Introducing 1000 Lives Plus 6 October 2010 Introducing 1000 Lives Plus Mike Davidge, Senior Improvement Advisor Insert name of presentation on Master Slide

Introducing … 1000 Lives Plus 1000 Lives Plus aims to improve patient safety and reduce avoidable harm, waste and variation across NHS Wales. 1000 Lives Plus - Making patient safety a priority

– why it’s still important Patient safety – why it’s still important More than one in ten people admitted to hospital are harmed unintentionally by its care. There is a one in 300 chance of accidental death through errors in care. 1000 Lives Plus - Making patient safety a priority

What - A national programme 1000 Lives Plus will align with several other national programmes in the five year Strategic Framework for NHS Wales It draws together existing work from the 1000 Lives Campaign and Intelligent Targets. 1000 Lives Plus - Making patient safety a priority

What’s new? Increased emphasis on patient-centred care Ongoing commitment to working across primary and secondary care New clinical areas targeted for improvement Local aims for reducing mortality and harm Safer care for every patient – every where in Wales 1000 Lives Plus - Making patient safety a priority

What’s not The Model for Improvement 3 questions A proven method to accelerate change 1000 Lives Plus - Making patient safety a priority

Quality Improvement 23 days 60 days 397 days 504 days In an article in the Journal of Quality Improvement, 92 QI projects were compared. What was the timeframe from problem Identification to completion of first pilot? 23 days 60 days 397 days 504 days 1000 Lives Plus - Making patient safety a priority

Quality Improvement 504 days from problem identification to completion of first pilot 397 days from first team meeting to the end of first cycle 75 days to describe current situation in flowchart 62 days for data collection if change was improvement Alemi, Safaie, Neuhauser “A Survey of 92 Quality Improvement Projects.” Journal of Quality Improvement 2001, 27(11): 619-632 1000 Lives Plus - Making patient safety a priority

Model for Improvement AIM What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement? AIM Ginna: First question leads us to the AIM of the project. So why is this question so important? 1000 Lives Plus - Making patient safety a priority

Model for Improvement What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement? Measurement Mike : Thanks Ginna. Why is this question important ?? Model for Improvement & PDSA Cycles

% medicines reconciled in a Medical Admissions Unit Pharmacy included Form printed Letter from CDs Form piloted

Change(s) What are we trying to accomplish? How will we know that a change is an improvement? What change(s) can we make that will result in improvement? Change(s) Ginna Thanks Mike so the next question is … Model for Improvement & PDSA Cycles

The Mini-collaborative structure Based on a model developed by IHI 1000 Lives Plus - Making patient safety a priority

Tools for improvement Improving clinical communication using SBAR Using patient stories The Model for Improvement Using the Extranet Using Trigger Tools 1000 Lives Plus - Making patient safety a priority

Embedding best practice “1000 Lives Plus is designed to ensure that the new ways of working are embedded in everyday practice, enabling everyone to meet the shared vision of putting patients and patient safety above all else.” Dr Tony Jewell, Chief Medical Officer for Wales 1000 Lives Plus - Making patient safety a priority

If we can improve care for one patient, then we can do it for ten. If we can do it for ten, then we can do it for a 100. If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales.

Thank you Mike Davidge Senior Improvement Advisor 1000 Lives Plus mike.davidge@institute.nhs.uk Model for Improvement & PDSA Cycles