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[post_content] => The journey -
The aim of this project was to reduce hospital acquired pressure ulcers and falls, thereby having a significant impact on patient safety, patient experience and organisational productivity. It was undertaken as part of a Department of Health pilot, the Southampton University Hospitals NHS Trust chosen because of its previous success in rapid improvement projects.
Outcomes
Since the start of the project in 2010 there has been an overall reduction of 75 per cent in Grade 3 and 4 pressure ulcers. The trust is currently on target to achieve a 62 per cent reduction in Grade 2 pressure ulcers during the current year. There has also been a reduction of 30 per cent in high harm falls since the start of the project, although this measurement has proved more complex, and has been amended to produce valid data.
Productivity through length of stay since the project began equates to £900k for pressure ulcers and £300k for falls. Staff have also noted a reduction in call bells and greater patient satisfaction, and patients are experiencing less avoidable harm as a result of the project.
Patient setting
In-patient X |
Out-patient |
Community based |
Mental health |
Chronic illness |
Cross-systems |
Clinical area
Staying healthy |
Maternity and newborn |
Children and young people |
Acute care X |
Planned care X |
Mental health |
Long-term conditions |
End of life |
Information, tools and techniques used
The project used Rapid Spread methodology, designed by the Department of Health to introduce evidence-based High Impact Actions (HIAs) in specific aspects of patient care.Rapid Spread is a ‘whole system’ approach and is launched Trust-wide as opposed to phased Plan Do Study Act (PDSA cycle) implementation. It consists of a systematic, week-by-week guide and workbook with supporting tools and coaching to equip staff without previous change expertise to bring about improvements.
Geography
The project took place within Southampton University Hospitals NHS Trust. It was implemented in 44 wards (only paediatrics, theatre wards and critical care were excluded because of either short stay or intensity of care).
Timescale
The project was started in June 2010 and initially covered a twelve week period. This included four weeks preparation, four weeks immersion and training and four weeks implementation.
Contact details and further information
Gail Byrne, Deputy Director of Nursing and Head of Patient Safety, Southampton University Hospitals NHS Trust.
gail.byrne@uhs.nhs.uk
[post_title] => The Turnaround Project
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The journey -
Enhancing Quality and Recovery is a clinically-led rapid quality improvement programme which triangulates clinically robust data to drive quality improvements in clinical interventions, patient reported outcomes and patient experience. The programme uses accurate benchmarking of clinical practice to identify variation and then supports clinicians to innovate and improve patient outcomes. It recognises best practice and promotes a collaborative approach whereby learning is shared within and between different trusts.
The EQ programme aims to streamline care and improve accountability through reliable and directly comparable information on clinical quality; and to rapidly spread and adopt evidence-based improvements to multiple settings.
Outcomes
In the first year over 25,000 patients were tracked by the programme. Quality improvement scores show a 15 per cent improvement for heart failure and pneumonia patients, eight per cent for hip & knee and five per cent for heart attack. More granular improvements were demonstrated such as a 20 per cent increase in the number of patients with pneumonia receiving their antibiotics within six hours of arriving in the hospital.
Individual trusts are able to compare their quality performance within their trust (at ward and clinician level), against other trusts across this region, with trusts in the North West and with hospitals in the United States in order to improve their quality of care.
Patient setting
In-patient X |
Out-patient X |
Community based |
Mental health X |
Chronic illness X |
Cross-systems X |
Clinical area
Staying healthy
|
Maternity and newborn X
|
Children and young people X
|
Acute care X
|
Planned care X
|
Mental health X
|
Long-term conditions X
|
End of life X
|
Information, tools and techniques used
The EQ programme uses the PDSA (Plan Do Study Act) rapid quality improvement methodology, recommended by the IHI (Institute for Healthcare Improvement) and the NHS Institute for Innovation and Improvement. The team has also used some of the principles of the MSP and Prince 2 programme management tools, adapted to suit their own purposes.
Geography
The programme involves all acute trusts, community trusts and mental health trusts across Kent, Surrey and Sussex.
Timescale
The EQ programme was initiated in 2009. The first data collection went live in July 2010, and the programme has continued to develop since then.
Contact details and further information
Kay MacKay, Director, Enhancing Quality and Recovery Programme:
kay.mackay1@nhs.net
Further information at:
http://www.enhancingqualitycollaborative.nhs.uk
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The journey -
The aim of this project was to reduce hospital acquired pressure ulcers and falls, thereby having a significant impact on patient safety, patient experience and organisational productivity. It was undertaken as part of a Department of Health pilot, the Southampton University Hospitals NHS Trust chosen because of its previous success in rapid improvement projects.
Outcomes
Since the start of the project in 2010 there has been an overall reduction of 75 per cent in Grade 3 and 4 pressure ulcers. The trust is currently on target to achieve a 62 per cent reduction in Grade 2 pressure ulcers during the current year. There has also been a reduction of 30 per cent in high harm falls since the start of the project, although this measurement has proved more complex, and has been amended to produce valid data.
Productivity through length of stay since the project began equates to £900k for pressure ulcers and £300k for falls. Staff have also noted a reduction in call bells and greater patient satisfaction, and patients are experiencing less avoidable harm as a result of the project.
Patient setting
In-patient X |
Out-patient |
Community based |
Mental health |
Chronic illness |
Cross-systems |
Clinical area
Staying healthy |
Maternity and newborn |
Children and young people |
Acute care X |
Planned care X |
Mental health |
Long-term conditions |
End of life |
Information, tools and techniques used
The project used Rapid Spread methodology, designed by the Department of Health to introduce evidence-based High Impact Actions (HIAs) in specific aspects of patient care.Rapid Spread is a ‘whole system’ approach and is launched Trust-wide as opposed to phased Plan Do Study Act (PDSA cycle) implementation. It consists of a systematic, week-by-week guide and workbook with supporting tools and coaching to equip staff without previous change expertise to bring about improvements.
Geography
The project took place within Southampton University Hospitals NHS Trust. It was implemented in 44 wards (only paediatrics, theatre wards and critical care were excluded because of either short stay or intensity of care).
Timescale
The project was started in June 2010 and initially covered a twelve week period. This included four weeks preparation, four weeks immersion and training and four weeks implementation.
Contact details and further information
Gail Byrne, Deputy Director of Nursing and Head of Patient Safety, Southampton University Hospitals NHS Trust.
gail.byrne@uhs.nhs.uk
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Tag: PDSA
The journey – The aim of this project was to reduce hospital acquired pressure ulcers and falls, thereby having a significant impact on patient safety, patient experience and organisational productivity. It was undertaken as part of a Department of Health pilot, the Southampton University Hospitals NHS Trust chosen because of its previous success in rapid […]
Posted on Jan 16th
Cat: Acute care, In-patient, Planned care, South CentralTags: HIA, PDSA, Rapid Spread Methodology Comments:
The journey – Enhancing Quality and Recovery is a clinically-led rapid quality improvement programme which triangulates clinically robust data to drive quality improvements in clinical interventions, patient reported outcomes and patient experience. The programme uses accurate benchmarking of clinical practice to identify variation and then supports clinicians to innovate and improve patient outcomes. It recognises […]
Posted on Dec 28th
Cat: Acute care, Children and young people, Chronic illness, Clinical area, Cross systems, End of life, In-patient, Long-term conditions, Maternity and new born, Mental health, Mental health, Out-patient, Patient setting, Planned care, South East, South of England AreaTags: IHI, Kent, PDSA, Surrey, Sussex Comments: