1. Reducing Mortality and Harm
25th November 2010
Reducing Mortality and Harm
ABMU Health Board
Insert name of presentation on Master Slide

2. Programme Driver Diagram
Aims/Outcome Measure
Key Interventions/Domains
Key Areas for Action
Cleaning Standards
Antimicrobial Governance
Hand Hygiene
Dress Code
Single Room provision
Urinary Catheter Bundle
SSI Surveillance
Infection Control
Reduce
Mortality
Reduce RAMI to <100 by
Harm
Reduce Secondary Care GTT Indicator by 50% by
Inpatient Falls
Intermediate Care Falls
Stroke Care
Fractured Neck of Femur
Thrombo prophylaxis
Pathways
SBAR
Discharge Interface
WHO Surgical Checklist
Communication
Mortality Reviews
Initial Review
Investigation
Data Quality
Errors
Timeliness

3. Aims/Outcome Measures
Thromboprophylaxis Thromboprophylaxis and Anticoagulation Committee: Bruce Ferguson
Aims/Outcome Measures
Key Interventions
Key Areas for Action
Documented Risk Assessment on admission
Reduce
Mortality
Deaths related to HAT (tbc)
Harm
% of patients diagnosed with DT or PE who’ve been in hospital in last 3 months
Risk Assessment
Reassessment of risk every 24 hours / When there is a change in the patient’s condition
Mechanical Methods
Prophylactic Treatment
Pharmacological methods
Patient involvement
Patient awareness of risk factors and symptoms