“It is not that IFUs were not important years ago, they were and also a require- ment to follow, even ‘back then.’ The difference, unfortunately, was that little attention was given to them by too few facilities. In addition, even less attention was placed to not only every aspect of the IFU, but also its relationship to the total process and practices and proces- sors used to decontaminate, assemble, sterilize, store then re-use the item(s).”

Michele DeMeo, CSPDT, CRCST, Independent CS/SPD Consultant at MDD Virtual Consulting

“Elmhurst Hospital Senior Leadership fully supported investing in a high-level disinfection (HLD) system for patient rooms. From the beginning, Elmhurst Hospital included all key players when researching the HLD system to purchase, demo, and implement. The teamwork and communication that occurred throughout this tedious review pre- vented any concerns on how this process would be implemented throughout the hospital.”

Annemarie Schmocker, RN, BSN, CIC, Elmhurst Hospital, Elmhurst, IL

“Surgeons, and hospitals in general, may have to compromise between clinical performance and surgeon comfort in the OR, and the ability to efficiently and effectively reprocess instruments in the central sterile department.”

Ryan Mancini, Senior Product Manager, Aesculap, Inc.

“Asset Locating systems are a closed en- vironment with a limited data set and a minimal number of characters encoded. We have not seen any possibility for these systems to become compromised if even a modicum of precautions is taken. The malicious barcode issue, however, is quite real and potentially destructive in that it is so easy to encode malicious commands into a code.”

Peter Ginkel, P.E., Vice President, ID Integration Inc.

“Many GPOs are very active in working with clinicians and supply chain experts to coordinate clinical best practices with supply chain data — reducing variability, improving quality care and reducing overall costs.”

Todd Ebert, R.Ph., President and CEO, Healthcare Supply Chain Association (HSCA)

PEOPLE & OPINIONS Scan for Surgery

A new era for patient level data by the St. James’s Hospital team

t. James’s Hospital, Dublin, continues to lead the way following the estab- lishment of the ‘Scan for Surgery’ program and the introduction of the auto- matic tracking of precious tissue samples. Both projects make use of standards-based technology to deliver improved patient safety and efficiency. These programs follow on from other globally recognized exemplary projects carried out at the Dub- lin hospital.


Proven traceability based on standards

St. James’s Hospital has a proven record in the implementation of track and trace technology to support patient safety in areas such as hemophilia treatment and in sterilization services for surgical instruments — both national programs. These solutions have proven that the use of international standards significantly enhances patient safety, traceability and certainty of product identification for ef- fective and efficient product recall across the healthcare pathway.

In more recent years St. James’s has used modern barcode technology to automate the procurement of medical supplies. The award-winning e-Procurement project went live in 2014 enabling the electronic communication of four ‘Purchase to Pay’ messages between the hospital and its suppliers. The messages use the GS1 GTIN (Global Trade Item Number) and GLN (Global Location Number) as the common product and location identifier, enabling the seamless sharing of messages and replacing paper-based systems.

Building a digital hospital on GS1 standards

In 2015, the hospital introduced the auto- matic tracking of laboratory samples from Operating Theatre to the laboratory using RFID (Radio Frequency Identification). All samples are tagged in theatre and both the sample and porter are automatically tracked through the hospital to the labora- tory. If the sample doesn’t arrive within a specified time, an alert is sent and if neces- sary, timely and corrective action is taken. Prior to this, the tracking of samples was completely paper-based and prone


to error with no visibility or assurances that the samples were delivered on time. This represented a significant risk to the hospital patient, which has now been ad- dressed through this initiative. This is a worldwide first, proving the use of passive RFID for the automatic tracking of precious samples. The project has since been expanded to track valuable art re- ceived by the hospital through donations, to prove the application for asset tracking within the hospital. The patient safety ben- efits realized from this project are now also being applied for the automatic tracking of vulnerable patients within the hospital. Further applications are currently being planned to scale the appropriate use of automatic tracking across the hospital. The recent installation of two robotic dispens- ing systems in pharmacy is further testa- ment to the hospital’s innovative approach.

Scanning for Surgery reaps numerous benefits

St. James’s Hospital established a ‘Scan for Surgery’ steering group in 2016 to work on achieving better visibility of activity at the point-of-care, for both patient safety and efficiency improvements. The hospital spe- cifically looked at scanning in theatre and the results being achieved are remarkable. The aim was to introduce technology to scan products to patients which would: • improve patient safety through trace- ability;

• improve procedure cost analytics; and • automate re-ordering to free up time for clinical staff who have traditionally been involved in a manual procurement process and improve inventory manage- ment.

St. James’s Hospital can now track over 89 percent of cost direct to the patient in theatre and estimates a significant reduc- tion in the time it takes to order products. “Until now we had very little visibility on patient costs behind the red line in the Operating Theatre. In most cases, there was no electronic record of which products were used on which patients,” says John Cotter, Program Director ABF (activity based funding). “That has all changed now. Combining the data from ‘Scan for Surgery’ with existing Business

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