Trust wins the the ‘Improving Care with Technology’ award at Health Service Journal Awards
The Acute Care Team at Central Manchester University Hospitals NHS Foundation Trust this week celebrated winning the HSJ ‘Improving Care with Technology’ award for their work implementing the Patientrack system.
Sarah Ingleby, Lead Nurse for the Acute Care Team, and Project Manager for Patientrack and Steve Jones, Consultant from Critical Care and Accident and Emergency who collected the award London’s prestigious Grosvenor House Hotel said:
“Winning the award was exciting and feels like a great achievement! It is recognition for all the hard work that the team has put in as well as confirmation that the holistic approach we have worked so hard to implement, alongside a system we believe in, has been recognised as an effective and excellent approach. The development and trial of the Patientrack system has been an exciting, interesting and sometimes challenging experience - in particular changing the culture and ways of working within our organisation. This award though has supported our belief that along with supportive, structured education the electronic observation and alerting system will benefit patient safety and care for all our patients.”
During the successful 14 month trial of Patientrack, we saw a number of patient safety gains:
- All patients in the trial had their bedside observations performed in a timely fashion
- Patients recovered their health faster than previously
- There was a 20% reduction in hospital length of stay.
- The use of critical care was less
- No patient had a cardiac arrest in the intervention phase of the trial
- There was a reduction in mortality of 2%.
Now that the technology has been procured by our Trust, and implemented on a number of wards, we are continuing to see these encouraging improvements.
Jane Eddleston, Clinical Lead for Critical Care at CMFT, and Department of Health Adviser for Critical Care said:
"Recognising when a patient's health deteriorates and responding in a timely fashion has been one of our national priorities in acute in-hospital care for the past 18 months. Patientrack has proved invaluable to clinical staff in our transformation of this pathway and I personally am delighted to see the patient benefits mirror those in the trial ."
When using the system ward nurses conduct patient observation rounds as normal but instead of recording them on paper charts they input them onto a wirelessly connected personal digital assistant. The remote software automatically calculates an Early Warning Score (EWS) to assist in identifying those patients at risk of deterioration and advises the nurse of a raised score. There are some products that do this already but the difference here is that the system will automatically alert the appropriate clinician — doctor or nurse — according to the significance. This alert will persist, and escalate, until the patient’s condition improves. If a patient has abnormal observations the system automatically schedules the correct timings of observations to drive further clinical reviews.
It is important to stress that this system does not aim to replace clinical judgement; instead it supports nursing staff seeking reviews of their patients without wasting time trying to locate the doctor and continues to escalate until an appropriate response has been made. It also allows staff to quickly identify at risk patients by having a ward view of the patients’ track and trigger scores. This, and the ability of the system to track all EWS, response times and trigger duration means that close audit and monitoring of care is possible, which can assist in calculating staffing numbers for individual areas.
From almost 1,000 entries over 17 categories, we were also finalists in the ‘Patient Safety’ category and the ‘Quality and Productivity’ category, further reassurance that we are well on our way to ensuring that every patient receives the right care, at the right time, by the right person.
Alastair McLellan, the editor of Health Services Journal said:
“The NHS remains an inspiration for health systems across the world. In the toughest year for the NHS for over a decade, the HSJ Awards prove once again that the service remains a centre of excellence. Quality, innovation and productivity are not just government buzzwords - they are enshrined in the entries recognised here tonight.”
The Health Service Journal Awards are recognised as a huge accolade and are organised by leading weekly magazine Health Service Journal.