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OPERATING THEATRES AND CRITICAL CARE


them to identify abnormalities from set process and outcome standards, address workflow efficiency bottlenecks, and detect key factors that contribute to variability.


“The CareSyntax system is already being used around the world in over 6,000 ORs. These sites are reducing procedure times and surgical risk, which is absolutely critical. The most recent figures show that a staggering one in every seven patients experiences surgical complications, which can lead to readmission. Not only is this disruptive for the patient, but it is also costly. Being able to document surgery in real time, capture and display procedures, and have a 360 degree view of the full surgical workflow, is a huge leap towards achieving inclusive patient outcome management. As an industry, we have a duty of care to ensuring that patient standards are high. We must work towards always providing, safe, clinically effective, and reliable care.”


The freedom of movement Theatre room layout is a critical contributing factor to maximising patient outcome. With numerous pieces of equipment needed, it is only too easy for theatres to become cluttered. Patient access and removal of obstacles are essential. A single, breakthrough solution can not only improve ventilation, but also enable greater access to the patient – by allowing more intelligent equipment positioning. Following months of market research, trials, and compliance tests, AHS will be one of the first to bring a skirtless, round laminar air flow canopy to the UK. Reportedly ‘unique in its design’, the skirtless and flush-to-ceiling canopy is manufactured by Swedish-based Cleanroom Concepts. Of a product that AHS believes will ‘revolutionise’ today’s theatres, Russell Skea said: “The fact that this canopy sits flush to the ceiling, with no protrusion at all, means that tracks and other elements can easily be included for a hybrid or an OR theatre, which is not possible with a conventional screened canopy.


“In addition, the canopy’s energy consumption is significantly reduced, and – a really unusual and key selling point – while all the existing laminar flow canopies tend to be square or rectangular, this one can be round.” He expanded: “This gives the ability to position the patient in any area of the sterile field, while a surgical benefit is the ability to locate the surgical lights and pendants, monitors, and other equipment, around the circumference of the sterile area, rather than in the corner, which can be three metres away.” AHS expects the Cleanroom Concepts laminar flow canopy to prove popular with UK healthcare specifiers, ‘due to its host of environmental, utility, surgical, and patient benefits’ – which the company claims are


114 Health Estate Journal October 2018


AHS’s offering will include ‘the latest, state-of-the-art OR integration and analytics platform from CareSyntax’.


not offered by any other round laminar flow canopies.


Russell Skea added: “To date it has really only been sold in quantity across the Scandinavian market, but the canopy has recently been certified for UK use by a UK airflow validation specialist, in Sweden, because in Scandinavia the airflow required by regulations is significantly lower.”


Maximising uptime


Healthcare facilities face an increasing number of challenges, with budget restrictions and cost pressures topping the list, plus the need for improved patient outcomes and flow without compromising on quality and wellbeing. AHS will be looking at supporting the uptime of infrastructures as well, as Nick Jackson explained: “Of course, maximising the ‘uptime’ of clinical facilities is paramount, and as a business we recognise the sophisticated demands this places on us. As I mentioned previously, we have a dedicated team of individuals able to deliver the necessary assured quality support for an extensive range of clinical and infrastructure products. Peace of mind is essential too, which is why our service contract options cover everything from single pieces of equipment to a single theatre environment – from plant room (IPS/UPS/AHU) to point of use (CSU, surgical lighting, tables UCV), giving the client the assurance that theatres will be fully operational at all times. “All equipment should be routinely maintained to provide optimum performance and quality of use. Knowing that equipment is being regularly and professionally maintained at the correct service intervals, and to the highest standard, gives further guarantees that it will operate within the manufacturer’s specifications at all times.”


He added: “Monitoring and controlling equipment costs over a determined timeframe will optimise value through


uptime and utilisation, in addition to reducing unexpected costs from breakdown reactive maintenance, which will minimise the lifespan of the equipment, and is typically the cause of many catastrophic failures.” “The AHS agenda is simple,” Russell Skea added. “It is wholly committed to improving healthcare provision through the introduction of meticulously chosen products, industry-leading and fully comprehensive project management, and prompt, reliable service support.”


The shape of things to come AHS says it is ‘determined to bring a new dimension to the way in which the healthcare sector tackles its infrastructure requirements’, and is ‘fully equipped to understand the requirements of the various Trust stakeholders from both a clinical and technical perspective’. It is equally ‘very aware of the impact that infrastructure works can have on departmental uptime, patient flow, and revenue’. Nick Jackson concluded: “We are very excited about the proposition we can offer. We will be doing things differently, to provide a complete solution that focuses on the needs of the patient, while being aligned to client economic drivers.


“What we want to offer the market,” he added – “and this is where Russ’s expertise is unrivalled – is all the design elements for medical facilities such as complex hybrid theatres, which, in our view, no other company offers. AHS will deliver a far more consultative and ‘partnership’ approach, while also taking on the entire ‘design and build’ elements. I would describe AHS as a ‘turnkey operating theatre and critical care area solutions partner’. AHS is set to shape the future of design, build, equipping, and commissioning, by bringing all these processes together under the control and expert management of one consultative company.”


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