Eshre 2011 Stephen Harbottle RI Witness Presentation ESHRE


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Presentation providing an introduction to RI Witness™ by Stephen Harbottle, Cambridge IVF, at ESHRE 2011 in Stockholm, Sweden.

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Eshre 2011 Stephen Harbottle RI Witness Presentation ESHRE

  1. 1. An Introduction to RI Witness ™ <ul><ul><ul><li>Stephen J. Harbottle </li></ul></ul></ul><ul><ul><ul><li>Lead Clinical Embryologist </li></ul></ul></ul>
  2. 2. Introduction <ul><ul><ul><li>Commitment to best clinical practice </li></ul></ul></ul><ul><ul><ul><li>Minimise laboratory procedural risk </li></ul></ul></ul><ul><ul><ul><li>Optimise processes </li></ul></ul></ul><ul><ul><ul><li>Improve patient perception </li></ul></ul></ul><ul><ul><ul><li>Monitor and audit working practices </li></ul></ul></ul><ul><ul><ul><li>Safeguard your reputation </li></ul></ul></ul>
  3. 3. Preventing Errors and Mistakes <ul><ul><ul><li>Clear, well written protocols </li></ul></ul></ul><ul><ul><ul><li>Experienced, well trained staff </li></ul></ul></ul><ul><ul><ul><li>Adequate staffing levels relative to workload </li></ul></ul></ul><ul><ul><ul><li>Witnessing of critical procedures </li></ul></ul></ul><ul><ul><ul><ul><li>Manually by colleague </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Electronically </li></ul></ul></ul></ul><ul><ul><ul><li>Prevent Errors </li></ul></ul></ul><ul><ul><ul><li>Prevent ‘IVF Mix-Ups’ </li></ul></ul></ul>
  4. 4. Manual vs. Electronic Witnessing <ul><li>‘ Manual’ witnessing time consuming and distracting </li></ul><ul><ul><li>Concept of ‘ Involuntary Automaticity ’ </li></ul></ul><ul><ul><li>Errors can occur because staff saw what they ‘expected to see’ </li></ul></ul><ul><li>RI Witness™ automatically confirms any procedure where 2 or more tagged items are brought together </li></ul><ul><ul><li>Avoids involuntary automaticity </li></ul></ul><ul><ul><li>Improves gamete and embryo security </li></ul></ul><ul><ul><li>Goes a long way to preventing ‘IVF Mix-ups’ </li></ul></ul>
  5. 5. IVF Mix-up - Europe
  6. 6. IVF Mix-up - North America
  7. 7. IVF Mix-up - Asia
  8. 8. IVF Mix-up Timeline 1993 Holland 1999 USA 2002 UK 2007 Canada 2009 Japan 2010 Singapore 2011 ???
  9. 9. Electronic Witnessing
  10. 10. How does it work? <ul><li>Radio Frequency Identification (RFID) </li></ul><ul><ul><li>Consumables are ‘tagged’ with an adhesive RFID label which when detected by a reader generates a signal </li></ul></ul><ul><ul><li>This detected signal is used to uniquely assign the item </li></ul></ul><ul><ul><li>The allocation is permanently and irreversibly stored </li></ul></ul><ul><ul><li>Every time an item enters the read range it is detected and identified in the database </li></ul></ul><ul><li>RI Witness™ therefore relies on 3 components: </li></ul><ul><ul><li>RFID Tags </li></ul></ul><ul><ul><li>RFID Tag readers </li></ul></ul><ul><ul><li>Controlling Software </li></ul></ul>
  11. 11. The Hardware – RFID Tags <ul><ul><ul><li>Circular Tag </li></ul></ul></ul>4 <ul><ul><ul><li>Standard Tag </li></ul></ul></ul><ul><ul><ul><li>Square Tag </li></ul></ul></ul><ul><ul><ul><li>ID Card </li></ul></ul></ul>1 2 3
  12. 12. The Hardware – Tag Readers
  13. 13. Real Time Process Protection
  14. 14. Very easy to use... <ul><li>Log in </li></ul><ul><li>Enter PIN </li></ul><ul><li>Select </li></ul><ul><li>Allocate </li></ul><ul><li>Confirm </li></ul><ul><li>Complete </li></ul>
  15. 15. Reporting and Auditing <ul><li>Generate electronic or hard copy witness reports </li></ul><ul><li>Date, time and operator stamped </li></ul><ul><ul><li>Any mismatches clearly and irreversibly identified </li></ul></ul><ul><ul><li>Reasons for mismatches explained </li></ul></ul><ul><li>Audit operators and procedures </li></ul><ul><li>Identify areas where risk is elevated </li></ul><ul><ul><li>Fine tune laboratory practice </li></ul></ul><ul><ul><li>Re-train staff where necessary </li></ul></ul><ul><li>Reduce your risk </li></ul>
  16. 16. Extra Benefits / Features <ul><li>Defined pathway for the introduction of donor sperm and for the sharing or donation of oocytes </li></ul><ul><ul><li>Predefines who can and cannot donate or receive donation </li></ul></ul><ul><ul><li>Prevents errors or confusion during donor treatment </li></ul></ul><ul><li>Automatically print labels for consumable items </li></ul><ul><ul><li>Patient name </li></ul></ul><ul><ul><li>Date of birth </li></ul></ul><ul><ul><li>Clinic number </li></ul></ul><ul><ul><li>Type of dish </li></ul></ul><ul><ul><li>Any other bespoke field </li></ul></ul>
  17. 17. Traceability Element and Data Capture Element <ul><li>Recording of batches </li></ul><ul><ul><li>Batch and stock control </li></ul></ul><ul><ul><li>Vertical and Horizontal audit of your processes </li></ul></ul><ul><ul><li>Troubleshooting the laboratory </li></ul></ul><ul><li>Push data directly to your database </li></ul><ul><ul><li>Minimise data entry </li></ul></ul><ul><ul><li>Maximise data accuracy </li></ul></ul><ul><ul><li>Improved workflow and efficiency </li></ul></ul>
  18. 18. Impact on working practices <ul><li>RI Witness™ facilitates independent working; </li></ul><ul><ul><li>Saves time </li></ul></ul><ul><ul><li>Reduces environmental stresses on embryos </li></ul></ul><ul><ul><li>Minimises distraction </li></ul></ul><ul><li>Improvement in laboratory efficiency </li></ul><ul><li>Streamline paperwork for each treatment cycle </li></ul><ul><li>Can receive patient demographic information from many commonly used patient database systems </li></ul>
  19. 19. Patient’s views <ul><ul><li>Impressed with deployment of a high-tech approach to prevent laboratory errors </li></ul></ul><ul><li>Overwhelming support system implementation </li></ul><ul><ul><li>Confident the embryos created and transferred were created with their gametes </li></ul></ul><ul><ul><li>Feel that the system affords a sense of ownership and control throughout the treatment process </li></ul></ul>
  20. 20. Summary <ul><li>RI Witness™ </li></ul><ul><li>Is a reliable, safe and effective risk reduction tool </li></ul><ul><li>Removes pressure from lab staff allowing them to concentrate without interruption or distraction </li></ul><ul><li>Provides a detailed audit trail of procedures </li></ul><ul><li>Integrates with other common software packages to minimise data entry into more than one system </li></ul><ul><li>Gives patients reassurance and confidence </li></ul><ul><li>Protects your reputation </li></ul>
  21. 21. Thank you for your Attention