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