ࡱ>  ,bjbj nËË e &&8RLr&(NNNn/"/ /4666666$MZ/\.n///Z&&NNo222222/&NN422/42222L@̲N A&0TZ 0ǿ&0 ǿ̲ǿ̲T//22/////ZZ21///////ǿ///////// :  APPENDIX I: TECHNOLOGY EVALUATION SCREENING GUIDE  Column 1Is this technology a change from current practice? If so, answer the following questions (some questions may not be applicable):Column 2Content Experts: Patient Impact Questions  FORMCHECKBOX  YesHave the clinical safety and/or rate of adverse events of this technology been clearly described in Form A (or demonstrated elsewhere)? FORMCHECKBOX  No FORMCHECKBOX  YesHave the enhanced health benefits of this technology over the current technology been clearly described in Form A (or demonstrated elsewhere)? FORMCHECKBOX  No FORMCHECKBOX  YesHas this technology been widely adopted elsewhere? FORMCHECKBOX  No FORMCHECKBOX  YesHave the advantages or important features of this technology over current practice been clearly described in Form A (or demonstrated elsewhere)? FORMCHECKBOX  No FORMCHECKBOX  NoHas this technology been categorized as Innovative/Experimental New (#A-4) or significant change from current practice (#A-11)? FORMCHECKBOX  Yes FORMCHECKBOX  NoWill the addition of this technology require the removal of old technology to minimize the number of choices and the potential for mismatch or error? FORMCHECKBOX  Yes FORMCHECKBOX  YesHas the quality of the technology (such as component materials) been demonstrated to be the same or better as that currently used? FORMCHECKBOX  NoContent Experts: Health Care Provider Impact Questions FORMCHECKBOX  YesAre other providers in the Region also in agreement about adopting the technology? FORMCHECKBOX  No FORMCHECKBOX  NoWill the technology require new training for any health care staff? FORMCHECKBOX  Yes FORMCHECKBOX  NoDoes the operation of the technology require certification or significant mentored practice time? FORMCHECKBOX  YesResource Experts: Resource Impact Questions FORMCHECKBOX  YesIs the technology compatible with existing infrastructure, such as sterilization equipment or information technology systems? FORMCHECKBOX  No FORMCHECKBOX  NoWill the technology require new maintenance routines? FORMCHECKBOX  Yes FORMCHECKBOX  NoWill the technology require new cleaning routines? FORMCHECKBOX  Yes FORMCHECKBOX  NoWill the technology require more infrastructure (space)? FORMCHECKBOX  Yes FORMCHECKBOX  NoWill the technology require more human resources (staff time)? FORMCHECKBOX  YesCosting Experts: Cost Impact Questions FORMCHECKBOX  Yes Does the technology fit within the existing budget? FORMCHECKBOX  No FORMCHECKBOX  No Does the technology require more consumable materials (operational costs)? FORMCHECKBOX  Yes FORMCHECKBOX  No Will information regarding costing in other areas of health care be needed to determine whether the technology will or will not impact budget? FORMCHECKBOX  Yes       Surgery SCN EDSP: Appendix I (Revised Dec. 2014) Page  PAGE 1 of  NUMPAGES 1 INFORMATION FROM TECHNOLOGY REQUEST FORM Minor change from current practice. Technology Request Pathway may be sufficient. All answers in Column 1 One or more answers in Column 2 Significant change from current practice. 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