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Cwm Taf LHB - SBAR Report
11th May 2010 Cwm Taf LHB - SBAR Report Presenter: Executive Medical Director Shona Sullivan PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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Situation Aim: To reduce clinical harm, waste and variation across Cwm Taf health community Implement 1000 Lives+ mandatory targets Use 1000 Lives methodology for other key interventions Integration within SWAFF programme PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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Background 1000 Lives Campaign success in Cwm Taf
Examples of key interventions: Work streams established Joint Executive Walk Rounds Patient stories widely used across health community MEWS & SBAR roll out WHO surgical checklist implemented GP & staff culture surveys Infection control audit tool & training package developed for nursing homes Pneumococcal audit and subsequent vaccination programme within nursing home setting Joint working with Medicines management Compliance with ICU Bundles/ Central Line Bundles PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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Assessment Harm Mortality Care Bundles Pathways Communication
Outcomes Drivers Care Bundles Pathways Harm Mortality Communication Mortality & Harm Data quality PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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Recommendations Drivers Interventions Tests of Change Care Bundles
%Compliance with bundles Bacteraemia rates Pressure ulcer rates Severe Sepsis Central Venous Catheters Skin Care Care Bundles C Diff Acute Stroke Thromboprophylaxis %Compliance with pathways C Diff rates Mortality reviews %Compliance with standards Pathways Handover – MEWS score Clinical record keeping Medicines reconciliation Communication PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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Recommendations Drivers Interventions Tests of Change Mortality & Harm
% Completed reviews GTT monthly each DGH Primary Care TT Pilot Mortality review Mortality & Harm %Compliance with standards Depth of coding Timeliness Clinical Coding review Data quality PREVENT PROTECT PROMOTE Ill Health Good Health Better Health
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