Our Journey So Far

Rose Baker, Head of Nursing – Division 1

Mandy Gibbs, Patient Safety Manager

QIPP Safe care

Preventing Harm, Improving Safety Campaign

QIPP Safe care

Preventing Harm Improving Safety

RWH Campaign for Preventing Harm, Improving Safety

Patient Safety First Campaign for England

Measu

remen

t

Leading Improvements in Patient Safety, NHS Institute for Innovation and Improvement

Leadership for Safety

Infection Prevention Pressure UlcerFalls Prevention

Critical Care Bundles Perioperative Care

Deteriorating Patient High Risk Medication

VTE

Adverse Events (GTT) Mortality Reviews

Ed

ucatio

n &

Trainin

g

QIPP Safe care

Preventing Harm Improving SafetyQIPP Safe care

Preventing Harm, Improving Safety & Quality

Leadership for Safety

Dev

ice

Rel

ated

Infe

ctio

ns

Pre

ssu

re U

lcer

s

Fal

ls P

reve

nti

on

Det

erio

rati

ng

Pat

ien

t

Ven

ou

s T

hro

mb

oem

bo

lism

Adverse Events (GTT) Mortality Reviews

Education and Training

Nu

trit

ion

Patient Experience

QIPP Safe care

Physiological Deterioration

0

2

4

6

8

10

12

14

16

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

Nu

mb

er o

f C

ard

iac

Arr

ests

0%

10%

20%

30%

40%

50%

60%

70%

80%

% L

ate

Ob

serv

atio

ns

(pro

toco

l)

Number of cardiac arrests

% late observations

% type of DRHAB

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Apr

-10

May

-10

Jun-

10Ju

l-10

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11F

eb-1

1M

ar-1

1A

pr-1

1M

ay-1

1

% o

f p

atie

nts

wit

h D

RH

AB

(b

ars)

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% p

atie

nts

wit

h D

RH

AB

(lin

e)

Percentage of patients w ith VTE assessment

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

% w

ith

VT

E a

sses

smen

t

Number of falls w ith percentage causing harm

0

5

10

15

20

25

30

35

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

Nu

mb

er o

f fa

lls (

bar

s)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% c

ausi

ng

ser

iou

s h

arm

(lin

e)

Total falls% resulting in serious harm

Nutritional Assessment

0

5

10

15

20

25

30

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

Nu

mb

er p

atie

nts

wit

h

MU

ST

(bar

s)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% c

om

ple

ted

MU

ST

/ C

are

Pla

n

Number of patients w ith completed MUST% patients w ith completed MUST% high risk pts w ith care plan

Percentage of patients w ith pressure ulcers by stage

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

% p

atie

nts

wit

h P

U (

bar

s)

0

1

2

3

4

5

6

7

8

9

Nu

mb

er p

atie

nts

wit

h P

U

(lin

e)

Stage 1 Stage 2Stage 3 Stage 4Total patients

Patient feedback: overall ratings

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Oct

-10

Nov

-10

Dec

-10

Jan-

11

Feb

-11

Mar

-11

Ave

rag

e ra

tin

g o

ut

of

5

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