Tracking Forward, Tracking Back and Beyond. Maria Anderson

Transcription

1 Tracking Forward, Tracking Back and Beyond Maria Anderson

2 Why do we have tracking Standards AS/NZ Section 8.2 Infection Control. CJD and the difficulty in effectively killing the prion Possible new threats bugs of the future Minimise the risk of contaminated instrumentation being used on patients Allow accurate recall of instrumentation that are considered contaminated for disposal or specialised processes

3 WHAT MAKES AN INSTRUMENT TRACKING SYSTEM? DATABASE Tracking Documentation Management Tools

4 Benefits of electronic tracking Accurate inventory Ability to cost the tray both in the cost of the items and the cost of processing Ability to know where something is at any time Education tool Optimise instrument inventory and utilisation Reduced errors (right instrument) Reduce surgical team delay time Customise to your needs Electronic staff signatures

5 Limitations Poor data base built Too many cooks (limit the people that have access) Budget constraints (Modules) Staff non compliance Instrument marking

6 Data base build Get it right! (Invest the time) Naming convention Scissor Mayo Cvd 180mm TC Agreed abbreviations St =Straight Cvd =Curved Sh =Sharp Bl=blunt Groupings Instrument details manufacturer & catalogue number Speciality Location A 03 B Costing Consignment/Loan

7 Specific instructions, Triggers or prompts Do not immerse Hand Wash Gentle Cycle Lubricate 121Deg Cycle Sterrad only Steam only Limited uses Cap on for sterilising Biological required Electrical testing required

8 Tracking return and wash process Receipt of items into decontamination room through the wash process Wash type Manual wash (ultrasonic) Machine wash Machine failures

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10 Information stored Back Tracking Data can be exported to excel

11 Load History? Alert if the wrong item is scanned to go in a cycle that is not suitable, both in wash and sterilisation

12 Tray Assembly Tracking Forward Scanning the product bar code automatically generates the right tray list, unit labels and specific instructions for pack Allocation of unique unit number Automatic or on demand Photo assistance at product level Photo assistance at single item level Sound, Video Pack on screen option Ability to scan all instruments onto the tray

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14 Sterilising Parametric release of loads is dependent on staff interpretation of print outs Sterilisation load verification sheet Cycle type Cycle number Electronic capture of cycle parameters Total load contents Electronic staff signature Recall

15 Recall Recall of Batch Patient Usage Error Marked Units August 28,

16 Messaging Internal Messaging System By Events i.e. Machine Finishes, Order Cancelled Users and Automatic August 28,

17 Distribution Release to theatre or other areas Ensures the item is scanned to its correct location Allows theatre to search the system and locate where the item is currently located

18 Tracking through the repair process How often do I repair my instruments? How much do the repairs cost? What is the lifetime Cost of my instruments? Who repairs them? Shows up on web client

19 Web Client

20 Admin Unit search

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22 Management Reports Missing items on trays? at repair Accurate billing for out source work Work load reports (to support the need for more staff) Staff productivity reports to assess education needs Mapping Key Performance Indicators How many trays in a month The total amount of single items How many sterilising loads how many failed loads is there a trend The list of reports is endless its what you want to get out of your system

23 Beyond the future of tracking Fully integrated electronic tracking to single items Electronic archiving no paper archives Instructions easy to follow and definite Manufacturer instructions link to documents Radio Frequency Identification Link to the electronic medical record of the patient Electronic automated steam steriliser pass or fail

24 Oh No the Mayo scissors are missing, boss. Robotic set ups (Now I am dreaming!)

25 Thank you Any questions???»maria Anderson