Showcase Hospital Project

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Showcase Hospital Project

• Lynn Chipperfield
• Project Manager, NHS Technology Adoption Centre
• Introduction and background to the project
• Matt Reid
• Showcase Hospital Project Lead, Royal
  Wolverhampton Hospitals NHS Trust
• Placements in action the Wolverhampton
  Experience

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Introduction

• 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

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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.

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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
• Implementation guides
• Business cases
• Provide models for other hospitals and future
  implementations
• REDUCE INFECTION RATES
• improve the quality of life for patients
• increase efficiency
• reduce cost
• VISIT SHOWCASE
• visit the Showcase Hospitals
• speak to the dedicated Project Nurse at each site
• see the technologies in-use
• discuss their benefits

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How?

• Evaluate new technologies in practice
• Impact on infection rates
• Clinical utility
• In-use experience
• Effectiveness
• User satisfaction
• Cost benefits
• Identify, assess and overcome potential
  implementation problems/barriers

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Placements in Action
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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!

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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).
• Proactive engineers.

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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

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ATP results 17/06/08 - 13/07/08
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ATP results 14/07/08 01/11/08
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Bard Silver coated urinary catheters

• Prevalence study- 4 weeks pre and post change of
  catheters
• Four month period of use.(12,14,16ch-to replace
  standard short term catheter use).
• Bard visited clinical areas prior to change over.

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Convatec - Flexiseal faecal management

• Faecal management system
• Bristol 6 7
• Bed-bound patients

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Hollister - Zassi Bowel Management

• Similar but different!
• Bowel irrigation
• Drug access port

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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.

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Evaluation

• 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.

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Thank you

• Contact details
• Matt Reid
• Showcase Hospital Project Lead
• Royal Wolverhampton Hospitals NHS Trust
• Tel [phone]
• Email Matthew.Reid_at_rwh-tr.nhs.uk