COMPLETING THE PICTURE
Completing the picture: The future of healthcare
The Hilton Birmingham Metropole, NEC Birmingham, played host to ‘Completing the Picture’ 2018, an annual educational symposium that brought together clinical, technical and procurement health professionals for a unique day of education and discussion.
Taking place on Wednesday 27 June 2018, Completing the Picture – now in its 18th year – was free to attend, thanks to an educational grant from Welch Allyn. The day provided delegates with the opportunity to hear from a broad range of experts sharing their specialist viewpoints on the healthcare industry and its future - a platform in which visitors could learn, network and share best practice with peers. As Completing the Picture delegates took to their seats, chairman, Giles Hartley, technical services manager at Leeds Teaching Hospitals NHS Trust, opened proceedings. “It is always a pleasure to be involved in these important educational days and I’m pleased to see that they are so well attended,” he said. “The varied and aspirational programme this year has very much a future focus. As professionals in our field, colleagues and patients rely on us to determine the future of medical technology in our hospitals – technology that offers the best outcomes and best value.”
The first speakers were Jayne Green,
eProcurement team leader and Russel Turner, medical equipment library trainer, Derby Teaching Hospitals NHS Foundation Trust. As the first accredited Scan4Safety NHS hospital, Derby has witnessed significant patient safety benefits, through reliable traceability of products, patients and staff, saving more than £1.6 million. Jayne and Russel explained how connected vital signs monitors become a valuable addition to the programme. “Our objectives were clear,” said Jayne.
“We had multiple monitoring products of various ages and the previous contract had expired. On the back of an already successful relationship with Welch Allyn, we wanted to build on this by improving the quality of observations, give back time to care, reduce transcription errors and enable more traceability for staff and patients.” Scan4Safety is a pioneering initiative led by the Department of Health that is
improving patient safety, increasing clinical and operational productivity and advancing chain efficiency in the NHS through the adoption of international standards. As one of the largest teaching hospitals in the UK, with more than 1300 beds across two hospitals, Derby is the first of the six NHS Demonstrator Site Trusts to become Scan4Safety accredited. Derby was judged to have attained the benefits from Scan4Safety as set out in its original business care, realised financial benefits, and to have put the Trust on course to exceed the 4:1 ‘Value for Money’ ratio projected at the start of the project. Following the Scan4Safety principals of
‘right patient, right product, right place and right process’, a team at Derby began a project to improve the quality of patient observations using connected vital signs devices and barcoding technology. “From the nursing perspective, the machines make it much quicker when inputting the information on the Patientrack system,” said Russel. Patientrack is designed to ensure observation and assessment protocols are carried out correctly and consistently, by automatically calculating early warning scores and alerting clinicians
when interventions are needed. Through early identification of deteriorating patients, and the promoting of necessary assessments, Patientrack helps hospitals meet national and local targets for improvements in patient safety, improving patient outcomes and supporting frontline staff. Russel continued: “The patient barcodes ensure that the correct observations are entered against the correct patient record, and the process stops staff from inputting any information at a later time. Data is live and any abnormalities can be acted upon as soon as the observations have been made.”
The implications of cyber breaches
Professor Harold Thimbleby, Professor of Computer Science at Swansea University, spoke about the consequences of a recent breach of cyber security, and human error. Citing the WannaCry security breach, Prof Thimbleby observed that many Trusts were unprepared and described a case that ended up in the criminal courts, noting how the wrong people, the nurses, were blamed. Prof Thimbleby has been an expert witness in high profile NHS cases, where the initial presumption was that nurses were guilty of negligence. In all cases to date, he has been able to show that medical devices and/or hospital computing systems were at fault - so badly managed as to be unreadable - or that electronic evidence was flawed. “It is easy to assume that if an adverse event occurs that the nearest responsible person – often a nurse – is to blame,” he said. “But closer examination of the systems in use almost always uncovers mitigating circumstances, and even complete misunderstandings of the underlying computer systems and applicable regulations.”
Jayne Green and Russel Turner, Derby Teaching Hospitals NHS Foundation Trust
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A prosecution in Wales in 2015 demonstrated what can go wrong when the police do not conduct careful investigations, and the prosecution’s failure to understand the weakness of the evidence upon which the charges were based. A number of nurses
SEPTEMBER 2018
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