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01943 878647 [email protected], Guiseley, West Yorkshire LS20 9JE
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August 2013 Issue No. 275 ISSN 1747-728XThe Leading Independent Journal For ALL Operating Theatre Staff
Safe and effective practice is the responsibility of all theatre professionals and
is constantly in the spotlight particularly in the prevailing economic climate.
Clinicians and managers are under constant pressure to fi nd and devise
effective and effi cient solutions to ensure safe but cost-effective care. This
event addresses these issues and promotes networking, building professional
relationships and exchanging of ideas through face to face contact with theatre
professionals from all over the UK.
The venue is Manchester Conference Centre which is located near the vibrant shopping centre of Manchester,
with excellent road, rail and air links. There is accommodation available at the venue itself and details can be
found on the M&K web site. mkupdate.co.uk
of practice assessment
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12TH NOVEMBER 2013Manchester Conference Centre, Manchester
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M&K Update Ltd © 2013T: 01768 773030 Email: [email protected]
Find out more 02921 680068 • e-mail [email protected] Issue 275 August 2013 3
The next issue copy deadline, Monday 26th August 2013All enquiries: To the editorial team, The OTJ Lawrand Ltd, PO Box 51, Pontyclun, CF72 9YY Tel: 02921 680068 Email: [email protected] Website: www.lawrand.comThe Operating Theatre Journal is published twelve times per year. Available in electronic format from the website, www.otjonline.comand in hard copy to hospitals throughout the United Kingdom. Personal copies are available by nominal subscription.
Neither the Editor or Directors of Lawrand Ltd are in any way responsible for the statements made or views expressed by the contributors. All communications in respect of advertising quotations, obtaining a rate card and supplying all editorial communications and pictures to the Editor at the PO Box address. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2013The Operating Theatre Journal is printed on FSC approved papers using biodegradable ink. Any waste from the production of the magazine is recycled.
Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD
HCPC launches consultation on standards of pro ciency for Operating
Department Practitioners The Health and Care Professions Council (HCPC) has recently launched a consultation to invite stakeholders for their views on proposed changes to the profession-speci c standards of pro ciency for operating department practitioners.
The standards of pro ciency are the threshold standards for safe and effective practice in the UK and play a key role in public protection. They are divided into generic standards (which apply to all of the 16 professions we regulate) and standards speci c to each of the professions regulated. They are used when an individual professional applies for or renews their registration, or when concerns are raised about their competence. They are also used to approve education and training programmes.
The review of the profession-speci c standards is an opportunity to make sure the standards of pro ciency are relevant to each profession. No relevant or useful standards will be lost, but the language used may change to ensure the standards are appropriate and applicable to individual professions. Where it is appropriate to do so, we also aim to maintain as much consistency as possible in the standards between different professions.
Director of Policy and Standards, Michael Guthrie, commented:
We are reviewing the standards to ensure they continue to be set at an appropriate level for entry to the HCPC Register and so they re ect the current practice.
After the consultation, we will analyse the responses to decide if any changes are needed. We will then publish the nal standards as approved by our Council and will work with education and training providers to phase in the standards.
These consultations will be of interest to members of the ODP profession, as well as relevant education providers, employers, professional bodies, and those who use the services of these professions.
The consultation will run from Monday 15 July to Friday 18 October 2013.
Responses to the document can be made by:
Completing our easy-to-use online survey:
https://www.research.net/s/pro ciencystandardsforodps
Emailing us at: [email protected]
Writing to: Consultations Policy and Standards Department Health and Care Professions Council Park House 184 Kennington Park Road London SE11 4BU
You may also send a fax to: +44 (0)20 7820 9684.
If you would prefer your response not to be made public, please indicate this when you respond. We will publish on our website a summary of the responses we receive, and the decisions we have taken as a result.
The full documents are available on-line and a copy can be downloaded from the HCPC website: http://www.hcpc-uk.org/aboutus/consultations/index.asp?id=159
NHS needs more compassionate leadership teams says study
The ndings of a three-year study of the National Health Service supports the Francis Report in calling for more small and compassionate leadership teams of doctors, nurses and managers to meet the huge challenges the NHS faces.
A study of healthcare networks across the NHS found that the best had a clear evidence-based policy remit and were led by a multi-professional leadership team, passionate about using guidelines to improve patient care.
In a new book, Making Wicked Problems Governable? The Case of Managed Networks in Healthcare, Ewan Ferlie, Gerry McGivern, Louise Fitzgerald, Sue Dopson and Chris Bennett looked at eight networks providing cancer, genetics, sexual health and elderly care services.
A healthcare network joins different organisations and professions across the NHS together and when working effectively patients dont realise they are being passed from one organisation to another, but feel they are simply being treated by the NHS.
It takes a huge amount of managing and the authors explain how effective managed networks may be able to address the complex wicked problems currently facing the NHS, such as an ageing national population, which are beyond the control of one organisation or profession.
Echoing the Francis Reports ndings on the Mid Staffordshire Hospital scandal, the study found that the best leadership teams are often driven by personal experience of good or bad patient care.
Dr Gerry McGivern, Professor of Organizational Analysis at Warwick Business School, said: Our study supports the Francis Report in calling for compassionate multi-professional NHS leadership teams and suggests that with them in place managed networks could address other wicked problems facing the NHS.
Successful healthcare networks often need clear evidence-based clinical guidelines to provide a burning platform for service improvement that is they must do it or there will be consequences.
But what drives change are small leadership teams, containing doctors, nurses and managers, with the energy to develop and implement local evidence-based guidelines.
What often provides this energy is relations, friends or personal experience of the difference good and bad healthcare makes. This fuels a compassionate commitment to patient care. When this is combined with a belief in the guidelines youve got the ingredients for improving patient care.
The study found that where these elements were missing networks struggled to make changes.
The least effective network we came across was an elderly care network in one region where there was no national guideline or policy and no leadership team, just a single part-time manager said Dr McGivern.
With many different stakeholders involved, from the NHS, local authority, voluntary and private sectors, all viewing elderly care in different ways, the network became a talking shop and nothing happened.
In contrast we found that cancer networks were highly effective in improving cancer care, in large part because there was a multi-professional leadership team co-ordinating the network who were passionate about using NICEs national guideline for best practice to improve patient care.
The study was funded by the National Institute of Health Research Health Services and Delivery Research Programme and could help steer future policy. Twitter: @WarwickBSchool
The Keogh Report In Full:
Review into the quality of care and treatment provided by 14 hospital trusts in England: overview reportProfessor Sir Bruce Keogh KBE (16 July 2013)
http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review- nal-report.pdf
4 THE OPERATING THEATRE JOURNAL www.otjonline.com
Junior Doctor Changeover Likely To Drive August Reduction In Quality And Safety Of
Patient CareNew research suggests that failure by junior doctors in their annual changeover period to identify deteriorating patients and poor prioritisation skills are likely to drive a reduction in the quality and safety of patient care.
On Wednesday 7 August thousands of newly quali ed doctors will take up their rst hospital jobs and junior doctors will become a grade more senior. This period is associated with worse clinical outcomes than the rest of the year. Researchers writing in JRSM Short Reports, the open-access offshoot to the Journal of the Royal Society of Medicine, found that there was a signi cant increase in the number of urgent medical tasks after changeover, but that new junior doctors completed routine tasks quicker than their more experienced predecessors. The researchers analysed data from the wireless system for the management of out-of-hours work ow at City Hospital and the Queen’s Medical Centre, Nottingham.
Leading the research team, Dr John Blakey of the Liverpool School of Tropical Medicine, said: “The abrupt change to the provision of care by junior doctors who are inexperienced, or who are less experienced for their level of seniority, presents clear potential for a reduction in the quality and safety of patient care.” Referred to as the ‘August effect’, the situation causes great concern amongst the medical community, especially in the light of reports suggesting medical students are poorly prepared for their rst post.
The researchers found there was no change in the overall volume of work requested of junior doctors but that there was a signi cant increase in the volume of requests for more urgent and serious problems. “This amounts to a considerable cumulative duration of unresolved patient risk per month”, said Dr Blakey. He added: “New junior doctors also completed routine tasks more quickly than their predecessors. This is because they appear to work through tasks based more on their proximity rather than how urgent they are.”
The new study lends empirical evidence to qualitative research investigating whether junior doctors are prepared for the practicalities and complexities of their rst posting, say the researchers. They suggest improved training, supervision and quality control could reduce omissions, errors, failure to recognise deterioration and poor task prioritisation skills.
“Intelligent knife” tells surgeon if tissue is cancerousScientists have developed an “intelligent knife” that can tell surgeons immediately whether the tissue they are cutting is cancerous or not.
In the rst study to test the invention in the operating theatre, the “iKnife” diagnosed tissue samples from 91 patients with 100 per cent accuracy, instantly providing information that normally takes up to half an hour to reveal using laboratory tests.
The ndings, by researchers at Imperial College London, are published today in the journal Science Translational Medicine. The study was funded by the National Institute for Health Research (NIHR) Imperial Biomedical Research Centre, the European Research Council and the Hungarian National Of ce for Research and Technology.
In cancers involving solid tumours, removal of the cancer in surgery is generally the best hope for treatment. The surgeon normally takes out the tumour with a margin of healthy tissue. However, it is often impossible to tell by sight which tissue is cancerous. One in ve breast cancer patients who have surgery require a second operation to fully remove the cancer. In cases of uncertainty, the removed tissue is sent to a lab for examination while the patient remains under general anaesthetic.
The iKnife is based on electrosurgery, a technology invented in the 1920s that is commonly used today. Electrosurgical knives use an electrical current to rapidly heat tissue, cutting through it while minimising blood loss. In doing so, they vaporise the tissue, creating smoke that is normally sucked away by extraction systems.
The inventor of the iKnife,Dr Zoltan Takats of Imperial College London, realised that this smoke
would be a rich source of biological information. To create the iKnife, he connected an electrosurgical knife to a mass spectrometer, an analytical instrument used to identify what chemicals are present in a sample. Different types of cell produce thousands of metabolites in different concentrations, so the pro le of chemicals in a biological sample can reveal information about the state of that tissue.
In the new study, the researchers rst used the iKnife to analyse tissue samples collected from 302 surgery patients, recording the characteristics of thousands of cancerous and non-cancerous tissues, including brain, lung, breast, stomach, colon and liver tumours to create a reference library. The iKnife works by matching its readings during surgery to the reference library to determine what type of tissue is being cut, giving a result in less than three seconds.
The technology was then transferred to the operating theatre to perform real-time analysis during surgery. In all 91 tests, the tissue type identi ed by the iKnife matched the post-operative diagnosis based on traditional methods.
While the iKnife was being tested, surgeons were unable to see the results of its readings. The researchers hope to carry out a clinical trial to see whether giving surgeons access to the iKnife’s analysis can improve patients’ outcomes.
“These results provide compelling evidence that the iKnife can be applied in a wide range of cancer surgery procedures,” Dr Takats said. “It provides a result almost instantly,
allowing surgeons to carry out procedures with a level of accuracy that hasn’t been possible before. We believe it has the potential to reduce tumour recurrence rates and enable more patients to survive.”
Although the current study focussed on cancer diagnosis, Dr Takats says the iKnife can identify many other features, such as tissue with an inadequate blood supply, or types of bacteria present in the tissue. He has also carried out experiments using it to distinguish horsemeat from beef.
Professor Jeremy Nicholson, Head of the Department of Surgery and Cancer at Imperial College London, who co-authored the study, said: “The iKnife is one manifestation of several advanced chemical pro ling technologies developed in our labs that are contributing to surgical decision-making and real-time diagnostics. These methods are part of a new framework of patient journey optimisation that we are building at Imperial to help doctors diagnose disease, select the best treatments, and monitor individual patients’ progress as part our personalised healthcare plan.”
Lord Darzi, Professor of Surgery at Imperial College London, who also co-authored the study, said: “In cancer surgery, you want to take out as little healthy tissue as possible, but you have to ensure that you remove all of the cancer. There is a real need for technology that can help the surgeon determine which tissue to cut out and which to leave in. This study shows that the iKnife has the potential to do this, and the impact on cancer surgery could be enormous.”
Lord Howe, Health Minister, said: “We want to be among the best countries in the world at treating cancer and know that new technologies have the potential to save lives. The iKnife could reduce the need for people needing secondary operations for cancer and improve accuracy, and I’m delighted we could support the work of researchers at Imperial College London. This project shows once again how Government funding is putting the UK at the forefront of world-leading health research.”
1. J. Balog et al. ‘Intraoperative tissue identi cation using rapid evaporative ionization mass spectrometry.’ Sci. Transl. Med. 5, 194ra93 (2013). (Sam Wong)
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Connected health empowers patients and providers Connected health is poised to transform the way services are delivered. Sagentia’s David Pettigrew examines how technology innovation is successfully making the transition to commercial reality.Ageing populations and the growing prevalence of chronic diseases are placing healthcare infrastructure under greater pressure than ever before. The UK’s Department of Health estimates these issues could require £5 billion in additional expenditure by 2018, yet NHS budgets are currently allocated on a at-cash basis.
At a time of signi cant budgetary constraint, healthcare providers must nd new ways to reduce costs and increase the ef ciency and quality of care. Treating patients quickly and effectively frees-up hospital beds and critical resources. Ensuring underlying health issues are properly addressed and encouraging lifestyle improvements drives reductions in both the number of people visiting healthcare providers and repeat visits.
Technology is proving a key enabler in realising these aims, particularly in the form of connected health. Broadly de ned as the use of technology to provide healthcare at a distance and improve speed of response, connected health is seeing new levels of capability being realised in areas such as user interfaces, storage, smartphones, low power connectivity, and data processing and analytics. These are being combined with medical sector advances around novel sensing and imaging technologies, as well as micro uidics, haptic feedback, and robotics, to deliver practical solutions to some of the most pressing healthcare issues.
Making the connection Connected health is an evolution from existing delivery models such as telehealth and telemedicine services, which are focused on the transmission of raw data between two locations – for example, the electronic transmission of drug prescriptions to a patient, or medical images between clinicians. Connected health takes this further by abstracting these data using sophisticated context-aware algorithms to provide actionable information to the patient, payer or clinician. It is this ability to provide real-time data management and decision support that distinguishes connected health. It can be as simple as a bed-side monitor linked to a nursing station that alerts nurses to a critical event, or a series of networked devices collecting clinical data that is stored together with patient records and other administrative and nancial data within a central clinical information system (CIS).
More advanced connected health solutions combine the latest advances in smart sensing technology, xed and wireless networking, and cloud computing. They also employ sophisticated algorithms and centralised storage (either locally or via remote servers) to enable the mining and analysis of ‘big data’ to uncover trends and insights, and generate decision-making outputs.
Crucially, connected health solutions can be applied at any point in the care pathway, from a patient’s rst contact with a healthcare professional, service, or organisation, through to the completion of their treatment and subsequent aftercare. Moreover, they can be delivered in the home, between the home and surgery, within a surgery or even between surgeries, in areas including vital signs, sleep, and medication compliance monitoring.A technology appliedMonitoring and prevention are two promising areas for connected health. Commercial examples include solutions for monitoring diabetes (blood sugar levels, insulin administration) and for preventing co-morbidities through the monitoring of blood pressure, cholesterol, and weight. There are also PT/INR self-testing solutions (Prothrombin Time/International Normalized Ratio) allowing patients taking medication such as coumadin or warfarin to measure their blood’s anti-coagulation level (i.e. how long it takes their blood to ‘clot’), as well as cloud-based platforms that log patient data and re ne algorithms to enable more accurate diagnosis in areas such as cardiology and image analysis.Arrhythmia detection is another major area of focus, as it is important for patients to be able to monitor and record their heart rate outside of the surgery. An electrocardiogram (ECG) rhythm monitoring technology has been implemented by AliveCor for example, in the form of a hand-held device consisting of two nger-pads embedded in an iPhone cover.
The ECG data acquired via this device can be transferred to a secure online server for review by a clinician. Although AliveCor’s system is approved for clinician use only at present, the next step could be to put this device in the hands of patients for recording their own ECG traces for remote review in-between their appointments. This would signi cantly increase the likelihood of detecting relatively rare arrhythmia events. Another connected health innovation under development is the Endotronix system, which uses an implanted sensor to communicate pressures from inside the patient’s heart to a smartphone app via a transmitter. The system is able to accurately capture internal heart pressure data at any time and communicate it securely from a remote location to the patient’s care team. It will be possible for both patients and clinicians to view the data in various formats, and on multiple devices.Delivering successful outcomes Some connected health solutions are already providing doctors with new levels of visibility of their patient’s progress, and empowering patients to take more responsibility for their own health and care. ‘Health Buddy’, for example, is a personal and interactive communications device developed by Health Hero Network (now part of Bosch Healthcare). It enables a doctor or nurse coordinator to send a set of queries to the patient each day via the internet. The patient answers them by pressing one of four buttons. The device automatically transmits this data to a processing centre, where it is analysed and published to a secure website for review by the coordinator.Piloted as part of a computerised interactive asthma self-management and education programme in the U.S., the device was found to increase self-management skills while reducing the number of urgent calls to the hospital. There are now more than 20 clinical trials of the Health Buddy system in post-acute and chronic care coordination, with consistent demonstration of positive outcomes across a variety of disease states and settings. One Health Buddy programme that is supporting chronically ill patients has achieved spending reductions of approximately 7-13 per cent ($312–$542) per intervention patient per quarter.The U.S. has been an early adopter of connected health solutions and digital health technology in general. Electronic health records (EHRs) are subsidised under ‘ObamaCare’, while VC funding for digital health is on track for another record year, with start-up incubator Rock Health reporting a 35 per cent increase during the rst quarter of 2013 compared with Q1 2012. Last year, total annual VC funding in the digital health industry stood at $1.4 billion and $968 million in 2011.In Europe, take up has been slower, but industry commentators believe all the elements are now in place for connected health to make the transition from small-scale pilots to mass market implementation. According to the European Connected Health Alliance, the path for connected medical devices will be smoother in Europe than in the US, because it is easier and faster to get over the regulatory hurdles and the process is better understood. Fit for purposeThe regulatory landscape in the U.S. remains highly uncertain, with the FDA due to publish its nal guidelines on mobile medical apps shortly. FDA draft guidelines released at the end of 2012 stipulate that certain types of medical mobile apps will be regulated, placing a large burden on R&D in terms of managing risk. There are also considerable challenges around protecting the privacy and security of personal health information, and concerns over the impact on development schedules and costs should products require FDA approval.Nevertheless, the 510(k) number issued by the U.S. Food and Drug Administration (FDA) is considered the ‘gold standard’ for solution developers globally due to the rigour of the regulatory process, and the fact it clears medical devices for sale in a market where providers, payers, and physician groups are forecast to spend over $69 billion on healthcare-related IT and telecommunications services between 2012 and 2017, according to analysts at Insight Research Corporation.
Functionality of connected health devices varies and is based on their technical sophistication, but their success will depend on end user acceptance. This explains the rising prominence of smartphone apps, which at rst glance, would appear to provide an easy route for manufacturers to deliver a ‘consumer friendly’ user interface for their connected systems. However, manufacturers and regulators are increasingly concerned about how rapid changes in smartphone hardware and operating systems will affect the intended function of their medical devices.
Depending on the level of risk of the intended connected health system, it can still be cheaper and less risky in the long run to develop a platform-independent system that they can control entirely. Alternatively, a model explored by many companies involves the use of custom ‘smart sensors’, which perform the ‘high risk’ data processing functions using sophisticated embedded algorithms. These devices can in turn transmit the result to the smartphone, which displays the data to the user. In this way, the usability of a smartphone interface is brought to bear without adding in the extra risk of using ‘unregulated’ hardware and software to generate the data.
Connecting the future with the presentAdditional challenges remain, particularly in respect of the networking technologies employed in connected health applications and their respective power requirements and data rates. Using Wi or broadband for example, has the advantage that the medical device can be connected to a backbone of wireless hotspots using an existing hospital network, and the investment will be relatively low from a technology perspective.
The drawback of this approach is that it is power hungry and cannot be used if the device is battery powered and has very limited dimensions. In this case, Bluetooth Low Energy (Bluetooth Smart®) is often the preferred solution as it has low-power consumption but also means a low data rate. This constrains the amount of information that can be transmitted back and forth in real time and thus limits the application. This is an area in which leading manufacturers continue to innovate by embedding processes within the portable device so that less data is being exchanged.
Given that connected health bridges the consumer and healthcare space, development of robust and interoperable platforms is essential. Recent FDA regulations and harmonised global standards are driving manufacturers to increasingly focus on usability engineering, in order to develop devices and services that minimise the risk of patient harm through user error. Considerable progress in terms of interoperability has been made by the Continua Health Alliance, which is developing a system of interoperable personal connected health solutions.
As these challenges are addressed, connected health will enable ef ciencies and improve patient outcomes. It will also free-up healthcare professionals to focus triage on patients where it is needed most. And as people become more open to owning their own healthcare, advances in connected health mean they will have a growing range of tools at their disposal. Ultimately however, the transition to connected health will be borne out of necessity, as conventional healthcare and its associated costs become less feasible in respect of scal and demographic pressures.
About Sagentia Sagentia is a global innovation, technology and product development company. We provide outsourced R&D consultancy services to start ups through to global market leaders in the medical, industrial and consumer sectors. With global headquarters in Cambridge, UK, and US headquarters in Boston, Massachusetts, Sagentia works with clients from opportunity discovery through to concept generation and full product development and transfer to manufacture. We deliver science and technology innovation and work with clients to develop next generation products and services that provide commercial value and market advantage. Further information can be found at: http://www.sagentia.com.
Email us [email protected].
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GLOBAL EXPERT PUBLISHES WORLD-LEADING SAFETY
PLAN FOR NHSPatients will have con dence in a safe NHS and staff will be supported to make safe care the priority
NHS staff should be supported to learn from mistakes and patients and carers must be put above all else in an attempt to make the NHS a world leader in patient safety, an independent report will say today (6.8.13). Professor Don Berwick, a renowned international expert in patient safety, was asked by the Prime Minister to carry out the review following publication of the Francis Report into the breakdown of care at Mid Staffordshire Hospitals.The report, led by Professor Don Berwick, follows ve months of intensive work to examine the lessons for NHS patient safety from healthcare and other industrial systems throughout the world.
His four key ndings are that;• The quality of patient care, especially patient safety, should be paramount; • Patients and carers must be empowered, engaged and heard; • Staff should be supported to develop themselves and improve what they
do; and • There should be complete transparency of data to improve care.
Recommendations in the report include:• The NHS needs to adopt a culture of learning this cannot come from
regulation, but from countless, consistent and repeated messages to staff so that goals and incentives are clear and in patients best interests.
• Staf ng levels must be adequate, based on evidence the report echoes the Keogh review in saying that staf ng levels cannot be dictated from the centre, but that boards and local leaders should take responsibility for ensuring that clinical areas are adequately staffed.
• Connecting with patients and the frontline - leaders need rst-hand knowledge of the reality of the system and the patient voice must be heard and heeded at all times.
• Complaints systems need to be continuously reviewed and improved. • Transparency must be complete, timely and unequivocal. • There is no single measure for safety the NHS should continue to use
mortality rate indicators to detect potentially severe problems. But these indicators remain a smoke alarm and should not be used to generate league tables.
• Supervisory and regulatory systems should be clear an in-depth, independent review of the structures and the regulatory system should be completed by the end of 2017, once recent changes have been operational for three years.
• New criminal offences should be created, around recklessness or wilful neglect or mistreatment by organisations or individuals and for healthcare organisations which withhold or obstruct relevant information. But the report emphasises that the use of criminal sanctions should be extremely rare and unintended errors must not be criminalised.
The report does not recommend that a statutory duty of candour for healthcare workers is introduced instead it nds that this duty is adequately addressed in professional codes of conduct and guidance. Above all else, the report argues that cultural change is the most important factor in continuously reducing harm. In particular the report distinguishes clearly between mistakes and negligence and the need for a transparent culture where mistakes are reported and learnt from.
The report is clear that the most important task for the NHS is to build a culture of learning and improvement. It aims to complement rather than duplicate the Francis Inquiry, which has already made 290 concrete recommendations for change.
Secretary of State for Health, Jeremy Hunt said: This is a fantastic report from a world renowned expert on patient safety. It is a strong endorsement of all that the government has delivered since the Francis report, including on transparency, putting patients rst, duty of candour and CQC reform. For too long, patient safety and compassionate care have been secondary concerns in parts of the NHS and this has to change. I want to get to a point where every patient has con dence that their care will be safe and where every member of NHS staff feels supported to make safe, high quality care the priority.The report makes clear that the NHS could lead the world in patient safety. Nothing less is good enough for the patients and families who rely on it, and this government will back our hard-working NHS staff to make this a reality.surgery, improving training and committing to tness to practice tests for nurses, as well as becoming the rst department where every civil servant will gain real and extensive experience of the frontline.
The government will now consider this report and respond in full to both it and the Francis Inquiry in the autumn.
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Winning combination for Wiltshire Dental Access Centre
Staff told not to resuscitate against patient’s wishesA heart attack victim who woke up to discover a “Do Not Resuscitate” mistakenly attached to his hospital bed has spoken of the “diabolical” care he received. Speaking to ITV News he vowed he would never go back to the Pilgrim Hospital in Lincolnshire again.
The hospital said they would not comment on individual cases, but admitted there were “serious” problems, that they have vowed to tackle.
http://www.itv.com/news/story/2013-07-14/nhs-needless-deaths/
Leading independent medical imaging provider Xograph Healthcare were recently awarded the contract to supply a ‘ProMax Ceph Dimax4’ direct digital to Wiltshire Dental Access Centre located in Chippenham, the largest town in North Wiltshire.
Replacing an elderly Planmeca 2002 with the revolutionary Planmeca ProMax X-ray unit allows the Dental Access Centre to bene t from a wide range of extraoral X-ray imaging techniques meeting the needs of modern surgical dentistry. The ProMax even has a cone beam CT upgrade option for very high resolution 3D and multiplanar imaging.
The Wiltshire Dental Access Centre is located in Chippenham which is home to Castle Combe Racing Circuit. Opening just 18 months after Silverstone in the summer of 1950, it is one of the longest established circuits in the UK. In that rst year, a young Stirling Moss won a race and Nigel Mansell, Ayrton Senna, and David Coulthard all won races at the circuit in the 70’s and 80’s. By the 90’s, the circuit hosted rounds of most national championships.
A winning combination for the Dental Access Centre is cephalometry performed with the ProMax as the unit automatically aligns itself from ‘Pan’ to ‘Ceph’ and repositioning the digital sensor quickly and easily converts the unit ready for cephalometric imaging. An option is also available for a dedicated ceph sensor and a single-shot at panel ceph detector.
Paul Andrews, Commercial Manager at Xograph said: “The Planmeca ProMax offers a multitude of features that were not available until now.
The digital cephalostat scans the patient’s head horizontally with a narrow X-ray beam resulting in lower effective patient dose than in lm-based Cephalometry.”
Dorothy Wheadon, Business Manager, Dental Services at Wiltshire Dental Access Centre said: “Wet lm to Digital X-ray, what a transformation! No more smelly chemicals and much clearer and better images, what more can you ask for? Xograph were brilliant - so helpful and supportive. All the work was completed on time and the Sales Staff and Engineers held our hand and helped us through the whole process and have continued to give us lots of support from choosing the equipment to installation and training. So glad we chose Xograph.”www.xograph.com
Liam Neill, Territory Manager at Xograph Healthcare with Nichola Sandell, Dental Nurse
Team Manager at Wiltshire Dental Access Centre.
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NHS gets own price comparison
websiteA price comparison website is being created to help the NHS in England save millions of pounds in the way it purchases good and services.
It will include details of what NHS trusts are paying for everything from rubber gloves and stitches to new hips and building work.
The post of procurement champion has also been created to help improve purchasing systems.
The NHS has been heavily criticised for the way it buys supplies.
Two years ago the National Audit Of ce estimated that more than 10% could be saved through better procurement.
The watchdog looked at the way the NHS purchased supplies and found for 5,000 items the difference in the amount paid was more than 50%.
Another review by the consultants Ernst and Young last year found similar discrepancies.
For example, the price paid for the same box of medical forceps ranged from £13 to £23, while for blankets the costs differed from £47 to £120.
Health minister Dr Dan Poulter said the “scandalous situation” must end.
“When our NHS is the single biggest organisation in the UK, hospitals must wake up to the potential to make big savings and radically change the way they buy supplies, goods, services and how they manage their estates.”
The Department of Health believes savings of £1.5bn could be made out of a total spend of just over £20bn.
Information sharing
One of the key factors in the poor practices highlighted has been the lack of information sharing between trusts about what each pays for identical goods and services.
Hence the creation of the price index, designed on the price comparison websites that the public use for things such as energy and insurance quotes.
The creation of a procurement champion is also being seen as vital.
Once appointed they will work with a team of advisers drawn from the NHS and private business who will help scrutinise and spread best practice.
One of the areas where it is felt savings could also be made is through bulk buying, which is done by the NHS Supply Chain on behalf of the health service.
Source: BBC Nick Triggle
First Residential Course hosted by Fukuda Denshi at their purpose built Service & Customer Training CentreFukuda Denshi is a leading supplier of advanced patient monitoring and user-con gurable clinical information management systems, as well as cardiac monitoring and imaging technology. The company recently hosted their rst three day residential course at their purpose built Service & Customer Training Centre in Shef eld.
The three day course was delivered to ten Biomedical Technicians on 12th-14th March and included detailed product training of Fukuda Denshi’s state-of-the-art monitoring systems:
• DS-7100 Transport Monitor • DS-7200 Dependency Monitor• DS-7700 Telemetry Central Station Monitor • DS-8500 Anaesthesia Monitor
The practical training sessions delivered in-depth product training and user guidance to the Biomedical Engineers, who came from four Trusts around the UK.
Terry Rickwood, Managing Director of Fukuda Denshi, commented: “Our rst training programme has been a fantastic success and the ten participants have provided positive feedback in terms of content and delivery. We’re now planning our next residential course for July 2013, and will be running them quarterly thereafter.”
For further information on the Residential Training Course held by Fukuda Denshi, telephone the company on 01483 728065 or visit www.fukuda.co.uk. Fukuda Denshi: Healthcare bound by technology. When responding to articles please quote ‘OTJ’
Find out more 02921 680068 • e-mail [email protected] Issue 275 August 2013 9
KARL STORZ is renowned for leading the way with advanced technology and dynamic design, but the company’s recent work at the University Hospital of Wales literally takes its reputation to new heights.
KARL STORZ was awarded the project to completely re t existing theatres and resurrect a redundant 1960s-style viewing gallery, until recently used as a store cupboard. The KARL STORZ OR1™ design team set about transforming the spaces into something that would put UHW at the forefront of laparoscopic operating and training. Working with an architect and subcontractor, KARL STORZ created a high tech, interactive, operating and teaching environment, combining a state of the art training facility with the safest and most ef cient workspace for theatre staff. Jared Torkington, Consultant Colorectal Surgeon and Clinical Lead with the Welsh Laparoscopic Colorectal Training Scheme, says: “You can see the pride on people’s faces when they come to work in such a modern and exciting environment.”
The impressively renovated glass atrium viewing gallery is situated above the operating theatre. Students and visitors observing a surgical masterclass can look down through the glass and see the entire operating set-up on the table below, with patient and staff positioning, equipment placement and anaesthetic considerations, or look up at one of the three video monitors in the gallery and view the operation in detail. Communication between upstairs and downstairs is two-way via a wireless microphone worn by the surgeon and handheld microphones within the viewing gallery.
ADMIRING THE VIEW – KARL STORZ AT THE UNIVERSITY HOSPITAL OF WALES
There are a number of HD cameras in the KARL STORZ OR1™ NEO operating theatre below: the endoscopy camera, HD IMAGE 1; an HD camera in the operating light; and other discreet cameras strategically placed in the ceiling. Any or all of these images can be relayed up to the gallery from the KARL STORZ OR1™ NEO touch panel in theatre, or selected in the gallery itself. A particularly interesting feature is that two of the theatre’s seven HD cameras can be moved into various positions during the operation via iPad control in the gallery, allowing guests to focus on a particular chosen element of the operation. KARL STORZ believes that this is the only operating theatre in the world currently offering control of the cameras, lighting, video routing and audio via the handheld iPad device.
KARL STORZ has succeeded in creating a unique operating and training environment which offers the best of both worlds – the digital gallery, packed with displays, controls and two-way audio communications, provides close-up observation and unparalleled interactive opportunities, a signi cantly safe distance from the sterile eld, while the experience for visitors in the gallery’s live viewing balcony is like being physically there amongst the surgical team, right in the heart of one of the world’s most advanced operating theatres.
KARL STORZ Endoscopy (UK) Ltd Tel: +44 (0)1753 503500 www.karlstorz.com When responding to articles please quote ‘OTJ’
HCPC commence recruitment for its restructured Council
The Health and Care Professions Council (HCPC) has begun an advertising campaign to recruit registrant and lay individuals to its newly restructured Council. This has come about from a government recommendation* that all regulatory bodies should be overseen by smaller, more board like Councils.
The restructured Council will take of ce in January 2014* *and will be made up of 12 members including the Chair. This will include 6 lay members and 6 registrant members who will be drawn from the health, psychological and social work professions we regulate. The Council will also continue to have individuals who live and work in each of the four UK main countries. Recruitment adverts for these roles are currently appearing in the national press and in newspapers in England, Northern Ireland, Scotland and Wales.
The current Chair of the HCPC, Anna van der Gaag, will remain in post for a further three years following the restructure to ensure consistency and continuity in the governance of the Council. She commented:
Over the last few years there has been tremendous growth and change for the HCPC, in particular due to additional professions joining the Register. We anticipate this change will continue as health and social care evolves and regulation with it. It is, therefore, vital that we create a Council which understands the priorities we face and maintains the strong ethos of stakeholder engagement, transparency, inclusion and rigour in all its endeavours.
Chief Executive and Registrar of the HCPC, Marc Seale, commented; The HCPCs Council plays a key role in setting strategy and policy and ensuring the HCPC ful ls its statutory duties. We are committed to ensuring the highest standards of public protection by maintaining ef cient and effective regulatory processes and ensuring that the standards we set continue to be t for purpose. It is, therefore, important that we establish a Council which has the appropriate skills and experience to ensure good governance.
The deadline for applications is Monday 23 September 2013. For a recruitment pack please visit our website. http://www.hpc-uk.org
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Consultation on HCPC registration feesThe Health and Care Professions Council, a statutory regulator of 16 different health and care professions has opened a consultation on our registration fees.
Its existing registration fees were introduced in April 2009. They are proposing an increase in their fees in order to ensure that they can continue to function effectively as a regulator.
They are proposing a £4 increase (an increase of 5.3%) to the annual renewal fee. This increases the renewal fee from £76 to £80 per year and the percentage increase, compares favourably to in ation of 13.7% over the last four years. They are also proposing a similar level increase to the other fees they charge.
If agreed, the fees would be increased from 1 April 2014.Existing registrants would pay the new renewal fee the next time that they renew their registration.
How to replyThere is more information about their proposals in their consultation document.
The consultation document is available to download from the consultationpage of their website along with our draft rules setting out the new fees:http://www.hpc-uk.org/aboutus/consultations/index.asp?id=160.
The consultation runs for 12 weeks, and closes on 1 October 2013.
10 THE OPERATING THEATRE JOURNAL www.otjonline.com
Fuji lm introduce new and improved table top FCR Prima T2 with higher processing capacity
PROACT Bridge General Purpose Temperature Probes Available On The NHS Supply ChainPROACT are pleased to announce that the Bridge General Purpose Temperature Probes are now available from NHS Supply Chain at a new low price.
Affordable, professional and reliable, Bridge’s versatile temperature probes can be used for oral, nasal or rectal introduction, with features that offer some distinct advantages:
• Atraumatic shape, soft material and low friction surfaces• Thin outer wall allows faster reaction to changes in core temperature• Proven accuracy to +/- 0.01°C (measurement range 25°C to 45°C)• Clearly marked with graduations to assist and con rm correct positioning• YSI 400 series thermistors for maximum compatibility• Latex Free, STERILE and single patient use for maximum safety
Bridge General Purpose Temperature Probes are available in Paediatric (9Fr) and Standard (12Fr) sizes in boxes of 50. Quality interface cables are also available for all major manufacturer’s monitors, incubators and patient warmers for total compatibility. NHS Supply Chain simpli es the procurement and delivery process, offering trusts competitive prices on over 620,000 product lines.
PROACT also work with other major distributors, such as Bunzl or Squadron, or can offer direct delivery free for orders over £100 + VAT.
Please do not hesitate to email us at [email protected] or call 01536 461981 for samples, further information or to request a quotation.
Nurse Betty nally retires - at 80!
Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare facilities, with a range of constantly evolving clinically proven products and technologies designed to assist medical professionals perform more ef ciently and effectively.
The company have just launched a new and improved version of their popular FCR Prima T, the Prima T2, which provides higher processing capacity by up to 30%.
The FCR Prima T2 provides an all-round solution to saving space and time, and provides stable, high quality images of the same great standard as those offered by the other members of Fuji lm’s FCR family, while its space saving design is both light and compact which means it can be easily placed on a desk or shelf and is ideal for workplaces where space is at a premium.
With its high speed reader, the FCR Prima T2 also has a user-friendly design to enhance user operation, helping to reduce patient waiting time and greatly increasing the ef ciency of examination work ow.
The latest version has also had a body colour change to enhance its appearance, and matches Fuji lm’s Amulet system, which promotes a feeling of cleanliness thanks to its light and clinical colouring.
The FCR Prima T2 is available now, and more information can be found by contacting Fuji lm on: Tel: 01234 326780 or visiting www.fujimed.co.uk. Fuji lm – pioneers in diagnostic imaging and information systems. When responding to articles please quote ‘OTJ’
When responding to articles please quote ‘OTJ’
DEDICATED nurse Betty Harvey is nally retiring at the age of 80 – after more than 50 years serving in her profession.Mrs Harvey began her training as a pupil nurse at the Ingham In rmary, South Shields, in 1962, after a tutor on a rst aid course spotted her potential, and suggested she should apply.She quali ed as a state-enrolled nurse in 1964 and, apart from a short time on the wards, spent most of her career as a theatre nurse.Mrs Harvey previously retired when she was 65, but was persuaded to come back to South Tyneside District Hospital part-time, so she could continue to share her vast experience.Over the years, Mrs Harvey has assisted surgeons in countless operations involving surgery of all kinds, including orthopaedic, gynaecological and eye, as well as general surgery.She said: “I went into theatre during my training, and they told me I tted in to surgery, so that’s where I stayed. It’s very hard work and requires intense concentration but I have loved every minute of it.“There is something very special about being part of the team in theatre. You develop a real bond.”Mrs Harvey, who lives in South Shields, has seen many changes in the past half century.
She said: “We used to address the surgeons as ‘sir’ but now everything is much more relaxed.“There have been major improvements in sterilisation.“We used to have to sterilise our own needles and we’d blow the gloves up to see if there was a hole and then patch it up.“Now everything is pre-packed.“Computerised technology has also considerably changed the way we work, but it is still all about working as a team.“South Tyneside District Hospital is the best for running operating theatres, and I am very proud to have been part of that team.”Mrs Harvey, a widow, will retire next month and intends to devote her time to her family, which includes eight grandchildren, and her hobbies of gardening and reading. She added: “I will really miss all the wonderful theatre staff.“I’m lucky that I’ve been healthy and have lots of energy.“That has enabled me to carry on working, but I think it’s time for me to go.”However, one of Mrs Harvey’s daughters, Anne Appleby, is carrying on in her footsteps.
Mrs Appleby worked as a senior staff nurse in intensive care at the district hospital for about 20 years, and is now one of South Tyneside NHS Foundation Trust’s health visitors in the borough.Between them, mother and daughter have given more than 75 years’ service to the NHS in South Tyneside.Lorraine Lambert, chief executive of South Tyneside NHS Foundation Trust, said: “Betty has made an absolutely incredible contribution to the NHS in South Tyneside and to the operating theatres at South Tyneside District Hospital, in particular.“Her dedication and enthusiasm have been an inspiration, and her experience and skill have made her an invaluable member of the team.“She will be sorely missed by her colleagues.”
Source: The Shields Gazette
For further information:01244 660 954
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12 THE OPERATING THEATRE JOURNAL www.otjonline.com
Overwhelming response for Verity CT Scanner at UKRCThe UK and Ireland supplier of the innovative Planmed Verity Mobile Extremity CT Scanner, Xograph Healthcare received an overwhelming response when demonstrating the revolutionary unit to interested delegates at this year’s UK Radiology Congress in June.
Held between 10th and 12th June 2013 in the ACC Liverpool – the only interlinking arena and convention centre complex under one roof in Europe and elegantly sited next to the Grade I listed Albert Dock on Liverpool’s world famous Mersey waterfront, UKRC is a three day multidisciplinary Congress covering all aspects of diagnostic imaging and oncology.
The compact and mobile Verity™ is used for imaging the upper and lower limbs in the seated, recumbent and standing position (for weight-bearing examinations) and serves radiologists, orthopaedic surgeons and extremity specialists alike, with the added ability to display subtle extremity fractures at the patient’s rst visit.
Also on display on Xograph’s eye-catching stand was their Ziehm RFD Hybrid – combining the convenience and versatility of a mobile platform with advanced vascular imaging capabilities along with the next generation of Canon CXDI wireless detectors which allow upgrade capability to any general X-ray modality. Their Ziehm Solo, as always turned heads, the compact, all-in-one Mobile C-Arm X-ray Image Intensi er, coupled on booth with the tried and tested Canon powered MobileDaRt Evolution, a Direct Digital Mobile X-ray Unit and the latest OrthoScan Mobile DI, a portable uoroscopy system with dynamic at panel detector.
Peter Staff, CEO of Xograph Healthcare, said: “The show was outstanding for us, a great event, fabulous venue and I was enthused by the genuine and knowledgeable interest of the delegates who took the time from the busy congress agenda to visit the Xograph booth. UKRC was also a great opportunity for us to showcase the Verity CT Scanner just after we secured our rst order at St Luke’s Hospital, Oxford; and to inform delegates of the forthcoming Verity Road Show which will take Verity to their doorstep allowing potential customers to experience the unique concept and many bene ts of the unit rsthand.”
www.xograph.com
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Healthcare Simulation in PracticeISBN: 9781905539567August 2013 M&K Publishing 128pp £22.00Mark Hellaby M. Ed., BSc (Hons), RODP, FHEA, MCODP, NHS NorthWest Simulation Network ManagerASPiH / Higher Education Academy Simulation Development Of cer (SDO)Professional Editor - The Journal of Operating Department Practice - Technic
This book is intended as a resource for all those involved in simulation-based healthcare education within the hospital environment, either within a dedicated simulation learning area or in-situ in the practice area. The basic principles will also be useful to individuals involved in simulation in any sector, including higher education institutions and voluntary aid societies.
Over the last 50 years, there has been a growing interest in this method, as part of a blended learning approach, to improve knowledge, skills and behaviour. There is currently an opportunity for simulation to evolve from being a reactive process (in which a targeted group uses a single simulation to prepare for a particular type of incident) to a proactive process (in which repeated simulations allow development of the entire workforce over a period of time).
This book aims to give simulation facilitators a deeper understanding of the process they are using, to ensure that every simulation is patient-centred, educationally coherent, innovative and evidence-based, delivers high-quality educational outcomes and value for money, and provides equity of access.
Contents:What is simulation?Scenario / programme developmentIntroduction to the scenarioRunning the scenarioDebrie ngSimulation for the interprofessional teamSimulation in a dedicated simulation areaSimulation in the clinical areaSimulation in a virtual areaSimulation and resuscitation trainingSimulation for assessmentQuality assuranceExample scenario
If you have any queries regarding this or any of our growing catalogue of books please do not hesitate in contacting us.
M&K Update Ltd | The Old Bakery | St. John’s Street | Keswick | Cumbria | CA12 5AS t: 01768 773030 | f: 01768 781099 | www.mkupdate.co.uk
eLearning from M&K Update:Try our free Introduction to Portfolio Development course at: http://elearning-mkupdate.co.uk
CONFERENCES 2013-14:Developing Leading-edge Cardiac Care - 12 November 2013Delivering Safe and Effective Practice in The Operating Theatre - 12 November 2013Innovation & Developments in the Role of HCSW - 26 November 2013Developing Leading-edge Ophthalmic Nursing 2014 - 13 March 2014
f i t l f
Simon, Product Manager for the Verity CT Scanner at Xograph Healthcare demonstrating the unit.
Peter Drozd, Michael Leonard, Iain Burley, Liam Neill, Nigel Darwell-Stone, Paul Andrews, Rick Cumberbatch, Jim Berry, Charlie Doherty and Aman Bahia from Xograph Healthcare Ltd.
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When responding to articles please quote ‘OTJ’
Nurses Who Don’t Show Compassion May Be Struck Off
A review of nurses’ code of conduct could mean staff may face formal disciplinary action if they display an uncaring attitude.
Nursing Standard reported recently that the Nursing and Midwifery Council (NMC) is to discuss adding the word ‘compassion’ to the nurses’ code.
The move is a response to the report by Robert Francis QC highlighting poor care in Mid Staffordshire.
Source: Nursing Standard
Find out more 02921 680068 • e-mail [email protected] Issue 275 August 2013 13
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Tel: 01303 840 882 Fax: 01303 840 969 [email protected]
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KENTTHEATRE PRACTITIONERS BAND 7, BAND 6 & BAND 5
Experienced Theatre Practitioners, RGN or ODP quali ed needed. Specialities including General Surgery, Urology, Paediatrics & a growing Orthopaedic service. At Band 7 you will be familiar with leading a team & have people management experience. You must show a knowledge of anaesthetics/scrub &/or recovery, effective communication & exilibity. For Band 6 & Band 5 you will have experience of anaesthetics/scrub &/or recovery, be able to
demonstrate effective communication & deliver exceptional patient care.
Tel: 01303 840 882 Fax: 01303 840 969 [email protected]
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OXFORDSHIRESCRUB PRACTITIONERS - Band 5 & Band 6
ANAESTHETIC PRACTITIONERS - Band 5 & Band 6This is an exceptional opportunity for RGNs or ODPs who have had at least one years experience in a UK theatre to join some of the best theatre teams in the country. Many of our Clients surgeons are introducing new & cutting-edge surgical techniques into theatre, joining this trust offers the potential to rotate through a wide range of specialities. We need motivated individuals who will thrive in a fast
paced, changeable & challenging environment. Resilient individuals will be rewarded with great career progression & prospects. If you have current Scrub &/or Anaesthetic skills & are interested in elective,
trauma, cancer, orthopaedic or cardiac surgery then we look forward to hearing from you.
Tel: 01303 840 882 Fax: 01303 840 969 [email protected]
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STAFFORDSHIRETHEATRE PRACTITIONERS - BAND 5
You will have current UK Theatre experience, RGN or ODPs are welcome to apply. Good communication skills are essential. You will need to be
an enthusiastic and exible team player who is most importantly patient focused. This is a busy & highly professional department which can enhance your career development with exposure to a mixture of surgical specialities
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Theatre RNs and Operating DepartmentPractitioners are highly prized in New Zealandso the choice is yours.
A large teaching hospital, a smaller base hospital, aweekdays-only job in one of NZ’s smart private clinics –whatever your choice we’ll find the right job for you.
If you are a western or Australasian-trained TheatreNurse or ODP with two years post-qualificationexperience contact us now for more information.
London Trauma Conference
10th - 14th December 2013www.londontraumaconference.com
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Nursing & Midwifery Council - Respond to our information about professional indemnity insurance
From October this year, it will be a legal requirement for nurses and midwives to have an indemnity arrangement in order to be registered with us.
When you renew your registration, you will be required to self declare that you either have an indemnity arrangement in place that is appropriate for your practice, or will have one in place when you start practising. Most nurses and midwives will be covered through their employer, but it is your responsibility to check what is covered by your employers indemnity insurance.
From the 22nd July we will be asking for your comments on our draft information on professional indemnity insurance. We have produced a document explaining the new requirements and would like your thoughts on whether it is clear and easy to understand.
A form for your comments and the draft information explaining the new requirements is at www.nmc-uk.org/pii. It will stay open until 17:00 on Friday 6 September.
In the meantime, please read our key points regarding professional indemnity insurance which you need to be aware of:
h t t p : / /w w w.nmc - uk .o r g /Reg i s t r a t i on /P ro f e s s i on a l - i nde mn i t y -insurance/?utm_medium=email&utm_source=Nursing+and+Midwifery+Council&utm_campaign=2877226_Nurses+and+Midwives+newsletter+18+July+2013&utm_content=piipoints&dm_i=129A,1PO2Y,9SVVLU,636CQ,1
The UK ODP Message GroupJoining is easy, just send an e-mail,stating your name, e-mail address,position and Hospital to:
‘Mobile based anaesthetic incident reporting’ – call for research participants‘Mobile based anaesthetic incident reporting’ – call for research participantsMSc Health Informatics student seeking participants for a research study being conducted through City University London.What is this research project about?The purpose of the study is to extend the platform for anaesthetic incident reporting by developing a mobile application (‘app’) based on the anaesthetic e-form developed by the NPSA and Royal College of Anaesthetists (RCoA). It is proposed that the mobile based form (‘m-form’) will provide an alternative tool for members of the surgical care team to report anaesthetic related incidents that occur at any point in the surgical pathway. The project will seek to determine the feasibility of mobile-based incident reporting within the clinical environment through the development of a prototype model which will follow a process of design, testing, evaluation and analysis.
What is involved in the study?Participants are required for both the pre and post user evaluation stages of the mobile app.
The initial evaluation stage will involve the completion of an online questionnaire which will seek to explore the willingness of clinical staff to report critical incidents on a mobile device and the key factors implicit in the surgical environment which need to be considered.
This will be followed by a focus group to allow further discussion of the main themes identi ed in the questionnaire.
The second stage of the evaluation will involve user-acceptance testing of a prototype model to determine if the speci cations of the mobile app have been met, and to identify additional requirements that need to be incorporated into the design process for future development.The acceptance testing of the m-form will also be performed remotely via a web-based emulator which will simulate how the m-form will function on a mobile platform. Participants will be asked to follow a test plan, detailing the necessary steps and expected outcomes for testing key functions and processes.
Interested participants are advised that the project will undergo approval to ful l the ethical requirements of the School of Informatics at City University. In addition, involvement in the study is completely voluntary with no obligation to continue should you wish to withdraw at any time during the research process.
If you are interested in being involved, or to learn more about the study, please contact the lead researcher at the following email address:
Heather. [email protected] When responding to articles please quote ‘OTJ’
www.Opera ngpera ngTheatreheatreJobs.comobs.comA one-stop resource for ALL your theatre related Career opportuni es
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