PowerPoint PresentationGary Adams, Healthlogistics Chris Roe, Derby Teaching Hospitals NHS Foundation Trust
Jayne Green, Derby Teaching Hospitals NHS Foundation Trust
ENSURING EFFICIENCY AND SAFETY IN THEATRES
An insight into Derby Teaching Hospitals’ implementation of GS1 standards to help improve clinical effectiveness and deliver process benefits.
SCAN4SAFETY – DERBY’S JOURNEY
Manage and coordinate hospital resources efficiently and cost effectively
ACCURATE DATA, TRANSFORMING HEALTHCARE THE DERBY STORY – AIMS & OBJECTIVES
Supporting the provision of high quality, safer patient care
Delivery of accurate and reliable data ensuring devices and consumables are available where and when they are needed – at the right price
Big picture – NHS landscape NHS procures 1.7m different items 61 Trusts purchased 1750 cannula One Trust bought 29 different types of rubber glove Up to £5bn in savings required Requirement to improve patient safety ( PIP scandal)
Local Trust level remit Inventory management savings Patient safety improvement – ‘track & trace’ Improved coding Roll out of GS1/PEPPOL standards for SCAN4SAFETY
The data that hTrak solution provides enables Trusts to have detailed discussions – and directs and supports decision making
MOTIVATION/ DRIVERS FOR ACTION
Initial Planning stages (commenced November 2013)
Roll out to General Theatres (April 2014)
9 theatres, multiple specialties
3 theatres, multiple specialties
2 labs
2 theatres
6 theatres
8 theatres
Ward 403
All theatres now Live!
TODAY - OVER 91,000 PROCEDURES CAPTURED
Our Theatre Data Capture Device
• Patient: Scan Wristband (GS1 GSRN) • Timers: Knife to skin, time in recovery
• Location: Records locations (GLN’s)
• Staff: Who is present. (GSRN) • Procedure: Operations linked to OPCS codes
• In Theatre: Questions
• Anaesthetic: Type used
• Devices: Products, Trays & Implants used (GTIN’s) Including Lot, Batch and expiry data • Inventory: Enables automatic ordering
40 plus theatres & suites
Built into BAU Derby Process
Product Recall; PC: H7493926224300 LOT:18787023
Full traceability across our theatres and suites
Once identified the patient – Case Study
Full Product Traceability
Pre Scanning Solution:
• Min. 50 hour review per patient • Cannot be 100% confident that ALL patients who subsequently came into contact with the contaminated
trays could be identified
NOW:
• 30 minutes to identify ALL affected trays and patients • High level of confidence in the findings as all information electronically captures
Tray Traceability ‘Infection Control’
Identified
Identified
30 mins work for all patients High confidence in results
Location ID
Catalogue Mgmt.
Three Patients • Identified Patient • Tray and Instrument used • Other Patients affected?
Providing consultants with detailed Pre-op notes, prior to carrying out surgery
Knowledge of implants prior to procedure: • How many plates / screws are in already? • Types of screw heads to expect? • The right equipment to hand? • Not going in blind!
Part of the pre-op note now available
Clinical Case Studies Mr Keith Jones, Clinical Director of Surgery
Consultant Description
Avg Consumable
Max LoS
Min Los
Cons A £285 82 5 181 1 £285 £285 £0 - 3.00 3.00 3.00
Cons B £239 74 7 127 3 £232 £250 £37 £19 1.00 1.00 1.00
Cons C £231 70 6 123 6 £192 £255 £160 £59 1.83 5.00 1.00
Cons D £227 70 6 98 9 £197 £248 £146 £45 1.56 6.00 1.00
Cons E £223 70 5 100 11 £216 £235 £120 £31 1.27 4.00 1.00
Cons F £218 69 6 93 6 £203 £238 £60 £24 1.00 1.00 1.00
Cons G £209 62 6 79 8 £192 £231 £103 £38 1.63 4.00 1.00
Cons H £188 64 7 90 9 £164 £224 £149 £53 1.25 2.00 1.00
Positive outcomes and the long term impact
All information tracked to individual Patient and can feed the electronic record:
1. Products Tracked to Patients across all 40 clinical rooms (inc store rooms)
2. Full Traceability of Trays and Instruments ‘Infection Control’
3. Full Traceability of Staff and Location ‘Scheduling / Productivity’
4. Data that enables:
• Consultant to Consultant discussion
• SUI Resolution – What actually happened in theatre?
• Reduced Clinical admin
• Case Carts and Product Standardisation imminent
• Financial - Conservative savings of £1m per annum
Patient safety improvements • Ability to address Clinical variation with detailed and owned undisputed information • Advance procedure information
Time released to patient care • Clinician time diverted back to patient care • Band 7 released time from searching for stock
Greater efficiencies in stock control • Elimination of obsolete stock • Culture change in terms of waste, opening and using only what is needed • Reductions in the stock holding • Visibility of consumption (Adjusted Min / Max) • Released stock storage space
Unexpected benefits • Workflow management • Process improvements
BENEFITS
Staff engagement at all levels – scanning for safety and traceability will always engage staff (it’s all about the patient) Input from stakeholders within an area and establish a key champion to ensure accurate product data Comprehensive training programme to include a test period prior to going live
Trust implementation team who will engage with the staff and have a visual presence in the area Look for ways to make the process ‘quick and slick’ – customised scan sheets
OVERCOMING CHALLENGES Implementation strategy lessons learned
Video - Adopting new ways of working
please email Healthlogistics