1. 25th November 2010
Presenter: Sara Jones Clinical Director Welsh Ambulance Services NHS Trust

2. Reducing Harm and Measuring Effectiveness
MORTALITY TARGETS
Reducing Harm and Measuring Effectiveness
Utilise Patient Safety Prompt Tool
-Percutaneous Infusion
-Pre Hospital Thrombolysis
Improve:
-Peak Expiratory Flow
-Pain scores
-O2 administration
-Target vehicle cleanliness
-Spread structured handover via SBAR
-Turnaround at A&E
-Domestic abuse handover
Manage Acute Coronary Syndrome
Improve Infection Control
Improve Clinical Communication
Interventions
Leadership
Medicines Management
-Warfarin awareness
-Green bag Campaign
-Spread access to Naloxone
-Walkrounds
-Patient Stories
Reducing Falls in Intermediate Care
-Falls Pathways
Progress and challenges–
Ambulance Patient Safety Prompt Tool – 1st Ambulance service in the world. Top 3 areas for potential harm identified, awareness raising undertaken for each intervention. 450 patient records monitored per month, reductions in numbers of events of potential harm demonstrated. Data collection suspended in August 2010 due to sustainability issues.
SBAR is now a component of Paramedic CPD training and SBAR prompt cards have been developed and frame clinician to clinician handovers.
Walkrounds remain ongoing throughout Wales and to date all identified issues have been resolved locally.
A Patient Story opens every Trust Board meeting.
Medicines Management initiatives have continued: Pilot study for Warfarin awareness campaign - information guide was met favourably by patients, with 60% identifying the information sheet had increased their existing knowledge. Positive feedback also received from health professionals who have expressed an interest in piloting this within primary care settings.
Welsh Ambulance Services NHS Trust

3. Next Steps
Review Trigger Tool data collection strategy, encourage local ownership/spread
Further spread of SBAR across all teams
Provide service improvement skills for teams
Define measures for each new collaborative
Continue maintenance of Walkrounds and Patient Stories
Welsh Ambulance Services NHS Trust