Did you know that every year in England there are… 50,552 patients with pressure ulcers (category III&IV) like these 13,945 patient falls (with harm) 74,689 patients with catheters & infection

Safer Nursing Care Tool (AUKUH) HURST PANDA Birth Rate+ E Rostering Safer Nursing Care Tool (AUKUH) HURST PANDA Birth Rate+ E Rostering Productive Care Safety Express High Impact Actions Essence of Care NW Care Indicators Productive Care Safety Express High Impact Actions Essence of Care NW Care Indicators Productive Care Safety Express High Impact Actions Nurse Sensitive Outcome Measures Productive Care Safety Express High Impact Actions Nurse Sensitive Outcome Measures Real-time Monitoring Experience Based Design Single Sex Accommodatio n Patient Stories Real-time Monitoring Experience Based Design Single Sex Accommodatio n Patient Stories High Impact Actions Real-time Monitoring Health and Well Being High Impact Actions Real-time Monitoring Health and Well Being Get Staffing Right Get Staffing Right Deliver Care Measure Impact Patient Experience Staff Experience

People often say the NHS is data rich……. ……..they’re not joking!

– Reduce Identify what reporting requirements you have to meet and whether this covers what you want to collect – Reuse Think about the overlaps, what can be collected once and reused in another collection mechanism – Recycle All data is useful. Use what you have already collected in retrospective reporting

– Consider triangulating different data sources to give a broader picture – If you’re going to undertake a new data collection start by carefully considering what you need to answer your question – Design a collection tool that minimises burden and maximises data quality (i.e. keep it simple!)

Has anyone on the call succeeded in using data to show improvement? Or have you made some brilliant improvements which you are struggling to show in your data?

AdministrativePoint of CareCase Note ReviewIncident Reporting Pressure Ulcers HES at 0.3% (underreported) No category Prevalence Safety Thermometer 8% Category II – IV Prevalence and incidence Data over time each month Global Trigger Tool ?? Local audit carried out yearly by the TVNs – 3% incidence Category III – IV 40 on NRLS (underreported?) Falls No admin dataSafety Cross completed each month – no data over time Safety Thermometer – variation 0 – 2.5% Global Trigger Tool??Falls reported through NRLS 35 falls reported last year Catheters & UTIs No admin dataSafety Thermometer 16% catheters, 2% catheter and UTI Yearly audit of cathetersNo data VTE HES at 1% patients with VTE UNIFY 85% risk assessed Safety Thermometer 68% risk assessed 66% prophylaxis 2% new VTE Global Trigger Tool?? Diagnosed with VTE 0.2% New VTEs after surgery reported in NRLS 3 reported last year

AdministrativePoint of CareCase Note ReviewIncident Reporting Pressure Ulcers HES at 0.3% (underreported) No category Prevalence Safety Thermometer 8% Category II – IV Prevalence and incidence Data over time each month Global Trigger Tool ?? Local audit carried out yearly by the TVNs – 3% incidence Category III – IV 40 on NRLS (underreported?) Falls No admin dataSafety Cross completed each month – no data over time Safety Thermometer – variation 0 – 2.5% Global Trigger Tool ??Falls reported through NRLS 35 falls reported last year Catheters & UTIs No admin dataSafety Thermometer 16% catheters, 2% catheter and UTI Yearly audit of cathetersNo data VTE HES at 1% patients with VTE UNIFY 85% risk assessed Safety Thermometer 68% risk assessed 66% prophylaxis 2% new VTE Global Trigger Tool - Diagnosed with VTE 0.2% New VTEs after surgery reported in NRLS 3 reported last year

AdministrativePoint of CareCase Note ReviewIncident Reporting Pressure Ulcers HES at 0.3% (underreported) No category Prevalence Safety Thermometer 8% Category II – IV Prevalence and incidence Data over time each month Global Trigger Tool ?? Local audit carried out yearly by the TVNs – 3% incidence Category III – IV 40 on NRLS (underreported?) Falls No admin dataSafety Cross completed each month – no data over time Safety Thermometer – variation 0 – 2.5% Global Trigger Tool ??Falls reported through NRLS 35 falls reported last year Catheters & UTIs No admin dataSafety Thermometer 16% catheters, 2% catheter and UTI Yearly audit of cathetersNo data VTE HES at 1% patients with VTE UNIFY 85% risk assessed Safety Thermometer 68% risk assessed 66% prophylaxis 2% new VTE Global Trigger Tool - Diagnosed with VTE 0.2% New VTEs after surgery reported in NRLS 3 reported last year

AdministrativePoint of CareCase Note ReviewIncident Reporting Pressure Ulcers HES at 0.3% (underreported) No category Prevalence Safety Thermometer 8% Category II – IV Prevalence and incidence Data over time each month Global Trigger Tool ?? Local audit carried out yearly by the TVNs – 3% incidence Category III – IV 40 on NRLS (underreported?) Falls No admin dataSafety Cross completed each month – no data over time Safety Thermometer – variation 0 – 2.5% Global Trigger Tool ??Falls reported through NRLS 35 falls reported last year Catheters & UTIs No admin dataSafety Thermometer 16% catheters, 2% catheter and UTI Yearly audit of cathetersNo data VTE HES at 1% patients with VTE UNIFY 85% risk assessed Safety Thermometer 68% risk assessed 66% prophylaxis 2% new VTE Global Trigger Tool - Diagnosed with VTE 0.2% New VTEs after surgery reported in NRLS 3 reported last year

Research Judgement Improvement!!

View data over time View different data sources side by side Look for similarities and understand the reasons for differences; don’t be afraid of uncertainty

– Plot as you go; set up a spreadsheet to help you – The more the better; try to measure as often as possible – Print and scribble; annotate your charts to add context and additional qualitative information – Display your charts for all to see – Assess trends, not absolute numbers – Use run chart or SPC methods to help detect a change – Embrace your analytical resource……

Julie Jones, Patient Safety Lead, Birmingham Community Health Care NHS Trust for advanced measurement for improvement

Has anyone on the call succeeded in using data to show improvement? Or have you made some brilliant improvements which you are struggling to show in your data? Are there any gaps in the data you collect?