Patients are being moved into beds on wards faster, and thousands of hours have been freed up for nurses to care for them, thanks to a new bed management system at Medway Maritime Hospital.
The state-of the art digital technology provides real-time visibility of the beds available across the hospital. As a result staff operating the system from the newly created Medway Care Coordination Centre, can see at a glance when a patient is waiting to be admitted, if beds are occupied, when beds need cleaning and are ready to be allocated, or have already been allocated, as well as when patients are due to be sent home.
Prior to introducing the system the clinical site team would visit each ward and speak to the nurses to find out how many discharges there were going to be that day. They could then work out how many beds were available, using pen and paper, before allocating beds to new patients.
In addition, the system is minimising the turnaround time for beds to be ready so patients can be admitted on the right ward for their medical needs. That’s because messages can now be sent automatically to handheld devices telling the nearest porter they are needed to help transport a patient or carry out other jobs. Messages can also be sent to the newly created Bed Turnaround Team, which operates 24-hours a day, telling them when a bed is empty so they can clean it ready for the next patient. This job was previously done by nursing staff meaning precious time has been freed up to spend more time caring for patients.
Since the system went live in October 2023, this new way of working has:
- Released 1,500 hours a month back to clinical staff so they can care for patients
- Reduced bed turnaround times (from a patient leaving a bed to the next patient being admitted in to bed) from over 4 hours to 2 hrs 20 min
- Saved 161 days of ‘wasted’ bed time – where a clean empty bed didn’t have a patient in it.
Digital wristbands and droboxes on wards also play a key part as Charlotte Flannery, Matron for Surgical Services, explains.
“Each patient now wears an electronic wristband when they are admitted to hospital which they wear alongside their patient ID wristband. It is not a GPS tracker that monitors a patient’s movements, it simply allows the centre and the wards to see the bed the patient is occupying and their care pathway.
“When the patient goes home, clinical staff place the digital wristband in a drop box which then automatically updates the system that they have been discharged and notifies the centre that the bed is now ready to be cleaned by our dedicated Bed Turnaround Team ahead of the next patient being admitted on to the ward.”
Christine Hayfield wore the wristband during her recent stay at the hospital.
The 71-year-old from Rainham, said: “First of all I thought what’s it for? Is it spying on me?
“I think it’s a good idea. If the beds are available they need to be filled.”
Nick Sinclair, Chief Operating Officer for Medway NHS Foundation Trust, which operates the Gillingham-based hospital, said: “The system has completely changed the way the hospital operates and transformed the way we move patients in and out of beds across the hospital. This improves the flow of patients through the hospital, and helps get them to the bed they need quicker.
“It’s all about working smarter. As well as helping us to understand where bottlenecks existed, and managing our beds in a more efficient way, our staff now have access to the right information at the point when they need it, without logging into several different systems, or requiring multiple callouts to identify capacity and availability. In turn this is helping to improve staff experience and morale and support a better working environment.”
As part of the hospital’s ‘working smarter’ approach, the care coordination centre is being used to pilot a new ‘Care Hub’ which involves clinicians working with colleagues from South East Coast Ambulance Service (SECAmb), and other community partners, to decide the most appropriate care pathway for the patient while the ambulance crew are on scene to help minimise handover delays and waiting times.
Nick added: “Since launching the pilot in February we have seen some promising early signs, with approximately 10 fewer ambulances arriving at our Emergency Department (ED) every day. It really is benefiting everyone. It’s helping patients get the care they need in the most appropriate place, reducing demand at our ED and supporting ambulance crews when they attend emergency calls.
“In the not too distant future we hope to add community beds to the bed management system to help with our discharge process. It really is a very exciting time for the hospital.”