cleansing: Conducting a thorough analysis of the data to be migrated to the new system helps identify inconsistencies, duplicates, or errors within the dataset. Addressing these issues early on minimises the risk of data corruption or loss during migration.

3. Data Audit: Conducting a thorough inventory of all existing data sources, formats, and structures allows healthcare organisations to identify potential challenges, such as data inconsistencies, outdated or incompatible systems, and duplicate data that could negatively impact the migration process well in advance.

2. Interoperability

The Challenge

Different healthcare systems use different data formats and standards, making interoperability a significant hurdle.

The Solution

To ensure compatibility and interoperability between the source and target systems, we recommend developing robust data mapping and transformation procedures that allow different data formats and standards to be accurately integrated.

Data mapping ensures that data fields in the source system (in our case, the existing Quality Management System) correspond accurately to the fields in the destination system (MEG). It involves analysing both the source and target systems, transforming data into the required formats, and ensuring accurate field mapping between systems. This is also where data is converted into the required format or structure. This can involve simple transformations like date formats (e.g., changing MM/DD/YYYY to YYYY-MM-DD) or more complex transformations like combining multiple fields into one.

3. Data Security and Compliance

The Challenge

Healthcare data contains sensitive patient information such as personal identifiers, medical history, and diagnoses and is subject to strict privacy regulations like HIPAA and GDPR. Ensuring compliance with these governance frameworks and preventing data exposure, loss, or corruption during migration is often a challenge.

The Solution

To overcome this, MEG implements the following measures across all data migration projects:

• Clients are encouraged to self-evaluate their internal data, and the MEG implementation team guides them through the best practices for data preparation. This process often involves consolidating data from various formats and sources, such as paper records, Excel spreadsheets, and legacy software databases, into a single secure source.

• Clear data retention policies that dictate how long different types of data should be retained and when they can be safely archived or deleted to ensure data privacy, security, and adherence to legal and regulatory requirements.

• Strong encryption methods and password-protected zip files to protect data during transfer

• Stringent access controls to ensure only authorised personnel can access the data

• Frequently checking and documenting compliance with relevant regulations throughout the migration process

4. Downtime and Disruption

The Challenge

In some cases, data migration of large amounts of data can cause system downtime, affecting healthcare operations and patient care.

The Solution

Some best practices that can be implemented to avoid this include:

• Phased Migration: Performing the migration in smaller, manageable phases allows organisations to identify and address potential issues early on, reducing the overall risk of data loss, corruption, or system downtime. Each phase serves as a learning opportunity to refine processes and mitigate potential problems in subsequent phases.

• Backups: Maintaining backups of all data before and during the migration process allows you to implement rollback procedures to revert to the previous state in case of critical failures or data loss during migration.

• Testing: Setting up dedicated test environments that mirror the production environment allows for thorough testing of migration processes without impacting live operations. This enables organisations to identify and address issues in a controlled environment before deploying changes to production.

Conclusion

Healthcare data migration is a complex but necessary undertaking for modernising healthcare systems and improving patient care. By understanding the challenges and implementing effective strategies to address them, organisations can break down the barriers to successful data migration, ensure compliance and security, and pave the way for a more efficient, integrated, and patient-centric healthcare environment.

To know more about successful healthcare data migration, check out our whitepaper, "Mastering Healthcare Data Migration: Challenges, Best Practices, and the MEG Approach".

Interview with Dr Magaly Blas, researcher and epidemiologist

Technological Advances in Maternal Health in the Amazon: The Case of Mamás del Río

In the heart of the Amazon rainforest, where roads become rivers and distances are measured in days of navigation, Mamás del Río emerges as a beacon of hope for communities facing limited medical care. Led by Dr Magaly Blas, with extensive experience in epidemiology and public health, this program has proven to be an innovative model for improving maternal and neonatal health through technology adapted to challenging environments. This article explores how the program has integrated technology to enhance care in rural and indigenous areas, highlighting the importance of public-private partnerships in this process.

CHECK THE FULL VIDEO INTERVIEW HERE

In this video, Dr Magaly Blas, an epidemiologist, introduces Mamás del Río, a program improving maternal and neonatal health in the Peruvian and Colombian Amazon. The program empowers community health workers with tablets for educational content and monitoring tools, transforming healthcare in remote areas.

CC are in English and many other languages.

Dr. Magaly Blas and Mamás del Río

Dr Magaly Blas is a physician from the Universidad Peruana Cayetano Heredia, with a master's and a doctorate in epidemiology from the University of Washington. She currently leads the Mamás del Río program, which aims to improve maternal and neonatal health in remote and indigenous communities in the Peruvian and Colombian Amazon. Besides directing the program, Dr Blas also plays a crucial role as head of the Political Advocacy Secretariat in Medicine and Public Health at the Medical College of Peru.

Using Technology to Improve Maternal and Newborn Health

Mamás del Río has implemented technology directly into the hands of community health workers, who play a vital role in their isolated communities. Each community worker receives a tablet that serves as an educational and monitoring tool. This tablet contains "digital stories," interactive narratives created in collaboration with the communities themselves, addressing specific maternal and neonatal health topics. During home visits, the tablet guides the workers on danger signs during childbirth and promotes safe childbirth practices, using multimedia content that deeply resonates with the local communities.

“We equip our community health workers with tablets that contain interactive educational content and monitoring tools. This not only facilitates education on maternal and neonatal care but also allows continuous health monitoring in communities where access to health centres is limited. We have demonstrated that it is possible to adapt technological tools to function without an internet connection, ensuring that critical information reaches even the most remote communities.”

Examples of Public-Private Collaborations

Strategic collaborations with public and private entities have been fundamental to the success of Mamás del Río. Under Dr. Blas’s leadership, the program has established strong partnerships with the Ministry of Health and regional governments, as well as support from the Ministries of Foreign Affairs of Peru and Colombia. This partnership has facilitated the expansion of the program along the border, significantly improving access to healthcare in previously inaccessible areas. Additionally, the program has received funding from the Inter-American Development Bank and Grand Challenges Canada, which have supported key scaling and impact assessment initiatives.

“We work in close partnership with the Ministry of Health and regional governments, as well as international organisations, to scale the program and ensure its long-term sustainability.”

Research Methods and Impact Evaluation

Mamás del Río has used rigorous research methods to evaluate the impact of its interventions on maternal and neonatal health. Studies have been conducted before and after the program in selected communities, using repeated censuses to measure changes in health indicators. The results of these studies have been published in specialised journals, such as The Lancet Regional Health Americas, highlighting significant improvements in newborn care, the promotion of breastfeeding, and increased institutional deliveries.

“These results not only validate our strategy but also reinforce our commitment to continue innovating and adapting technologies to address the unique challenges faced by Amazonian communities.”

New Ideas from Collaborations

Successful collaborations have led to new initiatives within Mamás del Río. For instance, an innovative approach is being developed to address teenage pregnancy, a growing concern in the communities served by the program. Dr Lisa Lebita Woodson has worked on this line to understand why teenage pregnancy occurs and how to address it. Additionally, community empowerment has been strengthened through the creation of the Association of Indigenous Community Health Workers (AACOSIL), a platform that promotes local leadership and participation in health-related decision-making.

“Our goal is to ensure that every mother and child in the Amazon has equitable access to safe and effective healthcare.”

- Dr. Magaly Blas, Epidemiologist and Researcher, Director of Mamás del Río

With the right combination of technology, collaboration, and commitment, Mamás del Río has shown that it is possible to significantly improve maternal and neonatal care in the most remote and vulnerable regions of the continent. Despite initial challenges such as technology training and limited connectivity infrastructure, the program has implemented effective solutions in remote environments without constant internet access. The offline-operating application has facilitated adoption by community workers, allowing them to access essential educational resources and monitoring tools.

In conclusion, under the direction of Dr. Magaly Blas, Mamás del Río highlights the crucial importance of technological innovation and strategic partnerships in improving maternal and neonatal health in remote areas. Through public-private collaboration, the program has not only transformed lives and strengthened communities but also established a replicable model for regions with similar challenges. Continuous commitment to research and rigorous evaluation remains essential to guide future interventions and ensure a lasting impact on public health, thereby improving patient safety and quality in healthcare systems.

From Insights to Action: How EWS Can Transform Sepsis and Patient Care

In the ever-evolving world of healthcare and patient safety, the journey from awareness to action is crucial. Today, it simply isn't enough to recognise potential risks, threats, or issues — what truly matters is how effectively we respond to them. One area where this is particularly critical is in patient care, where early detection of deteriorating health conditions can be a matter of life or death.

The equivalent of the Emirates stadium full of people die of sepsis each year in the UK. Over 1.7 million people in the United States develop sepsis every year, with a mortality rate of 15-30%. However, what's more unfortunate is that 1 in 8 sepsis deaths are preventable with early detection, timeliness, and competency of clinical response.

This is where the concept of Early Warning Scores (EWS) comes into play, offering a transformative approach to sepsis and patient care practices.

Understanding Early Warning Scores

Early warning score (EWS) is a systemic tool that healthcare teams, specifically frontline workers, can use to recognise the early signs of clinical deterioration and initiate intervention and management.

Typically, this involves assessing seven physiological parameters—respiratory rate, oxygen saturation, supplemental oxygen temperature, systolic blood pressure, heart rate, and level of consciousness — and assigning a score to each vital sign. The aggregated score is used to identify whether the patient is at risk of deterioration or not. It also empowers healthcare teams to take decisive actions such as initiating closer monitoring, adjusting medication, or activating a rapid response.

Fig: Example of a National Early Warning Scoring System

The Transformative Potential of Early Warning Scores

Integrating Early Warning Scores into Sepsis and Patient Care is crucial in transitioning from reactive to proactive healthcare delivery. While enhancing patient outcomes and improving the overall efficiency and effectiveness of the healthcare system at large, it also contributes to:

1. Timely identification and intervention: As discussed earlier, the most significant advantage of the EWS system is the ability to detect subtle changes in a patient's condition, which might otherwise be overlooked, in the early stages. This allows healthcare providers to promptly intervene and prevent further patient deterioration, which is arguably one of the most critical steps in the early management of sepsis.

2. Standardisation of care: Implementing a standard EWS system, such as NEWS (National Early Warning Score), assures standardisation of care practices across various healthcare settings. This, in turn, allows providers to ensure consistency in assessing patient status and initiating appropriate interventions, which mitigate variability and reduce the likelihood of errors.

3. Data-driven decision-making: Key to elevating patient care, EWS systems provide objective criteria that healthcare providers can use to assess patients' conditions in real-time and inform their decisions. This approach enhances clinical judgement by promoting evidence-based practice, ultimately improving patient outcomes.

4. Quality improvement initiatives: Data, trends, and outcomes obtained from the EWS system can be used by healthcare organisations to identify areas for improvement in patient care processes, such as better staff training, the implementation of digital quality management systems, and refining protocols. Implementing these initiatives can go a long way in preventing and managing adverse outcomes like sepsis.

EWS Governance Audits and Their Role In Sepsis Care

Early Warning Score (EWS) Governance Audits are assessments conducted to evaluate the effectiveness and adherence to protocols regarding the implementation and use of EWS in healthcare settings. They primarily focus on:

• Whether EWS protocols include specific criteria for identifying patients at risk of sepsis

• Whether healthcare staff are trained to recognise the signs of a deteriorating patient promptly

• The effectiveness of protocols for escalating care and initiating appropriate interventions

• Documenting vital signs, interpreting EWS scores accurately, and following predefined pathways for sepsis assessment and treatment

• Whether there are clear processes in place for communicating EWS scores, escalating concerns, and activating rapid response or sepsis teams when necessary

MEG's Deteriorating Patient Bundle

To help organisations with their quality assurance process for patient deterioration, we've compiled a collection of assessments and audit tools, including various Early Warning Score forms such as standard, paediatric, maternity, and emergency medicine, each tailored to specific patient populations. The bundle also includes associated escalation pathways following the ISBAR model.

These are governance audits that organisations can use to ensure that their processes are working as designed and that staff are following the necessary protocol to prevent patient deterioration and the likelihood of events such as sepsis.

It also comes with a Quality Improvement Plan (QIP) tool to identify and address any issues or gaps in the assurance process. To see the tool in action, reach out to our team.