EBME SEMINAR
“ISO 55001 provides a framework showing how all activities align with overall objectives and it encourages us to use data as evidence to support decisions to be based on risk, cost and performance. By creating a greater engagement of the workforce, it also encourages cross departmental working.” Once a dedicated steering group had been set up, six steps were taken in order to establish a workable system: 1) an asset management policy was developed; 2) objectives were identified; 3) plans, resources and targets were selected; 4) implementation plans were put in place; 5) measuring and monitoring was enhanced; 6) a focus on continual improvement was established via employees’ comments and customer satisfaction. “Initially, it was difficult to get my head
round,” Lesley noted. “Would this mean more paperwork? Would it be beneficial? However, we’ve now passed our stage one audit which already shows that we have a robust asset management system in force.” “Will ISO 55001 save us money? Possibly not, however, it will reduce silos and put data to use resulting in informed decision making and performance monitoring. It also means the objectives we work to are aligned with the overall organisational strategy. Ultimately, it provides us with the flexibility to engage with our customers and they have confidence in us.”
Data debate
An open debate, chaired by David Mulvey, provided delegates with the opportunity to interact with John Sandham, Lesley Sneddon and David Stanger. When asked about the next step for data and asset management, connected health was a key topic. David observed: “Connectivity is a big part of foetal management and robust data. However, there are not currently any standards and this is a big problem.”
A delegate noted that their Trust doesn’t yet have the IT infrastructure to utilise new connectivity technology, while another added its data is hardwired rather than wireless, and the quotes for setting up Wi Fi were ‘ridiculously high’. “Clinicians should be IT savvy,” he asserted. “They should be fully trained in information technology and it’s not an insurmountable task, as most people understand how their mobile phones work!” David Stanger added: “We’ve been involved in connectivity since the mid- 1980s, although it never really took off. Hopsital networks can be horrendous and we’ve had a number of issues with wireless.” With the use of artificial intelligence (AI) rising in healthcare, concerns were raised as to whether this could result in the deskilling of nurses. John Sandham contended that AI will actually upskill staff, noting: “We should be embracing all technology, including AI, as it will help clinicians and to make their decisions feel safer. With a shortage of staff, so we could also upskill auxiliary nurses.” Lesley Sneddon concurreed: “It’s about changing the mentality. There is a critical
Dr Stuart Watson, Salford Royal NHS Foundation Trust
need to work closer with IT and procurement departments to provide improved organisation. Year on year, we receive less money, so connectivity is important if we’re to provide more value with the little we get.” Mala Soccalingame has a biomedical engineering background and is also passionate about innovative medical technologies that improve medical practices, quality of life and lives of patients around the world. As senior product manager for the SpyGlass DS system at Boston Scientific in EMEA, Mala described how the technology enables clinicians to effectively solve bilio- pancreatic diseases, including faster cancer diagnosis, or complex stones clearance, for which the traditional techniques, such as Endoscopic Ultrasound, MRCP or ERCP, don’t provide acceptable success rates. “Before colonoscopy, there were
30 I
WWW.CLINICALSERVICESJOURNAL.COM Mala Soccalingame
barium enemas,” Mala observed. “After colonoscopy we’re in the same process with 2D cholangiography. Now cholangiopancreatoscopy, with the SpyGlass DS system, is opening up a brand new field in the medical world. There are 35 UK hospitals using SpyGlass and there are no other comparable single use devices.” Simon Pike has a background in electromechanical engineering , starting work as an engineer for a dental supply company in the mid 1990s – initially servicing autoclaves, suction pumps, ultrasonic cleaners and any equipment a dentist used that could be repaired. Simon moved on to more technical products and started working on the film based X-ray systems, dental chairs and units. As digital X-ray was being introduced to the market, Simon installed the first Planmeca digital OPG in 1999, and when Planmeca developed a scanning Ceph he installed the first one in 2001. Simon became the technical manager and set up a training, digital installation and support team. He currently works for Xograph Healthcare as a product manager for its dental and maxillofacial imaging products, encapsulating both 2D and 3D X-ray systems; presenting the company’s products to surgeons, radiographers and managers. He is also responsible for applications training with the radiographers and surgeons. Describing the advances in 3D cone beam
CT, Simon said: “With regard to maxillofacial imaging, the future is CBCT technology. It can provide a stroboscopic effect, with images taken using short X-ray pulses during the scan. Between 400 to 600 images can be taken during the scan and the cumulative exposure time is just 2.8 to 12 seconds for an 18 second scan, which means a reduced radiation dose for the patient.
“Image manipulation is flexible, as the
software enables rotation and zooming, allowing implant planning in 3D. The software allows you to select an implant and, if there is a collision with a nerve ending, you can reselect and reposition. It even tells you the quality of the bone being drilled into to select the correct drill from the drill guide. 3D printing from this data means the implant is the correct fitting for the patient.”
Clinical engineering R&D
Dr Stuart Watson is head of R&D Services in the Dept of Medical Physics, Salford Royal NHS Foundation Trust, managing a team of engineers providing clinical research instrumentation and bespoke clinical devices development, calibration services and the delivery of a specialist photobiology diagnostic service. Stuart believes clinical engineers have a major role to play within the NHS in driving the effective adoption of new technology to both improve healthcare outcomes and control costs. Providing a number of case studies,
Stewart described one in which a maxillofacial prosthetics team wanted to introduce 3D printing to its workflow.
JUNE 2018
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