Smart Solutions for HCAI Programme. November Dr Bryan Griffiths Programme Director

Transcription

1 Smart Solutions for HCAI Programme November 2012 Dr Bryan Griffiths Programme Director

2 Smart Solutions for HCAI Programme The HCAI Technology Innovation Programme Rapid Review Panel (RRP) Smart Ideas Developed by Clinical and Non Clinical Staff Smart Solutions Products and Technologies From Industry Design Bugs Out Better designs for Hospital Equipment Showcase Hospitals Product Surgeries Local Initiatives Adoption and Diffusion studies

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4 Geographical Distribution of Evaluations Smart Solutions for HCAI

5 UV Lighting Technology Principal Investigator: Rebecca Molyneux Royal Liverpool & Broadgreen University Hospitals NHS Trust UV Light Technology Ltd UV Lighting Equipment Range

6 UV Lighting Technology Product - High performance UV inspection lamps Widely used by forensic scientists Reveal proteinaceous material exposing any areas that have not been effectively cleaned

7 UV Lighting Technology

8 UV Lighting Technology

9 UV Lighting Technology

10 UV Lighting Technology

11 UV Lighting Technology

12 UV Lighting Technology

13 UV Lighting Technology Soiling results pre and post cleaning % of non-zero scores No UV Light UV Light Pre-cleaning Post-cleaning

14 UV Lighting Technology Dust/Stains/Smears results pre and post cleaning % of non-zero scores No UV Light UV Light Pre-cleaning Post-cleaning

15 UV Lighting Technology Team at Royal Liverpool

16 UV Lighting Technology Trial Is UV lighting effective in improving hospital cleaning? Audit of cleaning process with and without UV light across 10 wards. Use of ATP swabs, micro swabs and visual checks to assess cleaning. ATP scores reduced during UV Light use. Positive acceptance from all staff involved. UV light technology may be used as a confirmatory method and also an audit tool.

17 Air Decontamination Royal Free London Inov8 Air Disinfection Unit Quest Air Manager GE Healthcare Medixair

18 Air Decontamination Robyn Smith, Ed James (Principal Investigator) and Kerry Williams at The Royal Free

19 Air Decontamination Three different air cleaning technologies Inov8 Science Hydroxyl Radicals Quest Air Manager - Close Coupled Field Technology Medixair Ultraviolet light

20 Air Decontamination Trial Do air cleaning systems reduce the bio-burden in the air and on surfaces? Interrupted protocol design. Achieved reduction of up to 40% in TVCs Achieved environmental MRSA reduction of up to 68% The efficacy of some units was height dependent.

21 Air Decontamination All three companies continue to supply products to the NHS however there have been some name changes:

22 MedMat Bristol PCT NHS Trust Principal Investigator: Wendy Briggs Ergomedica MedMat

23 MedMat Trial User evaluation in community healthcare. Used by district nursing teams, wound care service, walk-in centres, podiatry and prison healthcare service Wendy Briggs (Principal Investigator)

24 MedMat

25 MedMat

26 MedMat Absorbs Aborbs fluids - relative to current methods Worse Same Better Much better Number of responses

27 Trial MedMat Over 500 evaluation questionnaires completed and analysed 79% of evaluators felt that the Medmat was better or much better for managing large wound dressings than current practice 64% of evaluators felt that Medmat was better or much better at maintaining a sterile field. Medmat was reported to be significantly more effective at achieving an aseptic approach and maintaining a sterile field Nursing Times Gold Award in Product category.

28 Nanopool Southport & Ormskirk NHS Trust Nanopool Liquid Glass Layering Technology Principal Investigator: Martin Kiernan

29 Product Nanopool Nanopool A nanoscale super hydrophobic liquid glass coating Can be easily applied to a wide range of surfaces Makes surfaces easier to clean Originally developed as an anti-graffiti coating Used extensively in food, pharma, hotels Trial Does Nanopool reduce bioburden on surfaces? Wide range of coated and uncoated surfaces in acute wards Evaluated by ATP testing, microbiology sampling and user feedback

30 Nanopool Sites at Southport & Ormskirk NHS Trust

31 Nanopool Trial Comparison of coated vs uncoated surfaces? 17 high contact challenging surfaces treated and tested Single coating process Coating shows 25% reduction in ATP scores on coated surfaces compared to uncoated surfaces. For floors, commodes, trolleys and slings the reduction in ATP was >50%.

32 Nanopool

33 Nanopool

34 Formula 429 Fogging Barts & London NHS Trust Chemspec Formula 429 Fogging

35 Formula 429 Fogging Product Formula 429 Fogging A cleaning product based on a variety of biocides Alternative to steam or sodium hypochlorite for deep cleaning using Byotrol technology Trial Is Formula 429 an effective fogging solution? Fogging of side rooms and equipment Evaluation by microbiology sampling pre and post fogging Data collected on room turnaround times

36 Formula 429 Fogging Fogging taking place at Barts & London NHS Trust

37 Formula 429 Fogging

38 Formula 429 Fogging

39 Formula 429 Fogging

40 Formula 429 Fogging Trial A variety of areas were examined including side rooms, 4 bedded bays, sluice rooms and patient shared toilets. 95% Reduction in TVCs in side rooms. 90% reduction in environmental E Coli in side room. Both TVC and ATP show significant reduction post fogging. Average turnaround times across all areas was 58 minutes.

41 Trustech Commercial Services

42 Trustech Commercial Services Market Research / Market Intelligence NHS Focus groups Product Evaluations

43 Combinations of Technologies UV Light + ATP Monitoring

44 Combinations of Technologies Side Room Cleaning + Air Decontamination

45 Smart Solutions for HCAI Thank you