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

bryan.griffiths@cmft.nhs.uk

twitter: @brygriffiths