3M™ Clean-Trace™ Hygiene Management Solution
© 3M 2010. All Rights Reserved.
What we‟ll look at:
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ATP rapid hygiene testing: an introduction
HCAI Technology Innovation Programme & RRP status
3M™ Clean-Trace™ Hygiene Management Solution - benefits
Applications
Pricing options
Trial process
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ATP rapid hygiene testing: an introduction
• ATP rapid hygiene testing is based on the measurement of adenosine
triphosphate (ATP) - the energy molecule for all animal, vegetable,
bacteria, yeast and mould cells.
• A method to assess cleanliness of environmental surfaces in real
time.
• The technology detects the presence of organic residues, in
addition to microorganisms, which have been left on a surface after
inadequate cleaning and or sanitation.
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The Principle Behind ATP Bioluminescence
ATP:
Adenosine Triphosphate
The “energy currency” molecule of all living organisms
+
Luciferin/luciferase
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Simple Relationship
increase in light (RLU)
increase in ATP levels
increase in organisms or organic residues
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Comparison of current methods for assessing hygiene
Results from a study undertaken in Beaumont Hospital in Ireland1
Method
ATP
Microbiological (ACC)
Presence of MRSA
Visual assessment
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Test points considered
acceptable or „clean‟
71.5%
92.1%
95.0%
93.3%
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The Benefits of Using ATP as a “Risk” Indicator
Organic residues
Microorganisms
DIRECT RISK
INDIRECT RISK
Contamination, infection
Encourage growth
of microorganisms
and possible cross contamination
Presence of ATP indicates direct and indirect risks
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HCAI Technology Innovation Programme & RRP status
3M™ Clean-Trace™ Clinical ATP System
is the only ATP system to be awarded the
RRP Level 1 recommendation
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HCAI Technology Innovation Programme & RRP status
• Joint project between the UK Government Department of Health and
NHS Purchasing and Supply Agency
• Aims to speed up the development and introduction of new
technologies to help combat Healthcare Associated Infections (HCAI)
in our hospitals
• Six infection prevention products awarded Rapid Review Panel Level
1 recommendation
• Evaluated in seven „Showcase Hospitals‟ across England
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HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• In each showcase hospital the product was used:
• June to October 2008
• On four wards
• Twenty test points per ward
• Seven days per week (over 53,000 readings)
Reductions in biocontamination levels were observed
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HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• Strong evidence that RLU levels reduced over the time of the trials
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HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• All seven hospitals experienced an overall decline in the level of
contamination from an average of 568 to 194 Relative Light Units
(RLU)
Example graph from The Royal Wolverhampton Hospitals NHS Trust
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HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
Cleaning managers were impressed with the results and the
improvements in their cleaning protocol:
“The Clean-Trace Clinical ATP system has been a great success;
staff are receiving feedback and becoming competitive”. At one
hospital it was also noted that the Clean-Trace Clinical ATP system
introduced a good spirit of competition among staff to ensure their
wards were the cleanest.”
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HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
For further information on the report ask for the Showcase
Hospitals Trial Report Summary from 3M Health Care.
To review the full report, please visit:
www.3m.co.uk/HospitalHygiene
or
www.showcasehospitals.com
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3M™ Clean-Trace™ Hygiene Management Solution
The Clean-Trace hygiene management solution represents a major
step forward in hygiene monitoring, bringing all of the recognised
benefits of using the Clean-Trace Clinical ATP system with the
added convenience of automated trend analysis and online report
generation.
The Clean-Trace hygiene management solution represents a costeffective solution which supports the focus on improved quality of
hospital cleanliness and hygiene management.
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3M™ Clean-Trace™ Hygiene Management Solution
Innovative solution that provides hospital-wide control, allowing the:
• Measurement, monitoring, improvement and control of the hospital
cleaning process
• Easy comparison of hygiene performance between different areas in a
hospital
• Demonstration with data of the trends in cleaning effectiveness
• Flexibility to scale up the solution across the hospital or Trust
• Easy management of data reporting with automated reports to all
stakeholders
• Continual improvement of hygiene standards
• Use of objective data to support compliance to DH hygiene standards
• Improvement of patient experience and hospital image
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3M™ Clean-Trace™ Hygiene Management Solution
- How the solution works:
• Swab a surface using the 3M™ Clean-Trace™ Clinical ATP Swab
• Read the swab using the 3M™ Clean-Trace™ NGi Luminometer
– result provided in RLU and stored on the luminometer
• Upload results from the Clean-Trace NGi luminometer to the
3M™ Clean-Trace™ Online Reporting System
– via web browser simply requiring username and password
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3M™ Clean-Trace™ Hygiene Management Solution
- How the solution works:
• Storage and auto-analysis of data, auto-generation and delivery
of reports by the 3M™ Clean-Trace™ Online Reporting System
Hosted servers
Internet connection
Wired
connection
Driver to
handle comms
Reminder eMails
Internet connection
Ordinary user
Web browser only
Maintaining Test Plans
Web Browser Only
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Power user
Initially BioTrack+
then move to
Web browser only
© 3M 2010. All Rights Reserved.
3M™ Clean-Trace™ Hygiene Management Solution
- How the solution works:
• Reports automatically generated and emailed in PDF format to
the identified stakeholder at the scheduled frequency
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Clean-Trace Hygiene Management Solutions - Benefits
© 3M 2010. All Rights Reserved.
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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Clean-Trace Hygiene Management Solutions - Benefits
© 3M 2010. All Rights Reserved.
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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© 3M 2010. All Rights Reserved.
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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© 3M 2010. All Rights Reserved.
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
Clean-Trace Hygiene Management Solutions - Benefits
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Benefits
• Easy to use:
• The simplicity of tests reduces variability from user to user ensuring
accurate and consistent results
• Minimal training required
• Easy integration into existing daily cleaning checks
• Rapid results:
• Results available in less than 30 seconds
• Allows assessment of the hygienic status of facilities in real time
• Enables immediate corrective actions and proactive cleaning
schedules
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Benefits
• Quantitative monitoring:
• Provides quantitative test scores in proportion to the amount of
organic matter present on the surface tested
• Enables the identification of potential high-risk areas
• Simple to interpret:
• Results are presented as Relative Light Units (RLU) that directly
relate to the degree of contamination on equipment or surfaces
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Benefits
• Reliable and accurate:
• Can be combined with subjective visual assessments to provide a more
accurate assessment of hygiene status.
• Superior repeatability2,3 and excellent sensitivity3
• Improved cleaning quality assurance:
• Enables potential adjustment of cleaning frequency, chemicals and
contact time
• May enable cost savings on cleaning materials and labour requirements
• Provides an excellent training tool – enabling personnel to see a clear
and immediate link between good hygiene practice and the hygiene test
result
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Benefits
• The NEW Online reporting system:
• Secure capture and storage of hygiene data
• Automated online report generation to help comply with audit
requirements
• Minimises administration time of preparing hygiene reports
• Reports provide easy identification of priority areas for targeted testing
• Clear identification of re-test results alongside original results showing
remedial actions and demonstrating due diligence
• Flexibility to choose the auto-generated report type, the target audience
and frequency of distribution
• Reports emailed to all identified stakeholders at scheduled frequency
• Automated alerts for hygiene non-conformance
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Applications
• Routine ward hygiene management
• Monitoring of mobile equipment
• Monitoring of equipment impacting tissue viability
• Outbreak & discharge deep cleans
• Confirmation of decontamination effectiveness
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3M™ Clean-Trace™ Hygiene Management Solution
The solution offers a comprehensive approach to ATP rapid
hygiene monitoring with the flexibility to scale up as hygiene plans
evolve.
• 3M™ Clean-Trace™ Clinical ATP Swabs
• 3M™ Clean-Trace™ NGi Luminometer & Docking Station
• 3M™ Clean-Trace™ Online Reporting System
• 3M service and support
• 3M technical consultancy
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Trial process
• Set up trial agreement
• Pre-trial training
• Trial
• support from 3M as required
• Trial de-brief and submission of evaluation forms
• 3M trial report
• based on results & evaluation forms
• Business case
• 3M has developed a business case template to assist in the adoption
process following the success of a trial
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Independent studies / references
1.
Is it really clean? An evaluation of the efficacy of four methods for determining
hospital cleanliness. Sherlock O et al, Journal of Hospital Infection, 2009.
2.
The repeatability of hygiene test systems in measurement of low levels of ATP.
W.J. Simpson, C.G. Giles, H.A. Flockhart. Cara Technology Limited, Leatherhead
Enterprise Centre, UK Report 30606, 27 July 2006.
3.
Protocol for assessing the sensitivity of hygiene test systems for live
microorganisms and food residue. W.J. Simpson, J.L. Archibald, C.J. Giles. Cara
Technology Limited, Leatherhead Enterprise Centre, UK Report 120906, 27 July
2006.
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Thank you
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© 3M 2010. All Rights Reserved.