dr bryan griffiths programme director - hfssolutions+-+wher… · dr bryan griffiths . programme...
TRANSCRIPT
November 2012
Dr Bryan Griffiths Programme Director
Smart Solutions for HCAI Programme
Smart Solutions for HCAI Programme
The HCAI Technology Innovation Programme
Rapid ReviewPanel (RRP)
Smart Ideas
Developed byClinical and Non
Clinical Staff
SmartSolutions
Products andTechnologiesFrom Industry
Design BugsOut
Better designs for Hospital Equipment
Showcase Hospitals
Product Surgeries
Local Initiatives
Adoption andDiffusionstudies
Smart Solutions for HCAIGeographical Distribution of Evaluations
UV Lighting Technology
UV Light Technology LtdUV Lighting Equipment Range
Royal Liverpool & Broadgreen University Hospitals NHS Trust
Principal Investigator: Rebecca Molyneux
UV Lighting Technology
Product - High performance UV inspection lamps
Widely used by forensic scientists
Reveal proteinaceous material exposing any areas that have not been effectively cleaned
UV Lighting Technology
UV Lighting Technology
UV Lighting Technology
UV Lighting Technology
UV Lighting Technology
UV Lighting Technology
UV Lighting Technology
010
2030
4050
% o
f non
-zer
o sc
ores
No UV Light UV Light
Soiling results pre and post cleaning
Pre-cleaning Post-cleaning
UV Lighting Technology
020
4060
80%
of n
on-z
ero
scor
es
No UV Light UV Light
Dust/Stains/Smears results pre and post cleaning
Pre-cleaning Post-cleaning
UV Lighting Technology
Team at Royal Liverpool
UV Lighting Technology
Trial – Is UV lighting effective in improving hospital cleaning?
Audit of cleaning process with and without UV light across 10 wards.
Use of ATP swabs, micro swabs and visual checks to assess cleaning.
ATP scores reduced during UV Light use.
Positive acceptance from all staff involved.
UV light technology may be used as a confirmatory method and also an audit tool.
Air Decontamination
Inov8 Air Disinfection UnitQuest Air ManagerGE Healthcare Medixair
Royal Free London
Air Decontamination
Robyn Smith, Ed James (Principal Investigator) and Kerry Williams at The Royal Free
Air Decontamination
Three different air cleaning technologies
Inov8 Science – Hydroxyl Radicals
Quest Air Manager - Close Coupled Field Technology
Medixair – Ultraviolet light
Air Decontamination
Trial – Do air cleaning systems reduce the bio-burden in the air and on surfaces?
Interrupted protocol design.
Achieved reduction of up to 40% in TVCs
Achieved environmental MRSA reduction of up to 68%
The efficacy of some units was height dependent.
Air Decontamination
All three companies continue to supply products to the NHS however there have been some name changes:
www.novaerus.com
www.pathogensolutions.com
www.aerte.com
MedMat
Bristol PCT NHS Trust
Ergomedica MedMat
Principal Investigator:Wendy Briggs
MedMat
Trial – User evaluation in community healthcare.
Used by district nursing teams, wound care service, walk-in centres, podiatry and prisonhealthcare service Wendy Briggs (Principal Investigator)
MedMat
MedMat
MedMat
0 50 100 150Number of responses
Much better
Better
Same
Worse
Aborbs fluids - relative to current methodsAbsorbs fluids – relative to current methods
MedMat
Trial
Over 500 evaluation questionnaires completed and analysed
79% of evaluators felt that the Medmat was better or much better for managing large wound dressings than current practice
64% of evaluators felt that Medmat was better or much better at maintaining a sterile field.
Medmat was reported to be significantly more effective at achieving an aseptic approach and maintaining a sterile field.
2010 Nursing Times Gold Award in Product category.
Nanopool
Nanopool Liquid Glass Layering Technology
Southport & Ormskirk NHS Trust
Principal Investigator:Martin Kiernan
Nanopool
Product – Nanopool
A nanoscale super hydrophobic liquid glass coating
Can be easily applied to a wide range of surfaces
Makes surfaces easier to clean
Originally developed as an anti-graffiti coating
Used extensively in food, pharma, hotels
Trial – Does Nanopool reduce bioburden on surfaces?
Wide range of coated and uncoated surfaces in acute wards
Evaluated by ATP testing, microbiology sampling and user feedback
Nanopool
Sites at Southport & Ormskirk NHS Trust
Nanopool
Trial – Comparison of coated vs uncoated surfaces?
17 high contact challenging surfaces treated and tested
Single coating process
Coating shows 25% reduction in ATP scores on coated surfaces
compared to uncoated surfaces.
For floors, commodes, trolleys and slings the reduction in ATP was
>50%.
Nanopool
Nanopool
Formula 429 Fogging
Barts & London NHS Trust
Chemspec Formula 429 Fogging
Formula 429 Fogging
Product – Formula 429 Fogging
A cleaning product based on a variety of biocides
Alternative to steam or sodium hypochlorite for deep cleaning using Byotrol technology
Trial – Is Formula 429 an effective fogging solution?
Fogging of side rooms and equipment
Evaluation by microbiology sampling pre and post fogging
Data collected on room turnaround times
Formula 429 Fogging
Fogging taking place at Barts & London NHS Trust
Formula 429 Fogging
Formula 429 Fogging
Formula 429 Fogging
Formula 429 Fogging
Trial
A variety of areas were examined including side rooms, 4 bedded bays,
sluice rooms and patient shared toilets.
95% Reduction in TVCs in side rooms.
90% reduction in environmental E Coli in side room.
Both TVC and ATP show significant reduction post fogging.
Average turnaround times across all areas was 58 minutes.
Trustech®Commercial Services
Trustech®Commercial Services
Market Research / Market Intelligence
NHS Focus groups
Product Evaluations
Combinations of Technologies
UV Light + ATP Monitoring
Combinations of Technologies
Side Room Cleaning + Air Decontamination
Smart Solutions for HCAI
Thank youwww.smartsolutionsforhcai.co.uk
www.trustech.org.uk
twitter: @brygriffiths