The Path Forward Accelerating Supply Chain Excellence & Safety in Health Systems
Global Standards Improve Patient Safety and Positive Care Outcomes Mr. David Berridge
David Berridge Deputy Chief Medical Officer, Medical Director – Operations Executive sponsor Scan4Safety Leeds Teaching Hospitals NHS Trust & WYAAT
December 8th, 2020
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Our Trust – Seven Hospitals
Wharfedale Hospital
Leeds
St. James’s University Hospital
Seacroft Hospital
Chapel Allerton Hospital
Leeds General Infirmary
December 8th, 2020
Leeds Children’s Hospital Leeds Dental Institute
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About Leeds Teaching Hospitals NHS Trust Over 1,100,000 Outpatients Over 220,000 A&E Attendances Over 119,000 Inpatients 8,948 Babies born
Over 18,000 staff December 8th, 2020
1,300,000 People treated every year
Turnover ÂŁ1.42 billon #ThePathForward2020
2,000 Beds 4
West Yorkshire Association of Acute Trusts (WYAAT)
“The aim is to organise hospitals around the needs of people living in West Yorkshire and Harrogate rather than planning at individual organisational level so we can deliver more joined up care, high quality, cost effective care for patients.�
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West Yorkshire Association of Acute Trusts (WYAAT) Total beds – 5070 Total staff – 43,488 Total budget – £3.35 billion Deliver acute services to 2.6million people across West Yorkshire & Harrogate
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What is Scan4Safety? “The clinically led digital innovation of a Trust through the implementation of standards” We want the ability to track:
Patient
Product
Place
Process
December 8th, 2020
• • • • • •
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Our patients The products The place Our involved staff The procedure (OPCS) The surgical trays & instruments
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Benefits Indirect
Soft Reputation
Strategic Resourcing
Hub of Learning
Stock Standardisation
Workforce Satisfaction
Workforce Productivity
Patient Satisfaction
Theatre Utilisation Upstream Supply Chain Efficiency Patient Level Costing Clinical Practice analytics Demand Aggregation
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Benefits – Financial Area
Benefit
Product Recall Staff Time Inventory Reduction
£84,411 £1,781,634
Returned Stock
£159,082
Efficiency Benefits
£157,645
Tray Rationalisation
£133,564
TOTAL
December 8th, 2020
£2,316,336
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The Standards Patient
Global Service Relationship Number (GSRN)
December 8th, 2020
Place
Global Location Number (GLN)
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Product
Global Trade Item Number (GTIN)
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PPM+ Mobile App
GLN – Patient Location
Associates patient, to place, to product, to process. Automatically updates the e-whiteboard First of the demonstrator sites to label down to bed space level and start unlocking the potential
December 8th, 2020
Mobile ppm+ app will allow access to e-forms within the patient EPR at the bedside
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Real time patient timeline Launched in Pilot 13 November 2017
Using the GLN we would be able to trace which patients had been in the same room easily via the data
Agreed as successful within 2 weeks
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Live Bed State Result of collaboration between: • Digital & Information Technology • Scan4Safety • Clinical Site Managers • Emergency & Speciality Medicine Powered by GLN & GLN Extension to ensure data quality.
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Infection Prevention & Control Electronic healthcare record time stamp on PPM+
Analysis can be done to see what patients have been in the same area.
All bed spaces have a Global Location Number & GLN Extension. Patients are assigned to a specific bed location using a GLN & GLN Extension.
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Car-T Tracking
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Equipment Tracking
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Inventory Management
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Paper free Inventory
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Product Recall Recall in Figures
839 Product Lines across 62 Product Ranges 124 items removed from St. James’s Site
10:15 - MHRA Notification Confirmed in Trust 10:28 – Confirmed we have the product in the Trust and that there will be no use of these products in the coming days
34 items removed from LGI Site
11:42 – Confirmation to Medical Director -Operations that all respective products have been removed from the clinical area and are under the control of the appropriate Inventory Manager.
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Never events UK Provisional Data - 01 April 2020 to 31 August 2020:
115 incidents recorded as Never Events
Source: https://improvement.nhs.uk/resources/never-events-data/
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Never events What could Scan4Safety help to mitigate? Type of never event
Count
Wrong implant / prosthesis Retained foreign object post procedure Wrong site surgery Patient connected to air flow meter rather than oxygen
5 28 43 10
Total
86
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Catalogue Management
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Blood Tracking
• MHRA 2 sample rule compliance • Ensuring the patient gets the correct blood • Uses the patients GSRN to produce a safety check for the clinician.
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e-Obs in PPM+
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Covid-19 Response
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Starting Position
• Cramped, multiple locations within Gledhow Wing at St James’s Hospital • Hard to track, monitor and trace stock • Holding around 2-3 days worth of stock
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Decision to open a PPE Warehouse • 7 million+ items of PPE • 400+ plus pallets • Starting to receive big deliveries e.g. shipping containers, with 7 tonnes of gowns. • Dedicated pick and pack area
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PPE Analyser tool
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PPE Forecaster tool
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Thank you
@LTHScan4Safety www.scan4safety.nhs.uk
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