1. Outcomes & Successes June 16th 2010
Presenter: Nicola Williams, ABM University Health Board
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2. The SKIN Bundle Works!
Significant Reduction in incidents of all grades of pressure sores (from grade 1)
Increasing Days Between Pressure Ulcer Incidents
Delivered in partnership with patient & family
Outcomes & Successes

3. Days Since Pressure Ulcer developed on ward
How do we know?
Hospital / Ward
Ward Type
Days Since Pressure Ulcer developed on ward
POW Wd 2
Medicine
375
POW Wd 8
Surgery
270
POW Wd 11
Gynaecology
287
POW Wd 18
Rehabilitation 
POW Wd 19
376
POW Wd 20
406
POW Wd 5
Stroke Care 
190
Morriston CCU
Coronary Care
198
Morriston Ward E
Neurosurgery
291
Morriston Dan Danino
Cardiac
Moriston Ward B
Orthopaedic
454
Morriston Wd F
Stroke
201
Morriston Cyril Evans
213
Morriston Wd W
185
Morriston Cardiac HDU
Cardiac High Dependency
217
Outcomes & Successes

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8. BUT........ We are still on the journey The Human Factor is vital
Patient / family true partners
Visible leadership & support at all levels
Organisational Commitment
Continual Feedback
Outcomes & Successes

9. Whole system approach Assessment Areas Primary Care Critical Care
Theatres & Maternity
Pressure relieving devices / Mattresses
Stepping patients down
Outcomes & Successes

10. Ward to Board Reporting
Ongoing visual measures critical to success reporting through performance framework from ward level to Board
Ward – Directorate – Locality – Board Dashboard with enquiry
Full investigation of EVERY Incident – lessons learnt shared with team & wider
Celebrate Success
Outcomes & Successes

11. Culture Shift Outcomes & Successes Pressure Ulcers Happen
We can stop Pressure Ulcers from Occurring
Pressure Ulcers do not happen here
Outcomes & Successes

12. Culture Shift Passive Acceptance – Active Avoidance
Organisation Wide Aim
Full Active Ward to Board Commitment
Pride
Outcomes & Successes

13. We are not at Zero Yet...
5 Incidents in May We are well on our way!
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