Experiences of DAHNO The User Experience

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Experiences of DAHNOThe User Experience

• Chris Hartley ENT Consultant
• Sunderland Royal Hospital
• Sept 06

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What has worked well

• Local Level
• Pilot Site
• Consultant Sign Up
• MDT captures most of data routinely
• Dedicated staff member to input data
• Relatively High unit data input (see below)
• Regional Level
• National Level
• see other presentations/national audit report

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Areas of Development 1

• Manpower
• Hardware
• Software
• Connectivity

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Areas of Development 2

• Nationally
• Regionally
• Locally

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The Sunderland MDT

• Weekly
• Cover 6 peripheral hospitals
• Presentation of cases by SpR
• Word Document
• most of data required by Dahno

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The Sunderland MDT

• Data Input by Head and Neck Administrator
• from presented data
• from notes
• Sign Off by Clinician
• Walton Database for OMFS as well!

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Simple!
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BUT.
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Problems 1

• Data entry post lost
• Head and Neck Administrator Left
• 2 laptops with Dahno on Stolen!
• Only 3 PC's left with Dahno on.
• Head and Neck Administrator
• ENT Cons
• OMFS Cons

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Problems 2

• No access to Dahno during MDT
• No access to Dahno during Clinic
• No access to Dahno during theatre
• IT support restricted

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Problems 3

• Not Intuitive Data Entry
• Time Consuming
• Steep Learning Curve
• Frequently Freezes

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Problems 4

• Oncologists data missing
• Links to email dont work
• Helpdesk usually a call-back service
• New front end (Sept 06) ? benefit

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DAHNO is an audit toolIt is not a clinical
application
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Consequences

• 2003 18
• 2004 86
• 2005 (to April) 14
• 2005 (from Nov) 03
• 2006 (so far) 18
• Approx. 135 new cases per year

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Not accessible when required
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Only recently available
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The future 1

• Locally
• Increased IT support
• Increased Access to Dahno
• Clinically Available
• More Complete Data Entry
• Re-instate data entry clerk?

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The future 2

• Regionally
• Oncologist Data input
• Radiotherapy
• Chemotherapy
• Whole Northern Cancer Network
• Regional audit
• ?funding

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The future 3

• Nationally
• Fine-tune software
• Clinically useful
• Connectivity
• Live Helpdesk
• Better in-house audit tools

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Summary 1

• Pilot Site
• Comparatively Decent Data Input
• Insufficient
• Incomplete
• Difficult

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Summary 2

• Increased National profile
• Increased Trust Support
• Increased Clinical Application
• 5 year data on horizon
• Clinical Engagement still

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DAHNO is a clinical audit toolData entry will
be more complete and accurate if it is also a
clinical application
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Thank you