1. Aim 1 RAMI in line with top performing UK organisations and eliminate seasonal and weekly variation by June 2013
Aim 2 Reduce adverse events per 1000 patient days to 10 by June 2013

2. Developing the driver diagrams
New content areas
Dementia care
Falls
ERAS
PVC
Develop actions
links with AQF and operational performance

3. To achieve 95% compliance with the PVC maintenance bundle
Check the PVC insitu is still required. Remove or replace after hrs
Replace administration set after 72 hrs
Implementation of the PVC bundle elements
Check dressing if remaining in situ
Perform hand hygiene before and after PVC procedure
Clean hubs prior to access
Remove PVC if signs of inflammation, phlebitis or infiltration
To achieve 95% compliance with the PVC maintenance bundle
Ensure patient/carer fully understands the PVC maintenance care bundle
Integrate patient into care
Ensure patient/carer fully involved
Involve patient/carer in goal planning
Robust induction programme for staff. Build staff knowledge & competency in quality improvement work
Report VIP score over 2 & take blood culture
Develop an infrastructure that promotes a team safety culture & quality care
Implement daily safety briefings
Feedback compliance to ward

4. What did we learn? Harm Mortality Systematised care
Improvement in GTT possible
Room to push HAI
Value of walkabouts
Mortality
Value of death audits to create dialogue
Importance of coding
Systematised care
Effectiveness of stroke intervention
Potential in integrated care

5. What happened?

7. Strategy for next year Further step change in mortality
Impact of C. diff improvement
Understand potential for 7 day working
Condition specific work – coding
Views/sepsis recognition
Sustain and spread mini-collaborative work
Alignment with OD and service improvement
Develop business case for quality - ERAS
Improve use of coms/patient stories
Develop primary care/community work
Link with unscheduled care
Reliable chronic disease care