Showcase Hospital Project Lead Royal Wolverhampton Hospitals NHS Trust
Placements in action the Wolverhampton Experience
The HCAI Technology Innovation Programme launched in January 2008 following Clean Safe Care Reducing Infection and Saving Lives (DoH 2008). (more details available on www.clean-safe-care.nhs .uk)
Led by NHS PASA as part of the HCAI Technology Programme
Products implemented in SH June 2008
7 Showcase Hospitals across England
In-use evaluations of six RRP1 products initially
3 Rapid Review Panel
A group of internationally recognised scientists and practitioners who meet four times each year to review evidence submitted by firms who seek to demonstrate that their technologies will reduce infection not just kill bugs!
Convened by the HPA at the request of the DH and reports to the DH through Professor Duerden Chief Inspector of Microbiology.
Set up in 2004 and has since reviewed 200 technologies/products and makes awards in one of seven categories depending on the evidence.
4 Aims of the project
Overall aim is to speed up the development and NHS adoption of new proven technologies to reduce HCAIs.
PRODUCE ADOPTION BUSINESS CASES
Provide models for other hospitals and future implementations
REDUCE INFECTION RATES
improve the quality of life for patients
visit the Showcase Hospitals
speak to the dedicated Project Nurse at each site
see the technologies in-use
discuss their benefits
Evaluate new technologies in practice
Impact on infection rates
Identify assess and overcome potential implementation problems/barriers
6 Placements in Action 7 ChloraPrep
PVC CVC insertion line care Blood cultures
Company trainer undertook compliance check approx 8 weeks following installation with a further follow up planned next week
New doctors-encourage use!
8 (No Transcript) 9 Bioquell
Managed service commenced 21/7/08 for four months.
225 process to date - Side rooms bays ward and other areas.(21/7/08-14/11/08)
Positive feedback from staff and patients so far (minimal disruption).
Utilise it (non side room activity).
10 (No Transcript) 11 ATP monitoring 3M Cleantrace
4 wards 20 test points on each ward 7 days a week.
Generally sustained improvement.
Competition between areas! Improved dialogue between domestic and nursing staff.
Improved software from 3M to enable effective feedback.
Disregard Pass/caution/fail rateshowever
12 ATP results 17/06/08 - 13/07/08 13 ATP results 14/07/08 01/11/08 14 (No Transcript) 15 (No Transcript) 16 Bard Silver coated urinary catheters
Prevalence study- 4 weeks pre and post change of catheters
Four month period of use.(121416ch-to replace standard short term catheter use).
Bard visited clinical areas prior to change over.
17 Convatec - Flexiseal faecal management
Faecal management system
Bristol 6 7
18 Hollister - Zassi Bowel Management
Similar but different!
Drug access port
19 Flexiseal and Zassi Bowel Management systems
General use increasing slowly as more general staff receive training.
Mostly positive feedback. simple to use....no problems...aided skin integrity...dignity and comfort for the patient.
Kits and consumables available from Medical Equipment Library (sign out sheet).
Evaluation forms attached to kits complete and return. Patient feedback.
Bioquell Flexiseal and Zassi evaluation forms input via web link.
ChloraPrep ATP monitoring and Bard catheters - focus groups structured interviews at end of showcase period blood culture contaminant rates.
21 Thank you
Showcase Hospital Project Lead
Royal Wolverhampton Hospitals NHS Trust
Tel 01902 695293
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