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146 Care XR with Rik Shorten and Suzy Engwall: All about patient safety

Rik Shorten

Care XR

Quick Pulses of Full Conversation: Tachyons, Soundbites, Takeaways..

Ensuring Comprehensive Caregiver Training

not every parent can attend the class. Not every caregiver that is responsible for caring for the child once they get home. There's a lot of extended family. There's grandparents. There's uncles and aunts and sisters and brothers and other people that aren't there at time of discharge that are also responsible for caring for the children at home that don't get the benefit of the class. And then there's also retention. You know, and there's the idea that what you were taught in the hospital for that half hour, hour class, you know, it's how much do you remember two weeks later about that 12 step, you know, that you were taught at the time, even with the VR, you know, how much do you retain? And so, you know, the feeling was, how do we how do we follow them home? How do we give them a companion application, either for a refresher? or for the extended family or caregivers that weren't able to access the VR, what can we give them at home? So we sort of reverse engineered the VR for tablet and for PC. So what we have now is a published application for the PICC line. We picked that as the first one just simply because there's so many that are done. And, you know, our provider partner said, hey, you know, we'd like to have that first just simply because we do so many pick lines and our patients, our families struggle with that. We'd like that one done first. So we have, so in the App Store now, if you go to Apple or Google Play Store, you can download that app

The Cost and Solution of Preventable Readmissions

And that's a $25,000 drain on resources. And there's a million reasons why that's a problem for our health systems today, for everybody, regardless of whether the hospital pays for it or Medicare pays for it or whoever pays for it. It's just bad. And so that doesn't have to happen. If it's a preventable readmission, and 50% of them are, why are they still happening? If there's a way for us to help them care for themselves at home and make them confident in their care at home, if we can do a better job of that, we should be doing a better job of that.

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Discharge Planning: A Chaotic Necessity

I would hope there would be some best practices regardless across the board with discharge planning. I've been dealing with this. I have aging parents. We've had, you know, also on my wife's side. And the discharge that happens, it's like whatever. happen at the hospital. I almost think it should be proof of life of care of what happened, whether it be for stroke, dementia, what medications it feel. I feel like there's so much area where we need to get it right.

Easing Caregiver Anxiety with CareXR

They were stressed out. There's a lot of anxiety, obviously, when you have a child leaving the hospital with a feeding tube or a PICC line or some other medical device, a complicated medical device. And I can only imagine, you know, when you're being given a child after a major medical procedure and they're going home and you have a thick book of instructions and you have limited time with a medical professional, And, you know, for the next six weeks, eight weeks, it's your job as a parent to care for your child every day with all of the myriad of steps, you know, that need to go into the care at home for these medical devices. They were struggling because their parents and the caregivers were struggling. So the concept was to have an application, an interactive application that they could use. You know, a bedside at time of discharge that the parents could go through in order to build their confidence so that when they left the hospital, they would feel like they had a chance to practice the steps virtually for the procedures that their child had gone through the care that was going to be required post discharge. So when they got home, it wouldn't be the first time that they'd gone through it. Repetition is pedagogy. So if you've gone through things multiple times, you've got that sort of muscle memory. You know, you've done it over and over again. It becomes sort of second nature. And at least to the point where you feel like, OK, it's not the first time I've seen all the different, you know, The different component parts of a kit for a G-tube. I know what the tubing is for. I know the ports. I know the different gauze kits. I know all the different syringes and all the things that go into. When I take one apart, I know what it looks like. It's not strange to me. It's not foreign.

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