This presentation is about how Google Docs may be used as an tool in data gathering and housing that functions as an intermediary database and is uploadable into multiple proprietary systems as well as being transferable between individuals or groups (ie. patient, clinic, primary car physician, social worker, etc.). The focus for this demonstration is using this tool to prevent harm and enhance care for patients who are either in chronic pain management programs or for cases of polypharmacy. The intended audience are nurses or other healthcare providers responsible for patient intake. There is a short case study and a link to a google form that you can experiment with. Please contact me if you have any difficulty accessing the Google form listed in the presentation.

1. Assess, Inform, Educate
Using Google docs in reducing incidence of
patient death related to prescription Opioids

2. 2010: Deaths due to prescription
medications
Antiepileptic and
Antiparkinsonian, 8%
Antidepressants,
18%
Benzodiazepines,
29%
Opioids, 75%
74.3% Deaths: Unintentional
17.1% Deaths: Suicides
8.4% Deaths: Intention unknown
Summarized from data provided by: Jones CM, Mack KA, Paulozzi LJ. Pharmaceutical Deaths, United States. 2010. JAMA. 2013;309(7):657-659.doi10.1001/jama.2013.272

3. Nurses are the gatekeepers of patient
safety

5 Rights of Medication Administration

Understanding synergistic and cumulative effects of
prescription medication

Management of pain

Coordination, execution and monitoring of effects of MD
orders related to patient care

Best positioned for close and careful assessment as well as
patient education

4. 2010 Deaths by medication classification
% OF DEATHS: OPIOIDS IN COMBINATION WITH OTHER
PRESCRIPTION MEDICATIONS
77%
58%
66%
58%
57%
54%
W / B E N Z O D I A Z E P I N EW / A N T I DWP R EN T A N T L E P T I C A N D A N T I T I P SK ICW OA NC IA N D EN EC S ,OA N A L G E S I C S , A N D/ O T H EH EP S YA T IO T R O P I C
S
E / A SSIEPI S
W / A N P A R Y NH / T II T N Y R T I U R L E P T I C
S N A P
W ANTI R UM CH CS

5. 1. Assess

Gather patient medication
data and reconcile home
and institutional
prescriptions.

Portable tool that can be
used out in the field as
well as in hospitals and
clinics.

Publicly accessable data
housing technology, while
maintaining patient
privacy through individual
care provider user ids

Google Docs!

6. Case Study

Please go the following link and use the Google doc Opioid risk
assessment form: http://tinyurl.com/opioidscreen

Rate the following patient:

You are the intake nurse at the local urgent care community clinic. Marta is a
drop in client. Her friend drops her off on the way to the senior center and
leaves. Marta says she did not want to bother her daughter to bring her in
and does not want to go the hospital because she does not like them (“You
can check-in, but you don‟t check out”). She is coming in to see the doctor
today because she felt very tired this morning and has had mild shortness of
breath for last ½ hour. She has brought her „pills‟ with her in her purse. Upon
inspection you see that one is for Vicodin, that was ordered by her dentist for
tooth pain related to recent a procedure for an impacted tooth. One is
Cogentin for her Parkinson‟s, which she received from her medicare provider
and one is for Zoloft, which she says her daughters psychiatrist prescribed for
her „blues‟ after a consultation two days ago. Going just off this initial
information, how would you rate this patient?

7. 2. Inform

Send Google forms securely to primary care
physician for medication reconciliation and
consultation

Send Google forms between healthcare providers

Send copy of Google form to patient and
authorized power of attorney

Gather and share data in confidential and
controlled way for future studies

8. 3. Educate

Assessment tool allows you to immediately identify and summarize data

Helps Nurses to formulate and determine educational goals

Can give to patient as data sheet that can be used on mobile devices on the
go

9. Big Picture
Inputs
Design comprehensive data gathering tool using google docs
• Evidence Based Practice, Research, QSEN
Activities
Use google docs to screen for potential harm d/t opioids
• Use this mobile form to assess individual patients for risk factors related to pharmaceutical drug overdose and death
• Use this universal platform to gather data in a way where it is portable and easily translatable into multiple systems
and languages
Outputs
Send secure information to other healthcare professionals and patient
• Send link to report via google docs, a free web application. Can be downloaded into csv file for upload into
proprietary medical databases or viewed in report form on desktops, laptops, ipads, phones, etc.
Short Term Outcomes
Increased awareness about risks for overdose and death from prescription
medications
Long Term Outcomes Harm prevention, patient education and research