t
EBME SEMINAR
Debbie Pope, country manager (UK & Ireland) for Qualcomm Life
change is difficult within the NHS – it takes time. But, once integrated, using software as a medical device will both save time when transcribing data and ensure higher accuracy. Predictive analytics is the future.”
Technology in healthcare
Connectivity was a key theme throughout the conference and David Stanger, global business unit manager for obstetric specialist, Huntleigh, examined advances in electronic foetal heart rate monitoring. David has worked for the organisation for more than 35 years and, since the company acquired Sonicaid in 2005, he has worked at Oxford University on Dawes-Redman CTG analysis, with Professor Redman et al. Citing the Dawes-Redman CTG analysis, David discussed foetal heart rate (FHR) monitoring. “If there is a problem with a pregnancy, although you can examine the patient and talk to them, you’re interacting with two lives, but can only communicate with one of them,” he asserted. “Dawes-Redman CTG analysis is the best system we have today and a cardiotocograph (CTG) is all we have to work with. This is all based around sensors on the mother’s
stomach and we are presented with printouts and data. But the problem is how do we understand readings and interpret these against guidelines? The results are dependent on a clinician’s subjective opinion. With so many things to look for: baseline accelerations; variability in foetal movement and no decelerations, it’s not always so easy to read as some traces are difficult to interpret.”
Explaining how other signals will often swamp a foetal signal, David reflected on Dawes-Redman CTG analysis and the ability to examine signals in more detail. “The traditional method is based on
opinion, open to error and can provide bad outcomes,” he continued. “Over a 10 year period the NHS paid £6 billion in litigation costs, so it’s important to replace opinion with measurement. “While Dawes-Redman CTG analysis is not a new concept, it enables opinion to be replaced by measurement. The CTG interpretation’s primary output is “criteria met” or “criteria not met” and this is backed up by a comprehensive set of data. Results can be achieved in less than 10 minutes. Think of a software driven algorithm as an
expert assistant. A typical clinician may see 1000 traces per annum and over 10 years this totals 10,000 – a sizeable knowledge base. But how many can they remember? Can they remember the outcomes?”
Advances in asset management
As an active member of the Institute of Asset Management, with a BSc in Medical Physics Technology, Lesley Sneddon shared her expertise by exploring ISO 55001 and quality/asset management in healthcare technology. Lesley is currently quality manager for Medical Equipment Management in GG&C, based in the Queen Elizabeth University Hospital, Cardiff. The department is certified to ISO 9001:2008, however this year there are plans to replace it with successful certification of ISO 55001. The definition of ISO Asset Management is ‘coordinated activity of an organisation to realise value from assets’ and Lesley highlighted that this approach was more simply defined as an “organisational strategic objective.” “With the new standard we get to design a system for ourselves, making it more relevant to the organisation,” she explained.
Lesley Sneddon JUNE 2018
David Mulvey
David Stanger
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