ENSURING EFFICIENCY AND SAFETY IN THEATRES An insight into Derby - - PowerPoint PPT Presentation
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. Gary Adams, Healthlogistics Chris Roe, Derby Teaching
Gary Adams, Healthlogistics Chris Roe, Derby Teaching Hospitals NHS Foundation Trust Jayne Green, Derby Teaching Hospitals NHS Foundation Trust
An insight into Derby Teaching Hospitals’ implementation of GS1 standards to help improve clinical effectiveness and deliver process benefits.
Derby Teaching Hospitals NHS Foundation Trust
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
Local Trust level remit
The data that hTrak solution provides enables Trusts to have detailed discussions – and directs and supports decision making
MOTIVATION/ DRIVERS FOR ACTION
November 2013)
Our Theatre Data Capture Device
Including Lot, Batch and expiry data
40 plus theatres & suites
Full traceability across our theatres and 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:
trays could be identified
NOW:
CJD Instances Reported Patients Notes Reviewed Trays Identified Affected Patients Identified CJD Instances Reported hTrak Reviewed Trays Identified Affected Patients Identified
50 hours work per patient Low confidence in results 30 mins work for all patients High confidence in results
Location ID Catalogue Mgmt. Patient ID Inventory Mgmt. Purchase to Pay Product Recall
Test Case Study – CJD Scare ‘Trays and Instruments’
Three Patients
Providing consultants with detailed Pre-op notes, prior to carrying out surgery
Knowledge of implants prior to procedure:
Part of the pre-op note now available
Clinical Case Studies Mr Keith Jones, Clinical Director of Surgery https://vimeo.com/208638272
Submitted Evidence: Laparoscopic Cholecystectomy Consumable Costs and Consultant Variation
Consultant Description Avg Consumable Cost Avg No of Products Avg No
Avg Minutes No of Procedures Lower Quartile Upper Quartile Variance Std Deviation Avg LoS Max LoS Min Los Cons A £285 82 5 181 1 £285 £285 £0
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:
Patient safety improvements
Time released to patient care
Greater efficiencies in stock control
Unexpected benefits
BENEFITS
engage staff (it’s all about the patient)
accurate product data
presence in the area
OVERCOMING CHALLENGES Implementation strategy lessons learned
Video - Adopting new ways of working
https://vimeo.com/208638272
For more information
please email Healthlogistics contactus@healthlogistics.co.uk www.healthlogistics.co.uk