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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
P2 / Third European Association of Eye Hospitals (EAEH) newsletter!
P3 / Short introduction - The Department of Ophthalmology,
Helsinki University Central Hospital, Finland
P4 / First meeting of the international
exchange in infection control
P5 / Seeing the SurgiCube in action
P6 / Patient pathway for patients in day surgery at Moorfields Eye Hospital, London
P7 / Cataract surgeries in Sweden
P8 / News from our members
Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
Third European Association of Eye Hospitals
(EAEH) newsletter!
This edition starts with a short introduction from one of the
members of the EAEH, the University of Helsinki - department of
Ophthalmology in Finland. It also includes an update about the
international exchange in infection control that was covered in
the last newsletter, and reports on three visits within the EAEH
in recent months. Contact information is included at the end of
each article, so please don’t hesitate to get in touch for more
information.
Please remember that the aim of the EAEH board is to promote
the international exchange of knowledge between eye hospitals.
For this, there is a budget of € 1000 per exchange, provided that
the objectives of the EAEH are met. These objectives and contact
information are available on the last page of this newsletter.
Content of this newsletter:
• Short introduction of the University of Helsinki department of Ophthalmology in Finland
• First meeting of the international project group exchange
in infection control
• Seeing the SurgiCube in action - Visit by London to
Rotterdam
• Patient pathway for patients in day surgery EAEH-exchange visit between Rotterdam and London
• Cataract surgeries in Sweden - EAEH-exchange visit
between Rotterdam and Stockholm
• News from our members
• Upcoming activities: World Sight Day 2013
Kind regards,
The Executive Board of the EAEH:
J. Pelly, Chairman of the EAEH, CEO of Moorfields Eye Hospital
U.F. Hiddema, Secretary of the EAEH, CEO of The Rotterdam Eye
Hospital
J.C.A. Sol, Treasurer of the EAEH, CFO of The Rotterdam Eye
Hospital
Keyfeatures
•
•
•
Benchmark
Related to AAEEH / The ASEAN-EYE Hospitals
Global association
Members
•
•
•
•
•
•
•
VISSUM Instituto Oftalmológico de Alicante,
Alicante
University of Helsinki - department of
Ophthalmology, Helsinki
University Hospitals Leuven, Leuven
Moorfields Eye Hospital, London
The Rotterdam Eye Hospital, Rotterdam
Singapore National Eye Centre (SNEC), Singapore
St. Eriks Eye Hospital, Stockholm
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
Short introduction - The Department of
Ophthalmology, Helsinki University
Central Hospital, Finland
In this newsletter, we get to know The Department of Ophthalmology, Helsinki University Central Hospital, Finland, finding out
what kind of subspecialties the hospital offers, its capacity , and
its research and education activities.
The Department of Ophthalmology, Helsinki University Central
Hospital, was founded in 1871 and is the largest and oldest eye
department in Finland. It is the only department in Finland with
a full complement of subspecialties, including medical and
surgical retina, cornea, anterior segment surgery, paediatric
ophthalmology, glaucoma, neuro-ophthalmology, oculoplastics,
uveitis, visual rehabilitation, eye banking, ocular oncology and
ophthalmic pathology, electrophysiology, and continuous
emergency service. The department strives to be a leading
academic centre of ophthalmology and eye care in its region,
recognised throughout Europe. Its catchment area covers 1.5
million people, and specialized services are provided for the
entire Finnish population of 5.4 million.
The department is part of the Institute of Clinical Medicine where
research is performed. In 2011, taking international and Finnish
publications together, the Research Database of the University
of Finland (TUHAT), listed 71 publications for the Department
of Ophthalmology: https://tuhat.halvi.helsinki.fi/portal/en/
organisations/silmaklinikka%28b3850ddc-2fa6-4a9d-b002-5ab1f016abd5%29/publications.html?page=0&pageSize=all
On top of that, the department trains about 140 medical
students a year, and a number of trainee nurses and allied health
professionals, and runs a regular Continuous Medical Education
programme for Finnish ophthalmologists.
Professor and Chair of the Department of Ophthalmology is Tero
Kivelä, MD, FEBO, who is responsible for research, teaching and
international affairs. He is supported by Timo Tervo, MD, who is
the Professor of Applied Ophthalmology and Erna Kentala, MD,
who is the Administrative Chief in charge of the daily functioning
of the Department of Ophthalmology.
The department is housed jointly with the Department of
Otorhinolaryngology in the Eye and Ear Hospital at the Meilahti
Campus. It occupies 8,000 m2, including 8 main and 2 outpatient
operating theatres, 4 wards of which 3 are for day case surgeries,
more than a dozen outpatient clinical and 10 permanent hospital
beds for inpatients. Around 70,000 outpatients visit the hospital
every year, and there are 277 employees. The academic hospital
is publicly funded. Clinical services are run by a league of regional
communities. The State of Finland finances the research and
residency training through special funds. Research is also
financed by a number of private non-profit foundations.
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
First meeting of the international exchange in
infection control
In the last newsletter we informed you about the initiative to
create an international infection benchmark to set a standard
rate for infections. Beside the benchmark, the purpose of the
meeting was also to discuss the potential for sharing ophthalmic
infection data and exploring processes for data collection.
The following eye hospitals participated in the first meeting: St
Erik’s Hospital, The Rotterdam Eye Hospital, University of Helsinki
and Moorfields Eye Hospital.
The five most important outcomes of this meeting are:
1. Continued sharing of data, exchange of policy, best practice
and current clinical practices.
2. The outcome of endolphthalmitis registration after cataract
surgery was presented: University of Helsinki 0.25:1000, St
Erik’s, Hospital 0.33:1000 (nationwide), Moorfields Eye
Hospital 0.48:1000 and The Rotterdam Eye Hospital
0.64:1000. Further steps on sharing information are agreed
on.
3. All attendees agreed that 0.5:1000 seems to be the
benchmark for endophthalmitis after intravitreal injection.
4. Percentage surgeries performed under general anaesthesia:
10% cataract surgery performed at St Erik’s Hospital, 26% of
cataract surgery performed at The Rotterdam Eye Hospital, 1
% of the cases at University of Helsinki and 15% of the cases
at Moorfields Eye Hospital.
5. During the meeting, agreement was achieved on the same
spectrum of species identified in positive cultures for
endophthalmitis cases, but there was some variance in the
percentage of negative culture reporting. Moorfields reports
an average of 58% of all cases being negative cultures,
Rotterdam reports approximately 50% and St Erik’s Hospital
around 20%.
Agreements on sharing information regarding antimicrobial
prescribing policies and protocols were made.
Want to know more?
If you are interested in participating in the next meeting or want
more information, please contact Albertine Sprenger at The
Rotterdam Eye Hospital, [email protected]
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
Seeing the SurgiCube in action
Visit from the United Kingdom - Moorfields to The Netherlands –
Rotterdam
On Thursday 5 April 2012, a group of eight managers from
Moorfields Eye Hospital visited the Ophthalmology Department
of Sint Franciscus Gasthuis (SFG) in Rotterdam in the Netherlands.
The aim of the visit was to see the SurgiCube in action since
Moorfields is discussing whether to buy a SurgiCube to provide
more capacity. The visit was also an opportunity to discuss
related issues with clinical staff and with people from sales in
Rotterdam.
Location
The Netherlands – Rotterdam – Ophthalmology Department of
Sint Franciscus Gasthuis.
The Ophthalmology Department of Sint Franciscus Gasthuis is
part of The Eye Care Network in The Netherlands. This network
consists of multiple partnerships between ophthalmology
departments in different hospitals and The Rotterdam Eye
Hospital. The network aims to provide high-quality ophthalmic
care throughout The Netherlands.
Participating EAEH member-hospitals
•
Moorfields Eye Hospital
Learning points from the exchange:
• It was very helpful and interesting to see the Surgicube in
action as it made the process much easier to understand.
Visitors from Moorfields were very impressed with what
they saw and noted both the fast procedure and turnaround
times. It was clear that a key part of SFG’s success was due
to the design of the entire pathway, not just the operating
room.
• The visitors were also impressed by the high quality day care
environment and the smooth patient flow in and out of the
Surgicube
• The surgeon present found the angle of operating interesting - whether from the side or the top, and how that might
affect the position of trolleys, the phaco machine and the
microscope
• The managers from Moorfields felt the transition to the
Surgicube was an achievement in particular with regards to
overcoming the resistance of some surgeons to change
practice - a challenge which SFG managed successfully.
• The financial benefit was clearly substantial and that must
have been a convincing driver for change in practice
Want to know more?
Please contact
Rotterdam: Suzanne Korthorst, [email protected]
London: Amelia Price, [email protected]
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
Patient pathway for patients in day surgery at
Moorfields Eye Hospital, London
EAEH-exchange visit from The Netherlands – Rotterdam to the
United Kingdom - Moorfields Eye Hospital
On Thursday 19 and Friday 20 July 2012, Carien Eijkman, the
nurse team leader and Lara Vankan, intern, from The Rotterdam
Eye Hospital visited Moorfields Eye Hospital in London. Their
aim was to learn how Moorfields Eye Hospital has organized the
patient pathway for patients in day surgery. On Thursday, they
learned the pathway for patients at Moorfields’ main hospital
in central London. On Friday they visited the satellite centre at
Northwick Park Hospital in the London suburbs, which mainly
performs cataract surgeries.
Location
United Kingdom – London – Moorfields Eye Hospital
Participating EAEH member-hospitals
• Rotterdam Eye Hospital
Learning point from exchange:
• The team leader in the operating theatre decides when the
next patient can be brought for surgery. The phone calls
(who and when) are registered to enable a more rapid
analysis of the situation should a problem arise
1st row: Amelia Price, Antoinette Flynn, Xiang Yin, Carien Eijkman
2nd row: Lara Vankan, Shannon Anderson, Joyce Morrin
•
•
•
•
The importance of hand hygiene is more obvious at
Moorfields Eye Hospital than at The Rotterdam Eye Hospital.
For example, dispensers with disinfecting alcohol are
highlighted by orange stripes on the walls.
Moorfields Eye Hospital exchanges staff between the main
hospital and the satellites, which enables more flexibility to
deal with any absences.
Moorfields Eye Hospital does not have an “anesthetic
holding area” for all operating theatres as happens in
Rotterdam. Every operating theater has one anesthetic room,
where the patient waits before going into the
operating theatre. Patients go to the anesthetic room when
the previous patient finishes their surgery, so they spend
only a short time there, but it ensures their privacy is
maintained and that they receive treatment from the same
staff who will be present during surgery.
Patients who receive local anesthesia wear only a surgical
gown on top of their own clothes. Patients who receive
general anesthesia have to change from their own clothes
into a surgical gown. In The Rotterdam Eye Hospital all
patients, regardless of the type of anesthesia, have to change
in to a surgical gown.
Want to know more?
Please contact
Rotterdam: Carien Eijkman, [email protected]
London: Amelia Price, [email protected]
Musa Sanyang, Bhavin Maru, Carien Eijkman, Xiang Yin, Lara Vankan
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
Cataract surgeries in Sweden
EAEH-exchange visit from The Netherlands – Rotterdam to
Sweden – St. Erik’s Eye Hospital
On 5 March 2012, Onne Creten and Nic Reus, cataract surgeons
from the Rotterdam Eye Hospital, visited St. Erik’s Eye Hospital
in Stockholm. The purpose of the visit was to find out how to
increase the percentage of complex cataract surgeries performed
under topical anaesthesia in an environment safe for the patient
and without compromising the self-confidence of the surgeon.
World Sight Day 2012: I can see clearly now
In 2012, some of the EAEH and WAEH hospitals have organized
screenings and educational activities during World Sight Day,
11th of October.
Location
Sweden - Stockholm - St. Erik’s Eye Hospital
Participating EAEH member-hospitals
• Rotterdam Eye Hospital
Learning point from exchange:
• In Sweden, the estimated duration of surgery determines the
form of anaesthesia; irrespective of the complexity of the
surgery, all cataract operations performed in less than
30 minutes are planned under topical anaesthesia.
• Only mental comorbidity (ie. dementia), compromising
perioperative cooperation and as such, safety, is an
indication for general anaesthesia.
• If during cataract surgery, topical anaesthesia does not
achieve sufficient levels of pain relief, intravenous sedatives
can be applied and/or a subtenon block can be given.
Want to know more?
Please contact
Rotterdam: Onne Creten, [email protected]
Stockholm: Carina Libert, [email protected]
This year we would like to organize the same! Want to join?
Please let us know! Contact Maaike van Zuilen –
[email protected] if you would like to be part of this worldwide
event!
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Newsletter
European
Association
of Eye Hospitals
Number 3 / 2013
News from our members
Department of ophthalmology of the University Hospitals Leuven
has the best reputation among doctors in Belgium
A sample of a Belgian GPs and specialists was asked, “Which
hospitals do you think provide the best medical care to a patient
with very severe and complex disorder within a particular field?”.
For ophthalmology, EAEH-member Department of ophthalmology
of the University Hospitals Leuven was awarded the most points
and was rated the best.
The main goal of the survey was to create a tool to provide
information to patients which they can use in conversation with
their doctor and can make more informed decisions when
choosing a hospital. Three other goals were: promoting the rights
of patients to obtain information and participate in decisions,
more transparency about the quality of hospitals and
encouraging the health system and health care providers to
improve services.
Participating doctors had to justify their choice of selected
hospitals. The four most frequently cited reasons were: 1) The
competence and / or specialization of medical staff, 2), the
quality of the medical infrastructure, 3) efficiency / proficiency
of paramedical staff and 4) the cooperation between doctors of
different departments.
Congratulations to the Department of ophthalmology of the
University Hospitals Leuven for this achievement!
Want to participate in an exchange?
Criteria for EAEH funding of exchanges:
• The exchange group should consist of at least two EAEHmember hospitals
• A structured report of the exchange must be developed,
which will be shared initially with the guest hospital,
followed by communication to all other members:
• By newsletter via e-mail
• And a short piece on the EAEH-website (or the extranet if
information is meant to be internal)
Next newsletter
• There will also be room in the newsletter to share your
experiences of exchanges or visits to other EAEH eye
hospitals. Any updates?
Contact
Do you have any visits planned or other knowledge to share with
the other members of the EAEH? Please contact Maaike van
Zuilen – coordination of EAEH-activities: [email protected] –
0031-(0)6-456 32 117
Colophon
Editors: Lara Vankan (Rotterdam Eye Hospital), Kate Jeffreys
(Moorfields Eye Hospital), Maaike van Zuilen (EAEH).
Graphic design: Edwin Marks (philogirl)
Website
www.eyehospital.eu
The EAEH will facilitate exchanges with € 1000 per exchange if
EAEH-objectives are met.
The board would like to support two or three annual EAEH
exchanges.
To organize these exchanges, the EAEH plans to create an
international project group of people working in EAEH-member
hospitals.
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