1. Waikato District Health Board Patient Safety Thermometers pilot

2. Pilot sites In patient medical ward – Thames District nursing services –Te Kuiti and Otorohanga In patient ward – Te Kuiti Hospital

3. What went well Engagement Patient centred conversations Initial feedback – Raises awareness of patient condition – Improves continuity – Easy to use – Senior nursing team very supportive of concept

4. Challenges VTE component – Confusing to staff – definition – Unsure of relevance to DN caseload – Awareness of poor compliance with VTE risk assessment at WDHB – should we use this measure or implement some improvement work around this first? Remoteness of services involved

5. Lessons learned Local champions essential Senior leadership engagement Clarity of definitions required

6. Considerations VTE improvement work needed first Remove or prevent duplication of measures Need for electronic data collection What do we do if we find issues? Unintended consequences of findings