PERIOPERATIVE PRACTICE
way; and examine key performance indicators – such as theatre utilisation, list management and start/finish times. Other aspects include compliance with the Surgical Site Infection care bundle and responding to, and acting on, patient feedback regarding satisfaction. Cost savings achieved through
improved stock control, as a result of the initiative, have also been impressive, Prof. White revealed. In one instance, a review of unused supplementary items resulted in a third of items being removed. She went on to highlight the value of
recycling – pointing out that it costs £15 per tonne less to recycle than to dispose of waste in an orange bag. Recycling empty Paracetamol bottles at one pilot hospital site saved the organisation £4,309 per year, for example. “Even if you recycle just a little, you
will be amazed at the money that can be saved,” Prof. White commented, pointing out that one health board was able to realise around £180,000 per year by recycling. Other efficiencies can also be achieved
by looking at ‘waste’ in terms of processes. Prof. White gave the example of Prince Charles Hospital inWales, which reduced late starts by 24% by encouraging patients to walk to theatre, where appropriate, and not having to wait
‘We have to ensure that every penny counts, but we must ensure that we do not lose sight of why we are here – we are here for patients.’
for a porter. It also reduced variation on stock items, by standardising on a single manufacturer across the health board, which resulted in savings of £64,000.
Patient experience Patient experience, in terms of dignity and respect, is now identified as a ‘tier one’ performance area, which is monitored by theWelsh government as a key care metric. The Cwm Taf health board, for
example, has developed a ‘dignity pledge’ to patients, which provides a platform for staff and patients to discuss and raise dignity matters. It has been instrumental in the development of locally designed and implemented changes to support consistent dignified care.
In her closing remarks, Prof.White
reiterated the need for better conversations with patients over lifestyle. In the future, such factors will be a significant issue for theatre teams. “We are going to see the consequences, lying on our tables,” she warned. She concluded the lecture by pointing
out that Daisy Ayris was an inspirational leader with a vision – proving that one person can make a difference. “Do not be afraid to be the one that
has an idea,” she urged “Take a leaf out of Daisy Ayris’ book: don’t wait for somebody else – take responsibility and make that improvement happen.”
• The Daisy Ayris Lecture was sponsored by Ethicon.
QUALITY
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• Large volume 2nd chamber; drop rate - 20d/ml H2O - 15 d/ml Blood
• 200 micron blood filter • Floating shut off valve
• Back cut spike to help ensure straighter bag – spiking • NEWsofter easy prime drip chambers and easy close roller clamp
ITU& Theatre Use • Giving Set • 3-Way tap
• Extension Line All in ONE product
• Disconnectable built-in 3 way tap on extension line. • 150cm Standard 4.4mm i.d extension line with direct rotating luer lock connection.
• Prime stop cap to reduce the risk of spillage and contamination.
Ward Use The 3-way tap and extension line can then be removed to leave a standard IV line (with 20 d/ml H20) for use on the ward.
VALUE EFFICIENT
NOVEMBER 2012
THE CLINICAL SERVICES JOURNAL
53
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