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Improvement of Patient Safety and Q lit f C i th O ti R Quality of Care in the Operation Room Business Case Deventer Hospital Presented by Bart Gietema, Head of Surgery

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Page 1: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room

Business Case Deventer HospitalPresented by Bart Gietema, Head of Surgery

Page 2: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Compliance with the Dutch Safety Management System Regulations on Preparation Administration System Regulations on Preparation Administration

of High-Risk Parenteral Medication

Page 3: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Agenda

Introduction Deventer Hospital Operation Room

Th Ch ll The Challenge Current Situation Project Objectivesj j

The Solution Live Demo

Th R lt The Result Current Challenges Future Objectivesj

Page 4: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Introduction Deventer Hospital

Newly built hospital, 2008Th ‘ b if l b ildi ’ f h N h l d The ‘most beautiful building’ of the Netherlands

Page 5: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Operation Room

Facts & Figures 21,000 surgeries per year, g p y 11 operation rooms 110 full-time employees

Project Parenteral Medication and Verification in the Operation Room Phase I September 2011 Phase II March 2012 Phase III … 2012

Page 6: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

The Challenge – Current Situation

Manual process ‘4-eyes’ validation check difficulty Combination of pre-printed & handwritten label No validation in HIS (Chipsoft) Non-compliance to the Dutch Safety

Management System Regulations on Preparation and Administration of High-Risk ParenteralMedication (VMS Veiligheidsprogramma)

Page 7: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Our Objectives

Eliminating error-prone (often manual) processes Replacement of ‘4-eyes’ check by ‘2-eyes’ with an p y y y

automated standard solution One standard type of medication label Validation check with HIS (ChipSoft) Track & Trace Improve patient safety and quality of care r Reduce costs

l h h h f Comply with the Dutch Safety Management System Regulations on Preparation and Administration of High-Risk Parenteral MedicationAdministration of High Risk Parenteral Medication

Page 8: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

The Solution

New Process

1. Prepare medication1. Identification employee2. Identification medication

2. Generate medication label3 A l t i3. Apply to syringe4. Scan medication5 Validation check and registration in HIS5. Validation check and registration in HIS

Page 9: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Web-based Medication Labeling Service

1 Prepare medication1. Prepare medication1. Identification employee (scan)2. Identification medication (scan)

2 G t di ti l b l ( i h 2. Generate medication label (with 1D or 2D barcode)

3. Apply to syringe4. Scan medication label attached

to the syringe5 Validation check and 5. Validation check and

registration in HIS

For a demo you can contact us at [email protected] or +31 (0) 180 545151

Page 10: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Validation Check and Registration in HIS (Chipsoft)

Page 11: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Validation Check and Registration in HIS (Chipsoft)

Page 12: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

The Result

September 2011 Medication labeling service in g

use! Investment 5 working days

R d i t b li i ti ‘4 ’ Reducing costs by eliminating ‘4-eyes’ check

Current ChallengeB t Gi t i th O ti R ith th l ft Current Challenge Not all parenteral medication is

supplied with a barcode

Bart Gietema in the Operation Room with on the left screen the O2L Medication Labeling solution and on the right screen ChipSoft (HIS).

the barcode used is not standardized the information provided in the

barcode is incomplete or not usable re-labeling is necessary

Page 13: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Future objectives

Phase II September 2011 – March 2012 Official approval of Dutch Safety Management Institutionpp y g Set up a hospital-wide program on medication labeling

In close cooperation with the hospital pharmacy Decide on parenteral medication

Re-label or purchase only medication with “scannable” barcodes

Determine the AIDC standard for medication Barcode symbology and contents Unique identifiers for preparations

Hardware Hardware

Phase III March 2012 Implementation

Page 14: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Contact information

l l dPlease contact us and talk to one of our GS1 experts

Type 2 Solutions …clear vision on dataPlease contact us and talk to one of our GS1 expertsand see how we can help you to start improving patient safety and supply chain efficiency today! p y pp y y y

Judith de Witte Hans PannekoekSales & Marketing manager Senior ConsultantSales & Marketing manager Senior [email protected] [email protected]+31 (0) 6 2126 8961 +31 (0) 180 545151

www.t2s.nl

Page 15: Improvement of Patient Safety in the Operation …...Improvement of Patient Safety and Q lit f C i th O ti RQuality of Care in the Operation Room Business Case Deventer Hospital Presented

Thank you for your attention