Reducing Mortality and Harm 25th November 2010 Reducing Mortality and Harm ABMU Health Board Insert name of presentation on Master Slide

Programme Driver Diagram Aims/Outcome Measure Key Interventions/Domains Key Areas for Action Cleaning Standards Antimicrobial Governance Hand Hygiene Dress Code Single Room provision Urinary Catheter Bundle SSI Surveillance Infection Control Reduce Mortality Reduce RAMI to <100 by 31.3.2012 Harm Reduce Secondary Care GTT Indicator by 50% by 31.3.2012 Inpatient Falls Intermediate Care Falls Stroke Care Fractured Neck of Femur Thrombo prophylaxis Pathways SBAR Discharge Interface WHO Surgical Checklist Communication Mortality Reviews Initial Review Investigation Data Quality Errors Timeliness

Aims/Outcome Measures Thromboprophylaxis Thromboprophylaxis and Anticoagulation Committee: Bruce Ferguson Aims/Outcome Measures Key Interventions Key Areas for Action Documented Risk Assessment on admission Reduce Mortality Deaths related to HAT (tbc) Harm % of patients diagnosed with DT or PE who’ve been in hospital in last 3 months Risk Assessment Reassessment of risk every 24 hours / When there is a change in the patient’s condition Mechanical Methods Prophylactic Treatment Pharmacological methods Patient involvement Patient awareness of risk factors and symptoms