Reducing Mortality & Harm

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Presentation transcript:

Reducing Mortality & Harm 11th May 2010 Reducing Mortality & Harm Presenter: Dr Simon Mahon, Medical Director, Hywel Dda Health Board Reducing Harm & Mortality in Hywel Dda Health Board

Reducing Harm & Mortality in Hywel Dda Health Board Driver Diagram Reducing Harm & Mortality in Hywel Dda Health Board

Mortality and Harm Initiatives Mortality Focus Declaration Clinical Outcomes Project Group – Data quality assurance Coding backlog addressed Palliative Care coding used appropriately Mortality Audit GTT Reducing Harm & Mortality in Hywel Dda Health Board

Reducing Harm & Mortality in Hywel Dda Health Board Focus on 3 Key Areas Infection Rate Reduction Rapid Response for sick patients / failure to rescue Communication Reducing Harm & Mortality in Hywel Dda Health Board

Reducing Harm & Mortality in Hywel Dda Health Board Infection Reduction 100% compliance with ITU bundles Antimicrobial group – stewardship Decontamination group Hand washing / hygiene campaigns – leading by example Surgical site infections - TCAB Reducing Harm & Mortality in Hywel Dda Health Board

Rapid response / Failure to rescue Rapid response to acute illness Amended MEWS scoring Multidisciplinary ACDU’s Establish rapid response / medical emergency teams Reducing Harm & Mortality in Hywel Dda Health Board

Reducing Harm & Mortality in Hywel Dda Health Board Communication SBAR – Structured Handover Discharge Interface WHO Checklist Clerking Pro forma Legibility of notes to be tagged on to GTT Reducing Harm & Mortality in Hywel Dda Health Board

Reducing Harm & Mortality in Hywel Dda Health Board Thank You Reducing Harm & Mortality in Hywel Dda Health Board